How do you do a discharge planning

Published

i do not know what discharge planning is and what the mnemonics METHODS mean coz thats the format.... i hate my 3rd yr. life

Up Vote Up Vote ×
Specializes in med/surg, telemetry, IV therapy, mgmt.

first of all, i have no idea what you mean by what mnemonics methods are as a format. did your instructors give you a mnemonic to summarize the discharge process? check your notes from class or get another students notes because i've never heard of a discharge plan mnemonic.

discharge planning involves helping the patient to get assistance with the care they will need when they leave the acute hospital. this is how you make sure the patient is going to get continuing care when they leave the hospital and how you help them move from the hospital to another healthcare facility or their home. this process often involves education of the patient as well as helping to make arrangements for equipment or care that will be needed. when patients are discharged from the acute hospital they still may not be able to care for themselves independently. some patients will have to go through a recovery or rehabilitation phase if they have had a very serious illness or injury. this can involve having to get together many different resources that include obtaining medical equipment, home nurses or care providers, and help with obtaining food or transportation to doctor's appointments.

recently, i was discharge from the hospital with a picc line (peripherally inserted central line) that needs to be flushed and have a sterile dressing change weekly and an abdominal wound that continues to need daily sterile packing and dressing. i was admitted with a septic infection from the abdominal wound. on the day i was discharged a discharge planning nurse sat with me and made arrangements for a visiting nurse to see me at my home. this nurse would evaluate my wound and picc line. she also made an appointment for me to have a pet scan that was ordered by one of my doctors (this scan could not be done while i was an inpatient). she verified that i had already made follow up appointments with all my doctors before i was discharged. we talked about my ability to be able to shop for food, drive and get to my doctor's appointments.

as a result of this i have a nurse who comes to my house two times a week to change the dressing on my abdominal wound and make an observation of how it is healing. once a week the nurse must flush the picc line and perform a sterile dressing change on it. although i also do daily dressing changes on my abdominal wound i cannot do the picc line dressings. sterility of these dressing changes is critical as a picc line infection can result in an endocarditis and the flushing of the line can only be done by an rn since this is an iv whose tip is positioned in the superior vena cava of my heart.

Up Vote Up Vote ×
first of all, i have no idea what you mean by what mnemonics methods are as a format. did your instructors give you a mnemonic to summarize the discharge process? check your notes from class or get another students notes because i've never heard of a discharge plan mnemonic.

discharge planning involves helping the patient to get assistance with the care they will need when they leave the acute hospital. this is how you make sure the patient is going to get continuing care when they leave the hospital and how you help them move from the hospital to another healthcare facility or their home. this process often involves education of the patient as well as helping to make arrangements for equipment or care that will be needed. when patients are discharged from the acute hospital they still may not be able to care for themselves independently. some patients will have to go through a recovery or rehabilitation phase if they have had a very serious illness or injury. this can involve having to get together many different resources that include obtaining medical equipment, home nurses or care providers, and help with obtaining food or transportation to doctor's appointments.

recently, i was discharge from the hospital with a picc line (peripherally inserted central line) that needs to be flushed and have a sterile dressing change weekly and an abdominal wound that continues to need daily sterile packing and dressing. i was admitted with a septic infection from the abdominal wound. on the day i was discharged a discharge planning nurse sat with me and made arrangements for a visiting nurse to see me at my home. this nurse would evaluate my wound and picc line. she also made an appointment for me to have a pet scan that was ordered by one of my doctors (this scan could not be done while i was an inpatient). she verified that i had already made follow up appointments with all my doctors before i was discharged. we talked about my ability to be able to shop for food, drive and get to my doctor's appointments.

as a result of this i have a nurse who comes to my house two times a week to change the dressing on my abdominal wound and make an observation of how it is healing. once a week the nurse must flush the picc line and perform a sterile dressing change on it. although i also do daily dressing changes on my abdominal wound i cannot do the picc line dressings. sterility of these dressing changes is critical as a picc line infection can result in an endocarditis and the flushing of the line can only be done by an rn since this is an iv whose tip is positioned in the superior vena cava of my heart.

it means i start out with

m-medicine

e-'dont know'

t-'dont know'

h-'dont know'

o-'dont know'

d-'dont know'

s-'dont know'

which was never taught at school nor could i find it anywhere... also i now realize that case study itself was never taught... im in deep feces.... i get the idea of the discharge planning thanks to you but the format of discharge planning created by our big d... *sigh* nobody gave me the meaning of methods in school... and i have to pass a part of case study every week.....

