Discharge Plan for Long Term Conditions

This report discusses the planning of discharge for patients with long term conditions, including the factors to consider and the significance of involving patients and their families. It also emphasizes the importance of communication in discharge planning and provides strategies to ensure safe discharge.

Discharge
Plan

Table of Contents
INTRODUCTION...............................................................................................................1
MAIN BODY.......................................................................................................................1
1) Identify what package of care is being utilised for Dillon..........................................1
2) Define discharge planning. What factors needed to be consider when planning
discharge.......................................................................................................................1
3) What is the significance of involving with patients with a LTC and their family in
discharge process.........................................................................................................3
4) Why communication is important when planning discharge and what strategies are
need to ensure safe discharge......................................................................................4
CONCLUSION...................................................................................................................6
REFERENCES..................................................................................................................7

INTRODUCTION
The aim of this report is to plan discharge plan for Dillon Hunt who is suffering
from long term conditions. It includes factors that are needed to be consider while
planning discharge. In this report, the significance of involving patient and their family in
the process of discharge. The importance of communication is also discuss with in this
report that is needed with in planning of discharge so that safe discharge can be
provided to patient. With in this report, discharge planning develop for Dillon Hunt is
discussed who is having various issues with in his health (Peng and et. al., 2018).
MAIN BODY
1) Identify what package of care is being utilised for Dillon.
The package of care is being utilised within case of Dillon. He is suffering from
various disease which is needed to be consider. He went for travelling for some days
but after return from it, many disease are caused with in his body. He was suffering from
ED and other disease which appears as fever and dry cough. Thus was tested with in
laboratory and schistosomiasis serology has been identified positively with in his body.
The package of care was given to him along with providing medication for his disease
which is praziquantel. After it, corticosteroids are given to him as this medication
develops other problems with in his body such as drug-related rashes, fever, etc
(Bhansali and et. al., 2016). His health does not improve which lead to various other
serological test that reveals about his condition of HIV. After the count of CD4, he was
ready for discharge plan from which appropriate care regarding her infection of HIV after
being discharge from hospitals. The pathophysiology of long term conditions is occur
differently for specific disease. The patient is suffering from diarrhoea which has been
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tested due to occurrence of dry cough and fever. The other serological test are also
performed which stated about presence of Schistoma mansoni eggs with in his stools.
There are packages of care is being delivered to him by providing different medication
to him according to his symptoms that develop. The various test are also provided in
order to diagnosis her treatments. The different types of antiretroviral therapy are also
provide with in his care with different analogue.
2) Define discharge planning. What factors needed to be consider when planning
discharge.
The discharge planning refers to important and necessary arrangements that
are needed for patient so that their transition of moving from hospital to home can be
occur securely. In this, patient, family, service providers and staff members are
involved. In planning of discharge, goals of health, follow-up test, appointment are
involved (Elfessi and et. al., 2019). The purpose of discharge planning occur as type of
care that is provided to after leave of hospital. The discharge is complex according to
the case as he have various complication with in his body which is necessary to
concern as he need complex care requirements. There are number of factors needed
while planning discharge such as professional, family and personal factors that develop
outcome of discharge planning process. The personal factors includes readiness for
being discharge from hospital is the main factor which state the concern of patient. The
professional factors include consideration that patient receive well managed care after
being discharge from hospital. The family factors refers to concern of family of their
family members of providing systematic care so that they can not readmission with in
hospital (Bahy and et. al., 2019). The multidisciplinary team is involved with in
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process of discharge as they can provide prescription and prevention of long term
condition of patient. The aim of MDT team coordinate with setting of care from which
they can provide appropriate care to patient after discharge. The participation of MDT
team can provide kind of care along with providing health care facility to them. The
knowledge and skills of MDT team are helps in evaluation of care to adults who have
long term conditions. The multidisciplinary team can utilize their skills from their
experiences as each of them are from different backgrounds and specialist. This assist
in developing criteria of discharge plan from which it can maintain achieved
successfully. The multidisciplinary team who are involve with in discharge planning are
professional of pathology and other professional who are specialist of HIV and other
inflammation disease.
