Ineffective Discharge Education

PO is referred to continue chemical dependence treatment at the community agency. PO will need to have a new assessment to determine appropriate level of care. PO is recommended to attend minimally of two self-help meetings per week, abstain from all mood-altering substance, and utilize positive support structure to aim and maintain substance free lifestyle.

To contain the cost experienced by hospitals with HF readmissions, evidence based practice must be applied to avoid reduction penalties by CMS. Evidence base practice shows implementing effective outpatient measures have reduced HF readmissions by 14% to 87% (McClintock et al., 2014). These outpatient measures include case management, early follow-up care, heart failure clinics, cardiac rehabilitation, medication reconciliation regimen, mailing & telecommunications home health and targeting caregiver burden (McClintock et al., 2014). Subsequently, prior to discharge it is the responsibility of the nurse to advocate for the patient. Effective teaching and patient reinforcement of information is important to avoid readmissions of any time

Acting as a nursing leader, I would encourage the entire health care team to understand and meet a patient’s expectations. My organization embodies patient-centeredness and expects nurses, as well as all health care providers to utilize good provider-patient communication, collaborative decision-making, and coordination of services (SMMC, n.d.). Moreover, managing customer expectation does not end when the patient is discharged. The patient must take what he or she learns from their health care providers to manage their care at home. Patients must understand their follow-up care and who to contact when questions arise (AHRQ,

There are many steps to the discharge process and while it is important to think big one should focus on starting small to achieve short-term wins. Demonstrating quick wins will help foster increased engagement. One area to gain a quick win is to partner with community physicians by arranging follow-up appointments prior to discharge. In a recent study Bradley et al. (2014) data indicates that this effort contributed to a 0.52 percentage point reduction in readmissions (Bradley et al., 2013, para. 2). Another area to introduce new practice is in increasing the number of at-risk patients who receive referrals to home health care and post-discharge phone calls. “The effect of home visits reported that with continuous post-discharge home care,

The applicant requests a change to the narrative reason for his discharge from unsatisfactory performance to a medical discharge. The applicant seeks relief, contending, in effect, that he is receiving a 20 percent service connected disabling rating from the VA due to his injury that occurred while on active duty. He was discharge because he was unable to pass the Army Physical Fitness Test due to a third metatarsal fracture that he incur during basic combat training. He states that his narrative reason is preventing him from being eligible for educational benefits, post 9/11 GI Bill and VA loan

One of the hospital initiatives is the early hospital discharge. This has been a very difficult process as it is a multidisciplinary

Nurses have the power to increase positive patient outcomes by implementing changes in their practice based on the evidence found in the nursing literature. Utilizing evidence-based practice (EBP) increases nurses job satisfaction, increases communication across the interdisciplinary team, enables nurses to provide their patients with high-quality care and decreases health care cost. The purpose of this paper is to describe why readmissions from nursing homes (NHs) is a nurse practice problem, nurse practice changes to reduce hospitalizations in NHs, evidence found in the nursing literature

During clinicals, I spent some time in discharge. Though discharge is an important aspect in an outpatient center, I didn’t find it helpful. During the discharge phase, there’s less interaction with the patient’s that in pre-op and PACU. Another thing that I didn’t find helpful was the way I learned how to

Discharge planning starts immediately when the client is admitted to the hospital. It consists of the client, significant others, the environment, professionals, and information, which all can have either a positive or negative impact on discharge planning. A.D is a 13-month-old toddler who’s developmentally unable to care for herself, so her significant others become the most important element in facilitating her discharge. Both of A.D’s parents have steady incomes and are present throughout the day to take care of her. They participated in the treatment regimen by giving the nurse all the diapers to weigh, disclosing everything she ate and drank and performed suctioning using a bébé mouche. Also, her family asked a lot of questions in respects

Increasing emphasis has been placed on discharge planning since the publication of the NHS Plan (DH, 2000), advocated the freeing up of acute beds by considering improvements in the way patients could be moved into intermediate or community care settings. Discharge planning has been identified as requiring greater collaboration between hospital and community professionals, since problems associated with discharge are often the result of poor communication and co-ordination between professional groups (McKenna, et al., 2000; Bull and Roberts, 2001).

In evaluating possible approaches to make the discharge process clear, easy and convenient for the patient and the staff, I looked into other

There is a growing crisis in healthcare; while this could be said of any number of challenges that currently face hospitals, the looming eventuality of a healthcare clinical provider shortage must be addressed (Spence Laschinger, Nosko, Wilk & Finegan, 2014). This project will focus on how hospitals can improve retention of first year nursing staff, improving nursing staff satisfaction and improving patient outcomes through the use of a residential training program and management changes that create an environment in which nurse staff feel empowered, well-adjusted to clinical realities and have increased clinical knowledge. Nurses are often the front lines care providers and as such they often interact the most with patients. It is vital

readiness. The method of educating the nurses should be selected based on evidence demonstrating that it is effective. Workshops have been shown as an effective teaching method to support staff nurse education (Galarza-Winton, Dicky, O’Leary, Lee, O’Brien, 2013; Lamiani & Furey, 2009). The reviewed studies demonstrate the influence education can have on nurses who do not fully understand the ramifications of an inadequate discharge process. Teaching nurses to be better patient educators and support a successful discharge process is an important component in improving the parental perception of discharge readiness. In a study by Weis, Piacentine, Lokken, Ancona, and Archer (2007) a correlation between higher quality of discharge teaching

In addition to the physical demands of nursing workload, there are cognitive demands that may result in “mental overload and decreased performance” for healthcare personnel (Cite Swosu p. 132). Furthermore, the knowledge and teaching styles vary from nurse to nurse, which ultimately results in a “range of information” that patients receive, with some patients receiving “little to no information at the time of discharge” (cite 9). The combination of patient educational needs being unmet and varying quality of teaching from healthcare providers result in higher rates of readmission (Jencks et. al, 2009, as cited in 5). Thus, a patient’s hospital experience is ameliorated with adequate support and healthcare personnel taking extra care in the teaching process when involved in

Discharge instructions and planning are vital components of patient care and when properly done, ensure that patients meet the needs requires to restore or maintain their health (Reddick & Holland, 2015, p. 1).