The change revolves all around discharge and follow-up appointments. Discharge is the first intervention that should be improved to ensure quality transitional care. It is the golden rule that is taught to all nurses that discharge begins upon admission. I’ve had a firsthand witness of multiple discharges within the hospital and can truly say that a majority of the patients were not receptive to the teaching. It is understandable why discharge teaching would go into one ear and out the other.
Kristen explained, “As the patient’s condition improves education becomes an essential part along with referrals to community agencies, and ideally involving the family in the release process.” A variety of services are available depending on the patient’s needs to assist with their success after their release from the hospital. For example, if the patient has suicidal ideation or any other psychological disorders the hospital will perform a psychological evaluation and begin the patient’s treatment plan before their release. There are several educational objectives that need to be covered with the patient before his discharge in order to assist the overall management of their conditions. These include; recognizing signs and symptoms of heart failure, managing those symptoms, management of medications, smoking cessation, and abstaining from
Then if home conditions change they can move into the facility’s assisted living area. Then if the insured’s condition declines further they can move over to the skilled nursing wing of the facility. Patients that only require supervision or light duty nursing services at home may opt for a private care giver versus having a licensed home health aide. To support the growing population of children caring for both their parents and their own children additional care services have been created. Examples are adult day care and respite care.
Flexion – after the short story Still identified by Mrs. Slovak, after her husband misjudged the bank of the dam, hearing the sound of a tractor overturning onto himself. Dead, caught him straight across his spine, she looks at him crying, but he starts to go pale. The look on her face, she was in shock like her life was falling apart. “I couldn’t imagine being alone even if he is a pretentious prick.” She called 000, then directed the paramedics to frank after they lifted him on the travel sized bed they soon left, she met him at the hospital for the last few hours of her husband’s life. Waking up, moving her arm across the bed to feel some type of completion, like someone was there to wake up beside her to say good morning.
On August 11th, Sue was taken to Taylorville Memorial Hospital after collapsing at work. She had been acting funny all day. She was off balance, speaking differently, and seemed off all day. The emergency room physician diagnosed her with diabetes and high blood pressure. When I arrived at the hospital, my mother had been released, standing outside the emergency room entrance.
First and foremost, check with your insurance company to make sure which benefits you have. Find out specifically how long they will allow you to stay in the hospital. Many insurance companies will make you leave the on the fourth day after the operation and they may send you to a “rehabilitation facility”, which in their jargon could mean a nursing home. In my experience, I was transferred to the nursing home on a Friday. This meant I would not be evaluated by their visiting physical
Maintenance: We should encourage and assist the patient in maintaining the new behaviour over the long haul, such as engaging in stress-reducing activities (e.g. yoga, sports), drinking water and taking deep breaths when they feel the need to smoke, keeping themselves busy with other activities
Looking Back - Last week during clinical, I engaged with a client on a conversation regarding her accident at home. She recounted the story of her fall as she climbed the stairs to go into her kitchen, describing the fall as an awful occurrence which resulted in a right hip fracture and her lengthy stay in the hospital. During this conversation, I was able to understand that this injury took a significant toll on the client’s health and wellbeing as she felt like she had gotten so much older since she was admitted. Her life had changed in a single moment resulting in limitation and changes to her gait and range of motion in the lower extremities. Elaborate - The conversation between us allowed me to better understand the injury from the patient’s point of view and understand how it has impacted her daily activities.
Name: E.L. Occupation: Registered Nurse Source of History: Patient Reliability of Historian: Reliable Age: 59 Date of birth: 1/15/1955 Race: Filipino Religion: Christian Subjective Data: Chief complaint: E.L. is in her usual state of good health until 5 days ago when she felt pain and swelling of right leg. Patient states that the swelling is more prominent after her work with pain mostly in her right groin. History of Present Illness: 59 y/o Filipino female with Type II Diabetes diagnosed in 1998. She noticed slight swelling of her right lower extremity about one month ago after prolonged standing.
The resident began having edema in her arms, legs and face. She was sent to the emergency room for treatment and released back to the LTC facility a couple of days later. A few days later the LTC staff noticed that the resident was experiencing shortness of breath, her speech was slurred, and she seemed very confused, so they transferred her back to the ER. Doctors at the hospital diagnosed her with CHF and respiratory distress, and she died shortly