Assessment and
treatment
Discharge planning Services
Mental health status Involvement of client Support of housing
HIV status Coordination from team by
planning
Services of prevention
Lymphadenopathy status Coordination and
communication from
professionals
Services of medication and
regular test
Social support Provided Prevention and
management of crisis
Trauma status Input by staff Support and benefits in
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needs
3) What is the significance of involving with patients with a LTC and their family in
discharge process.
The significance of involving patient with long term condition along with family
provides positive impact on them. This help in developing safe and secure
environment by reducing the risk of readmission of patient with in organisation. This
provides strengths the role of patient with in organisation along with increasing
satisfaction of patients after their discharging (Farasat, Possick and Rochester, 2016).
The Dillon have different disease which affecting his biological, social and other
functions. The involvement of discharge planning can provide surety about continuity of
care by identifying the care needs of patient. Their are some legal and ethical
framework occur for caring of adults who have long term condition. With involving them
in discharge planning process, legal and ethical framework can be provided to them
which develops satisfaction in their services (Caceres and et. al., 2017). As this may
involves as holistic care and needs which focuses on needs of medical including other
needs of stages of a person. The perception of patient is depend on knowledge and
empower of involvement. With involvement in discharge planning process, patient and
their family can communicate about their needs by influencing them in decision making
process of discharge plan. From this, their ability to show interest about their needs can
be influence with in situation. The involvement of patient can help in participating with in
decision-making plan that is occurring with in plan of discharge. This develop holistic
view of patient as they are taking part with in their communication discharge planning so
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that positive outcome can be achieved (Finch and Thistlethwaite, 2018). Their are some
patient who feel uncertain with in their role of patient. Although, it also depend on
attitude and behaviour of service providers which help in influence environment of
patient. The involvement of family and patient can assist in developing well functioning
of plan of discharge. The long term condition with in patient can be maintain by involving
them with in discharge of planning. From the involvement of Dillon with in discharge
planning, this develops empowerment of condition as he has a long term condition of
disease. There is impact of significance of involving with patient through general
practitioner occur as positively. As they feel relaxed about their concern from which they
can share their opinion and past experience to them.
4) Why communication is important when planning discharge and what strategies are
need to ensure safe discharge.
The communication is needed when time of discharging patient as it provides
proper arrangements to ensure the health of patients after discharging from hospital.
The communication is significantly important after recovery of patients as it provides
information about needs, requirements and necessity of patients after being
discharge from hospital. The discharge planning must have clear and continuity so that
it can provide quality of care to patients. The effective and interdisciplinary
communication can transfer of care from hospital to home. The effective communication
provides accurate discharge so that continuity of patient care can be delivered from
hospitals. The communication is used to provide proper, comprehensible and sensitive
information to all stakeholders who are associated with care and services of patients.
This provide and increase satisfaction of patients by getting information of their health
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condition. The communication can be occur from different methods which includes
verbally and non-verbally connected to patients. The non-verbal includes data and
information about diagnosis, medication and treatments regimes which is developed by
computer (Nolte and et. al., 2019). The verbal refers to attend patient by nurses and
physician. The such methods provides better communication between service providers
and service users. As different patient have different perspective towards their needs
which are need to be consider by practitioner so that they can provide proper
communication according to their prefer way of communication (Xiao and et. al., 2019).
This also provides variability to of information that is provided to patients while
discharging them from hospitals. The communication provides clear information to
patients so that they can understand their specific condition and procedure of their
treatments. The effective communication can help in removing complexity that may
occur while developing discharge planning of patients. With this, proper and safe
environment can be deliver to patients after their treatments from hospital.
