Discharge planning for mental illness?

leslie :-D · Dec 16, 2005

it depends.

some go home.

others are transferred to a step-down residential treatment program.

then there are out-patient programs...

why don't you call up any psychiatric hospital and ask to speak w/a discharge planner.

even a licsw should be able to help.

good luck.

leslie

lcprnc · Dec 16, 2005

G'day, Student enrolled nurse here.
At the moment I am working on a project revolving around mental health, and I have been looking and looking for a mental health discharge plan that I can use as an example so as I may be able to create my own for a presentation.
Does anyone specialize, or have access to such an item or even have a good place for resources?????
Thanks
Milenko

Hi,

For discharge planning, I would suggest medication teaching (effects, side effects, drug-drug and drug-food interaction, etc), coping skills (relaxation, deep breathing exercises, etc), support system (church, family, friends to call), and important are after-care plans such as follow-up care (outpatient or residential care, crisis # to call, etc.). Who is the patient going to follow up with in terms of medication management (psych as well as medical issues). Self-help support groups such as AA or NA. Is individual therapy or marital/family therapy session all set up? Any insurance issues that the patient needs ot be aware of such as limitations on outpatient visits or preauthorization? I'm sure that there are more...I have to think and then post some more later.

LCPRNC - a certified psych and mental health nurse :8)

TitaniaSidhe · Dec 21, 2005

the following are examples of note templates we use at our facillity for our patients on discharge.

#1 Note Example for discharge

TITLE: NURSING DISCHARGE SUMMARY (T)

DATE OF NOTE: ENTRY DATE:

AUTHOR: EXP COSIGNER:

URGENCY: STATUS: COMPLETED

DATE AND TIME OF DISCHARGE:

DATE/TIME TEMP PULSE RESP BP PAIN WEIGHT

ACCOMPANIED BY:

TYPE OF DISCHARGE:

DISCHARGE VIA:

DISCHARGED TO:

MENTAL STATUS - ORIENTATED TO:

SKIN :

PERIPHERAL INFUSION DEVICE REMOVED:

SUTURES:

CLIPS :

OPERATIVE SITE:

MEDICATIONS:

EQUIPMENT/SUPPLIES:

INSTRUCTIONS GIVEN FOR REFERRAL OR APPOINTMENTS:

TEACHING/DEMONSTRATION:

Person taught:

Comments:

Condition on Discharge:

==============================================================================

#2 Note example for discharge

TITLE: PATIENT HEALTH EDUCATION

DATE OF NOTE: ENTRY DATE:

AUTHOR: EXP COSIGNER:

URGENCY: STATUS:

TOPIC TAUGHT:Discharge Medications

Person taught:

Ready to learn?

Past knowledge?

Learns Best?

------------------------------------------------------------

Barriers/Issues?

None

Method/Tool Used:

Handout-Specify:

Instructions given:

MEDICATION:

Received education on the following:

Name and description of the medication.

Discharge Medications:

List of Prescriptions and Supplies:

1 - BACITRACIN 500 UNT/GM TOP OINT Instructions:

2 - CHLORPROMAZINE 200MG TAB Instructions:

3 - FLUOXETINE HCL 20MG CAP Instructions:

4 - MULTIVITAMIN CAP/TAB Instructions:

5 - OMEPRAZOLE 20MG SA CAP Instructions:

6 - TRAZODONE HCL 50MG TAB Instructions:

Evaluation:

=============================================================================

#3 Note example for discharge

TITLE: DISCHARGE INSTRUCTIONS

DATE OF NOTE: ENTRY DATE:

AUTHOR: EXP COSIGNER:

URGENCY: STATUS:

(Name & Address of Hospital goes here)

Phone Number

Telephone Triage

PATIENT DISCHARGE INSTRUCTIONS

DATE OF ADMISSION: DATE OF DISCHARGE:

PATIENT DISCHARGED TO:

Phone:

DIAGNOSIS:

Discharge Medications x 14 days with no refills:

(List of all discharge meds goes here)

DIET:

PHYSICAL ACTIVITY:

SOCIAL HABITS:

EMPLOYMENT STATUS:

FOLLOW-UP VISIT:

You are also scheduled for the following appointment(s):

Clinic name:

Location:

When:

THE DISCHARGE INSTRUCTIONS HAVE BEEN EXPLAINED TO ME, MY QUESTIONS HAVE BEEN ANSWERED, AND I UNDERSTAND THEM.

________________________________________ ______________________

Patient or Significant Other's Signature (Date/Time)

Attending Physician Name (at time of discharge):