Up Vote Up Vote ×
Specializes in med/surg, telemetry, IV therapy, mgmt.

this mnemonic sounds like something very unique to me. i would suggest that you go to your genuis dean and ask her what the mnemonic is. in looking at it i would guess (but i may not be correct) that

m = medicine

e = equipment

t = treatments

h = home care?

o =

d = doctor?

s =

a case study is basically a narrative format of a nursing care plan. here are links to examples of real case studies that were done by nursing students that you can look at to see how they are organized. basically, you present the assessment information that also includes the medical disease and pathophysiology and then discuss how you determined your patient's nursing problems from the assessment information, list your nursing diagnoses, goals and nursing interventions.

Up Vote Up Vote ×

Apparently Big D has a different format also since she added pathophysiology anatomy and physiology personal and mental status clients present and past history lab exmas taken and results ans so on...

AND YES YOU NEED THIS IN A CASE STUDY

YNUWGO

Up Vote Up Vote ×

whoever replies back and posts^^ much appreciated and uh... i'll read it tomorrow coz its 10.20pm here and i have a duty at the ER first time... thank you

Up Vote Up Vote ×
Specializes in med/surg, telemetry, IV therapy, mgmt.

look, this is an assistance forum where we are supposed to give you help in getting your assignments done. issues you have with your dean and gossip about her are counterproductive and lead to misinformation. the best advice i know of to give you is that if your dean is the one who is mandating your assignments be completed in a specific format, then you need to find out what that format is. if the dean has written about it in formal papers, then you need to get copies of those papers. whoever is grading your assignments should be able to tell you precisely how you are being judged on an assignment. go to them and ask for a copy of these rules. when i was in my bsn program we had an entire 10 week course where they explained to us how we were to write and present our nursing care plans for the next two years of our nursing classes. and, if we questioned why we were graded for doing things wrong on a care plan later we were told quite bluntly to go back and review the handouts and our notes from that 10 week class, or another classmates notes.

what you describe "pathophysiology anatomy and physiology personal and mental status clients present and past history lab exmas taken and results and so on..." sounds exactly like what nursing students in most bsn nursing programs are expected to do in putting together any major plan of care they are doing for a patient. in college programs, a college student is expected to know (1) how to gather this information from the many sources required (2) put it all together in a logical and rational way (3) use the nursing process as a guideline and (4) reference the books and nursing articles they have used to support the rationales for the interventions they assigned in the care plan they just completed which also included the discharge plan, if appropriate. this is basic baccalaureate level expectation for not only nursing, but any field of study.

i strongly urge you to get together in a meeting with an instructor who can give you some direction with this. keep meeting with instructors until you find one who will help you. if it's true that 12 cis have resigned because they hated genius dean, then it seems reasonable to me that the new cis who have been hired to replace them are going to want to do a real good job for their new boss, the genius dean, and are going to be more than happy to help an eager student (you?) who is looking to get information on the correct way to do their assignments in the way that genius dean wants them done.

Up Vote Up Vote ×

just did none of them even knew... everyone keeps telling me that their instructor didn't tell them to do METHODS coz no CI really knows so.... i asked the CI whose instructing me to do it and she said she doesnt know also *.* sooooooooooooooooooooooooooooooooooooooooooooo

i went to GeniuS DeaN and made an appointment...

she sez that she'll have time for me NEXT week(well i need the METHODS now) and im in trouble so i went to ask some friends who knew people who graduated from her school... my source said if everything goes well she could give me an answer tonight....

i hope....

NOTE

sorry for the complaining... really its just seemed unfair... OK OK no more 'emo'-ing around and YWPUOIYSH

Up Vote Up Vote ×
Specializes in med/surg, telemetry, IV therapy, mgmt.
no more 'emo'-ing around and YWPUOIYSH

I have no understanding of what you just wrote.
Up Vote Up Vote ×
I have no understanding of what you just wrote.

means im not gonna go emotional here... the letters mean something that just cant help but write... well better letters than words....

the case study is finished and i know what the hell METHODS mean... i posted it on the mnemonics thread

Up Vote Up Vote ×
Specializes in med/surg, telemetry, IV therapy, mgmt.
. . .the case study is finished and i know what METHODS mean... i posted it on the mnemonics thread

Thanks for posting that. Hope you did well on your case study. You sure did learn a lot about the importance of presenting your papers in the format they want. This is also very typical in many American universities. It's part of being a university student. I have heard employers say that they will only hire people with bachelor degrees because they know that if they were able to get through a university and earn a bachelor's degree they knew how to follow rules and do projects in the way they were requested. This is pretty much what an employer who is going to pay out a huge salary expects of a professional.

Up Vote Up Vote ×

M - medicine

E - exercise

T - treatment

H - Health Teaching

O - OPD Follow-up

D - diet

S - Spiritual and sexual

I also need a sample discharge planning with the following above.

Up Vote Up Vote ×
+ Join the Discussion