scholarly journals Discharge Teaching to Improve Discharge Readiness for Patients Post Hip Surgery

2019 ◽  
Vol 2 (1) ◽  
pp. 40-47
Author(s):  
Ina Nurul Rahmawati ◽  
Riri Maria
Keyword(s):  
Discharge Planning ◽  
Hip Surgery ◽  
Care Needs ◽  
Delivery Methods ◽  
Data Bases ◽  
Rehabilitation Programs ◽  
Discharge Readiness ◽  
Returning Home ◽  
Improve Patient ◽  
Discharge Teaching

The condition of returning home unpreparedness post hip surgery has an impact on the patient's ability after returning home. This unpreparedness is caused by the inability of patients to manage their own needs and care needs after returning home in carrying out daily tasks, caring for themselves, and the ability to do health care. So that a nursing strategy is needed in preparing the patient's discharge planning in the form of discharge teaching. Four data bases namely Cochrane, EBSCO, Google Scholar, and Scopus were used to explain the effect of discharge teaching to improve patient readiness post hip surgery. Educational needs expected by patients post hip surgery are related to complications, operating procedures, rehabilitation programs, prosthesis, and pain management. Patients hope to get knowledge related to all dimensions, but in reality they only get from the functional dimension. Patients get more knowledge only during treatment than when they are going home. Discharge teaching must also pay attention to the content of information and delivery methods and must be given in all stages of treatment and repetition of important items. So nurses are required to have competence and knowledge in carrying out discharge teaching with the aim of increasing patient readiness.   Keywords: discharge teaching, discharge readiness, post hip surgery

Addressing the Scottish burden of wounds through the Lens of Profound Knowledge

2021 ◽  
Vol 30 (Sup20) ◽  
pp. S34-S40
Author(s):  
Jenni MacDonald
Keyword(s):  
Patient Outcomes ◽  
Wound Care ◽  
Cost Effective ◽  
Theory Of Knowledge ◽  
Care Needs ◽  
Profound Knowledge ◽  
The Cost ◽  
Improve Patient ◽  
Growing Population

The prevalence of wounds and the cost of treating them are increasing year on year. Improving the quality of wound care will improve patient outcomes and is a financial necessity. The Lens of Profound Knowledge is a tool that can be used to support quality improvement and identify where action is needed. It allows exploration of an organisation through four aspects—appreciate the system, understanding variation, psychology, and theory of knowledge—and working on all four aspects simultaneously is believed to increase the likelihood of achieving improvement. Improvements at and between all levels—microsystem (such as frontline services), mesosystem (health boards) and macrosystem (NHS Scotland)—would reduce variation in practice and prove to be both clinically and cost-effective. Given the rapidly growing population of people with unhealed wounds, wound care needs to be valued at all system levels and be adequately resourced.

scholarly journals Early discharge and rehabilitation in paediatric acquired brain and neurological injury: a transferable model

2018 ◽  
pp. edpract-2018-315096
Author(s):  
Rachel Keetley ◽  
Laura Kelly ◽  
William P Whitehouse ◽  
Sophie Thomas ◽  
Emily Bennett ◽  
...  
Keyword(s):  
Discharge Planning ◽  
Quality Care ◽  
Acquired Brain Injury ◽  
Early Discharge ◽  
Family Satisfaction ◽  
Neurological Injury ◽  
Children And Young People ◽  
Financial Gain ◽  
Lengths Of Stay ◽  
Improve Patient

Children and young people who require rehabilitation following sustaining an acquired brain injury often experience long lengths of stay (LOS) and potentially poorer recovery outcomes due to limited access to therapy and little proactive discharge planning. After stakeholder enquiry we launched a new team and pathway with a primary aim to reduce LOS. The secondary aims were to pilot an outreach model, reduce cost and improve patient and family satisfaction. We achieved a significantly improved change in quality care with a financial gain and increased patient and family satisfaction.

