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Nursing Home Discharge Planning Cheat Sheet by

What is the Discharge Planning Process
nursing     home     planning     snf     healthcare     discharge

Introd­uction

During a patient's stay at a facility their doctor and the staff should be working with the patient and caregiver to plan for the discharge. The caregiver, a family member or friend who may be helping, should be important members of the care planning team. Patient and caregiver can use this checklist to prepare for the discharge.

In general, the basics of a discharge plan are:
Evaluation of the patient by qualified personnel
Discussion with the patient or his repres­ent­ative
Planning for homecoming or transfer to another care facility
Determining whether caregiver training or other support is needed
Referrals to a home care agency and/or approp­riate support organi­zations in the community
Arranging for follow-up appoin­tments or tests

A. Discharge to or Prolonged Placements

Prolonged placement in this facility
Home
Intermediate Care Facility
Home for Aged
Other Specify: ______­___­___­___­___­___­___­___­___­______

B. Medica­tions & Supple­ments

Use a Patient Medication Profile of prescr­iption drugs, over-t­he-­counter drugs, vitamins, and herbal supple­ments.
Review the list with the physician.
Tell the physician what drugs, vitamins, or supple­ments taken before being admitted.
Ask if patient can continue taking these after leave.

B. If Discharged will Resident require?

Diet education
Housekeeping help
Nursing care
Personal care
Help with emotional & adjustment issues

Reha­bil­itation Therapy
Physical Therapy
Occupational Therapy
Speech Therapy
 

Discharge Planning: IDEAL

Other Requir­ements

Financial Assistance
Community Resources
(Speci­fy)­:__­___­___­___­___­___­___­___­___­___­___­___­___­______
______­___­___­___­___­___­___­___­___­___­___­___­___­___­___­______
______­___­___­___­___­___­___­___­___­___­___­___­___­___­___­______

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