NUR4111 Learning Outcomes Case study 2022

[Unit code].. [Student ID number]
NUR4111 iSAP Framework: Your Student Response (Part A) (1125 words +/-
10%) must address the following points:
Case Learning Outcomes
1. Define ‘discharge planning’ and discuss the importance of discharge planning and care
transition in relation to Annie’s needs. (approx. 100 words)
Please do not remove these instructions. These instructions are not included in the assessment
word count.
Type your answer here.
Answer: Discharge planning (Commonwealth of Australia., 2013) includes creating individualized
discharge arrangements for patients when they exit the hospital in order to maximize healthcare
service performance (Anderson et al., 2015) and consistency. Nurses are well qualified to assume
a significant part in hospital-to-home discharge preparation for patients, and would be acquainted
with the effects of individualized discharge preparation on patient results.
Discharge preparation is deemed a standard feature in all health care programs, and facilitates the
implementation in individualized arrangements given to a patient while entering the facility, in the
goal of optimizing patient satisfaction and minimizing needless re-hospitalizations. The primary
lingering obstacles in Annie's situation (Reilly et al., 2016) involve a weak perception of the medical
problem as well as a lack of awareness of the medical condition. Annie can experience several
obstacles on her journey home after a hospitalization. The adjustment time introduces patients to
needless hazards associated with insufficient planning before entering the facility, possibly resulting
in mistakes and damage to patients. It is also very necessary to engage patients in self-
management, which was found in order to achieve improved clinical results and improve self-
efficacy.
2. Discuss four known barriers to effective discharge planning in acute care services. (approx.
225 words)
Please do not remove these instructions. These instructions are not included in the assessment
word count.
Type your answer here.
Answer: The dynamic method of discharging patients from intensive treatment to community care
(Fortier et al., 2015) involves a multifaceted relationship between patients and all health care
professionals. Poor contact during the discharge of a patient may result in harmful effects,
readmission, and mortality after hospital. According to the severity of these issues, discharge
preparation was presented as a potential remedy. The four main themes linked to discharge
hurdles (Gibson et al., 2015) in the stated case study of Annie, were established including
adequate coordination, lack of clarification of function and lack of services and factors (Harris et al.,
2017) relevant to consistent delivery of inpatient treatment and excessive readmission to hospital.
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These concerns demonstrated that, in addition to cultural (McGough, Wynaden & Wright, 2018)
competence at the scientific, organizational and institutional level of care provision,
acknowledgement of disparities between Aboriginal and non-Aboriginal society, identification and
resolving gaps in influence between patient and service provider, and awareness of the effect of
tradition, political and social circumstances on health. Above all, culturally stable programs are
required to align knowledge of cultural concerns with interventions that resolve them at the
regulation, operational and program level to promote aboriginal engagement in cancer care. In fact,
many reports have found and identified the need for a consistent, well-developed follow-up
program, and it was shown that support networks for continuing treatment have necessary after
patients were discharged from the hospital to maintain continuing treatment of the highest
standard.
3. Summarise in your own words and in dot point format the key steps
for planning and implementing safe transfer of care as outlined in Transfer of care from acute
inpatient services (2014). (approx. 225 words)
Please do not remove these instructions. These instructions are not included in the assessment
word count.
Type your answer here.
Answer: Transfer of care means shifting medical liability and responsibilities to another individual or
specialist, or a mixture of practitioners, for the treatment of a patient. If a patient is released from an
emergency situation, they can pass their continuing treatment to another individual or team. The
aim of care transition is to create a secure, smooth path which will ensure quality of patient care.
Medical transition is a component of the discharge phase. Developing an individual transfer care of
plan includes(Molony et al., 2018):
 Include an approximate date of care transition (or discharge) and methods for achieving
the expected date of care transition (such as contact arrangements for service agencies,
families and/or caregivers)
 Include details on transfers to hospital and/or community facilities, as well as specifics on
the travel plans for both the patient from the hospital to their place of care
 Include details on the medications of the patient and how they should be transported, form
an important part of the clinical notes of the patient when they are hospitalized and revised
as needed
Implementation of the transfer care plan includes the following key steps:
 The treatment plan needs to be established and enforced in collaboration with patients,
their relatives and/or caregivers and the individual, their relatives and/or caregivers can
consider certain facets of the care plan transition.
 Collection of a treatment checklist (or equivalent) for all patients will be done prior to
discharge or transition of treatment. The transmission of confidential details would adhere
to the standards of privacy set out in the Details Protection Act 2000 and the Health
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[Unit code].. [Student ID number]
Records Act 2001. Patients such as Annie, who are at higher risk of readmission, should
be recognized as stated in the case study, and interventions adopted to reduce the risk of
readmission.
 After conclusion of the risk evaluation, referrals need to be provided to relevant health care
professionals and/or neighborhood support programs. After release from a patient's
residence, appropriate neighborhood social resources need to be engaged. Additionally, it
is necessary to preserve consistency of prescription treatment.
4. Construct a concept map that holistically shows how you have drawn on Annie’s life story, health, environment, functions
and social wellbeing, and demonstrates a strengths-based person-centred care plan to improving her situation. (approx.
125 words)
Import (copy and paste) your concept map into your Student Response here.
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