scholarly journals Use of the Flugelman index for identifying patients who are difficult to discharge from the hospital

2013 ◽  
pp. 103-108
Author(s):  
Chiara Bozzano ◽  
Ilario Lancini ◽  
Elena Mei ◽  
Maida Lucarini ◽  
Roberta Mastriforti ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Hospital Stay ◽  
Discharge Planning ◽  
District General Hospital ◽  
Feeding Problems ◽  
Care Needs ◽  
Socioeconomic Condition ◽  
Factors Affecting ◽  
Effective Discharge ◽  
Medical Wards

Introduction: To evaluate the use of multidimensional assessment based on the Fluegelman Index (FI) to identify internal medicine patients who are likely to be difficult to discharge from the hospital. Materials and methods: Have been evaluated all patients admitted to the medical wards of the District General Hospital of Arezzo from September 1 to October 31, 2007. We collected data on age, sex, socioeconomic condition, cause of admission, comorbidity score preadmission functional status (Barthel Index), incontinence, feeding problems, length of hospitalization, condition at discharge, and type of discharge. The FI cut off for difficult discharge was > 17. Results: Of the 413 patients (mean age 80 + 11.37 years; percentage of women, 56.1%) included in the study, 109 (26.39%) had Flugelman Index > 17. These patients were significantly older than the patients with lower FIs (85 + 9.35 vs 78 + 11.58 years, p < 0.001), more likely to be admitted for pneumonia (22% vs. 4.9% of those with lower FIs; p < 0,001). They also had more comorbidity, loss of autonomy, cognitive impairment, social frailty, and nursing care needs. The subgroup with FIs>17 had significantly higher in-hospital mortality (30.28% vs 6.25%, p < 0.001), longer hospital stay (13 vs. 10 days, p < 0.05), and higher rates of discharge to nursing homes. Conclusions: Evaluation of internal medicine patients with the Flugelman Index may be helpful for identifying more critical patients likely to require longer hospitalization and to detect factors affecting the hospital stay. This information can be useful for more effective discharge planning.

Abstract TP308: Transitional Care in Stroke Certified and Non-certified Hospitals: The Comprehensive Post-Acute Stroke Services (COMPASS) Study

Stroke ◽  
2017 ◽  
Vol 48 (suppl_1) ◽  
Author(s):  
Janet Prvu Bettger ◽  
Sara Jones ◽  
Anna Kucharska-Newton ◽  
Janet Freburger ◽  
Walter Ambrosius ◽  
...  
Keyword(s):  
Transitional Care ◽  
Discharge Planning ◽  
Care Transitions ◽  
Cluster Randomized Trial ◽  
Stroke Patients ◽  
Care Needs ◽  
Post Discharge ◽  
Exact Test ◽  
Chi Squared

Background: Greater than 50% of stroke patients are discharged home from the hospital, most with continuing care needs. In the absence of evidence-based transitional care interventions for stroke patients, procedures likely vary by hospital even among stroke-certified hospitals with requirements for transitional care protocols. We examined the standard of transitional care among NC hospitals enrolled in the COMPASS study comparing stroke-certified and non-certified hospitals. Methods: Hospitals completed an online, self-administered, web-based questionnaire to assess usual care related to hospitals’ transitional care strategy, stroke program structural components, discharge planning processes, and post-discharge patient management and follow-up. Response frequencies were compared between stroke certified versus non-certified hospitals using chi-squared statistics and Fisher’s exact test. Results: As of July 2016, the first 27 hospitals enrolled (of 40 expected) completed the survey (67% certified as a primary or comprehensive stroke center). On average, 54% of stroke patients were discharged home. Processes supporting hospital-to-home care transitions, such as timely follow-up calls and follow-up with neurology, were infrequent and overall less common for non-certified hospitals (Table). Assessment of post-discharge outcomes was particularly infrequent among non-certified sites (11%) compared with certified sites (56%). Uptake of transitional care management billing codes and quality metrics was low for both certified and non-certified hospitals. Conclusion: Significant variation exists in the infrastructure and processes supporting care transitions for stroke patients among COMPASS hospitals in NC. COMPASS as a pragmatic cluster-randomized trial will compare outcomes among hospitals that implement a CMS-directed model of transitional care with those hospitals that provide highly variable transitional care services.