There are various strategies are necessary to be used with in case of Dillon to
ensure that safe discharge can be delivered to him. The strategies of safe and
discharge planning involves various strategies that provides ideal discharge to patients.
The Dillon have various problem and is living with long term condition so that strategies
are used to ensure safe discharge to him. The strategies includes the informing staff
members about changes so that they can bring discharge outcomes with family and
patient concern. The special training staff is necessary to be chosen by hospitals so that
they can implement tools with concern of disease of patient. They should provide
information about needs of hospital. Their training includes messages so that they can
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improve quality and safety of care at home. The staff members should include family
and patient with in planning of discharge. They must deliver proper tools that
incorporate with practices of staff members so that they can communicate with patient
and their families. With this, they can provide and take proper information from them
which help in assisting providing safe discharge to them (Glick and et. al., 2020). The
staff members should implement new process with communicating with family and
patient. The strategies must involve feedback from patient, families and nurses so that
tools and techniques can be improved with providing safe discharge to patients. This is
necessary to be consider at time of discharging as patient have various disease which
can cause other family members. The staff members should provide information about
discharge and plan prevention measure to patient so that his disease does not spread
to another. This also involves providing information about his disease so that he can
take prevention regarding it.
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CONCLUSION
From the above report, it has been concluded that discharge plan is necessary to
be planned properly for those patient who has long term conditions. The package of
care can be deliver according to pathophysiology of long term conditions. There are
number of factors that are necessary to be involve in discharge planning process. The
importance of involving patient in long term condition can help in developing process of
discharge plan. The communication and different strategies help in developing planning
of discharge by making it safe for patients.
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REFERENCES
Books and journals
Bahy El-din Mohamed, A., and et. al., 2019. Effect of Discharge Plan for Children
undergoing Chemotherapy and Their Caregivers on Improving Practice and
Coping Pattern. Egyptian Journal of Health Care. 10(1). pp.102-116.
Bhansali, P., and et. al., 2016. Parental understanding of hospital course and discharge
plan. Hospital pediatrics. 6(8). pp.449-455.
Caceres, J.W., and et. al., 2017. Standardized Physician-Administered Patient-
Centered Discharge Protocol Improves Patients' Comprehension. Southern
medical journal. 110(5). pp.359-362.
Elfessi, Z., and et. al., 2019. Discharge Plan of Care for COPD (DIPLAC): A
Personalized, Telehealth-Based Program to Reduce Frequent Emergency
Department Visits of Veterans with Acute Exacerbations of COPD in Inner-City
Chicago. In B35. EPIDEMIOLOGICAL STUDIES AND MANAGEMENT OF
COPD (pp. A2979-A2979). American Thoracic Society.
Farasat, S., Possick, J.D. and Rochester, C.L., 2016. Clinical Features And Discharge
Characteristics Of Patients Readmitted Within 30 Days Following Index
Admission For COPD Exacerbation At Yale-New Haven Hospital. In A41. THE
SPECTRUM COPD CARE: FROM IDENTIFICATION TO POLICY (pp. A1526-
A1526). American Thoracic Society.
Finch, J. and Thistlethwaite, R., 2018. XTend-Supported Discharge
Program. International Journal of Integrated Care. 18(s1).
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Glick, A.F., and et. al., 2020. Accuracy of Parent Perception of Comprehension of
Discharge Instructions: Role of Plan Complexity and Health Literacy. Academic
Pediatrics.
Nolte, M.T., and et. al., 2019. 56. The development of a predictive scoring system for
discharge to a facility following posterior spinal fusion for adult spinal
deformity. The Spine Journal. 19(9). p.S28.
Peng, C., and et. al., 2018. The discharge plan pattern was applied in breast
reconstruction after breast cancer surgery. Chinese Journal of Practical
Nursing. 34(5). pp.331-336.
Xiao, S., and et. al., 2019. Discharge planning in mental healthcare settings: A review
and concept analysis. International journal of mental health nursing. 28(4).
pp.816-832.
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