Sunday, July 28, 2019

Nurse Facilitated Hospital Discharge Planning in an Elderly Unit Literature review

Nurse Facilitated Hospital Discharge Planning in an Elderly Unit - Literature review Example Patients with complex care needs, including frail and elderly or those with mental problems, may require continuing care in special housing, residential or nursing homes, and need a ‘package of care’ to support them back to good health after hospital discharge (McKenna et al, 2000, p.594-601). Such population demands effective discharge arrangements. Discharge planning is â€Å"a facet of the overall care of the patient, developed through the application of the nursing process† (Watts, 2005). It is a process â€Å"that is dependent on inter-professional collaboration between health and welfare professionals† (Atwal, 2002). Study of problems of discharging patients from hospitals have been in focus during the last two decades, and some of the shortcomings identified are: â€Å"poor communication between hospital and community; inadequate notice of discharge; over-reliance in informed support and lack of support; inattention to patient’s needs before leaving hospital; and wasted or duplicated visits by community nurses† (McKenna et al, 2000, p.594-601). â€Å"Cost effective, coordinated, high-quality discharge planning† is integral to control increasing healthcare costs and hospital personnel must become more adept at preparing patients for discharge as there is a decrease in length of acute hospital stay, and increase in care shift to communities and homes (Lalani & Gulzar, 2001). â€Å"Aged care assessment team (ACAT)† model, operating in Australia, may be helpful in streamlining hospital discharge process in the U.K. (Robinson & Street, 2003). ACAT, a key multidisciplinary group primarily comprising nurses and paramedical staff, is involved in determining the discharge needs of older people Hence, decreasing length of patient stay in hospitals is paramount agenda in every health care planner and eliminating long waiting lists and freeing up of ‘blocked beds’ could be possible with effective an d efficient discharge planning procedures.  

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