scholarly journals 09 #EndPJparalysis

2019 ◽  
Vol 48 (Supplement_3) ◽  
pp. iii17-iii65
Author(s):  
Claire Noonan
Keyword(s):  
Bed Rest ◽  
Pilot Project ◽  
Care Needs ◽  
Culture Of Care ◽  
Information Leaflets ◽  
Iatrogenic Complications ◽  
Surgical Ward ◽  
Small Change ◽  
Improve Patient ◽  
Roll Out

Abstract Background Bed rest is a contributor to iatrogenic complications including delirium and muscle atrophy (Lui et al.2017). Getting patients up and moving has been shown to reduce falls and improve patient experiences. Clothes help people maintain their self-esteem and orientation and would also remind their care professionals to recognize them as people (Blackweel, 2014) Methods A pre campaign audit on fall and new incidence of delirium was conducted prior to the pilot campaign. To assess what patients were in bed, dressed in pyjamas or up dressed for 2 weeks prior. Education was delivered to both staff and patients with information leaflets on the ward. Informing patients and families the appropriate clothing and foot wear to bring into hospital. Elective patients were notified by post to explain what we were doing and why, whilst asking them to pack their day clothes. At 12:00 every day roaming teams surveyed the amount of patients out of bed and dressed in their day clothes. Results 37% (n=226) more patients were up, dressed and moving on Medical and Surgical wards. 25% (n=153) less patients were in bed on both the medical and surgical ward. This pilot project demonstrated a decrease in the number of reported falls from 16 to 4 as well as a decrease in the number of reported new episodes of Delirium from 4 to 0. Conclusion Overall, the endpjparalysis initiative resulted in positive outcomes for patient’s small change can impact incidents of falls and acute delirium within our organisation. Inter-disciplinary approach to roll out this initiative to other wards across the hospital changing our culture of care. In line with the patients charter empower patients to take control of their care needs thus, promoting their independence.

Creating an agreed discharge: discharge planning for clients with high care needs

2011 ◽  
Vol 20 (3-4) ◽  
pp. 444-453 ◽  
Author(s):  
Hikari Tomura ◽  
Noriko Yamamoto-Mitani ◽  
Satoko Nagata ◽  
Sachiyo Murashima ◽  
Shigemi Suzuki
Keyword(s):  
Discharge Planning ◽  
Care Needs ◽  
High Care

Discharge planning considerations for the neonatal intensive care unit

2020 ◽  
pp. fetalneonatal-2019-318021
Author(s):  
Vincent C Smith
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Discharge Planning ◽  
Primary Caregivers ◽  
International Perspective ◽  
Medical System ◽  
System Perspective ◽  
Discharge Readiness

Neonatal intensive care unit (NICU) discharge readiness is the primary caregivers’ masterful attainment of technical care skills and knowledge, emotional comfort and confidence with infant care by the time of discharge. NICU discharge preparation is the process of facilitating discharge readiness. Discharge preparation is the process with discharge readiness as the goal. Our previous work described the importance of NICU discharge readiness and strategies for discharge preparation from an American medical system perspective. NICU discharge planning is, however, of international relevance as challenges in relation to hospital discharge are a recurring global theme. In this manuscript, we conceptualise NICU discharge preparation with international perspective.

Documentation of Discharge Teaching of Patients Who Have Had Hip Surgery

1986 ◽  
Vol 5 (6) ◽  
pp. 22-24???24 ◽  
Author(s):  
Kathleen L. Clay ◽  
Mary L. Stirn
Keyword(s):  
Hip Surgery ◽  
Discharge Teaching
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