Is a care plan problem considered resolved at discharge?

[phillipians413]

I am working on a PIE charting assignment. I understand the process, but on the chart that we have to fill in, it has a column charting when the problem is resolved. In the scenario we are given, the patient is discharged. In the text, it says that a problem is considered resolved if there have been no nursing interventions for 24 hours. If you provided nursing interventions in the hours prior to discharge, how would you chart in the resolution column? Where I work, we chart that all the items are resolved at discharge.

[Daytonite, BSN, RN]

if the patient has, let's say, broken skin because of an incision, and on discharge they still have an incision that is still draining, but are being sent home on antibiotics and instructions to do dressing changes, has the problem of broken skin been resolved? no.

[phillipians413]

Thanks for the reply. That makes sense. In my scenario, the first problem was pain with breastfeeding due to breast engorgement. The interventions relieved the pain and the pt was able to bf successfully and was discharged later that morning. Since it had not been 24 hours since a nursing intervention was done when pt was discharged, could I still chart it as resolved?

[Daytonite, BSN, RN]

yes. a problem is resolved when there is no evidence that it exists.

originally, the problem existed because an assessment was done and there was abnormal data present that lead to the identification of a diagnosis. evaluation of the plan of care can be done at any time not just at discharge. when the abnormal data no longer exists it means that the nursing interventions were successful, the goals were reached and the problem resolved.