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Educate the patient and family in plain language about the patient’s condition, the discharge process, and next steps throughout the hospital stay. Assess how well doctors and nurses explain the diagnosis, condition, and next steps in the patient’s care to the patient and family and use teach back.
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Discharge planning involves a coordinated effort between the patient/resident, caregiving professionals, family members, and community supports. It is intended to smooth the transition from facility care to a home setting, or alternate facility.
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- Marianne E. Weiss
- Ronda G. Hughes
- Recommended Citation
- Marianne E. Weiss
- Kathleen L. Bobay
- Sarah J. Bahr
- Linda Costa
- Ronda G. Hughes
- Implications for Nurse Leaders
- Conclusion
Marquette University, marianne.weiss@marquette.edu
Marquette University, ronda.hughes@marquette.edu See next page for additional authors Follow this and additional works at: https://epublications.marquette.edu/nursing_fac Part of the Nursing Commons
Weiss, Marianne E.; Bobay, Kathleen; Bahr, Sarah J.; Costa, Linda L.; Hughes, Ronda G.; and Holland, Diane
College of Nursing, Marquette University, Milwaukee, WI
College of Nursing, Marquette University, Milwaukee, WI
College of Nursing, Marquette University, Milwaukee, WI
School of Nursing, University of Maryland, Baltimore Baltimore, MD
College of Nursing, Marquette University, Milwaukee, WI
The proposed conceptual model for hospital discharge preparation (Figure 1) can serve as a guiding structure for ensuring that the 3 major components of discharge (discharge planning, discharge coordination, and discharge teaching) are fully operationalized, with role functions and relationships clearly delineated. With many existing and emerging p...
The conceptual model for hospital discharge preparation (Figure 1) coalesces the many existing components used in discharge and care transition processes into a comprehensive framework for hospital discharge activities. Compilation of components of transitional care models that are initiated in the hospitalization phase of care provides a menu of o...
- Marianne E. Weiss, Kathleen L. Bobay, Sarah J. Bahr, Linda Costa, Ronda G. Hughes, Diane E. Holland
- 2015
Mar 24, 2016 · There are three basic components to the discharge process: linkage, service coordination, and documentation. Of course, the discharge process can vary depending on the agencies policy and procedures. Linkage. During the discharge process, case managers assist with referrals to other agencies.
The goal of the IDEAL Discharge Planning strategy is to engage patients and family members in the transition from hospital to home, with the goal of reducing adverse events and preventable readmissions.
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Discharge planning is the process by which the hospital team considers what support might be required by the patient in the community, refers the patient to these services, and then liaises with these services to manage the patient’s discharge.
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Learn more about the role of case managers in hospital discharge planning and why care coordination and case management compliment recovery.
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