Author : Frances Martinez
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)
Book Synopsis Discharge Instruction Begins at Admission by : Frances Martinez
Download or read book Discharge Instruction Begins at Admission written by Frances Martinez and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The number of people diagnosed with heart failure is reaching epidemic proportions. Many heart failure patients have deficits in self-care and when hospitalized, research shows they are discharged lacking skills and knowledge regarding their disease and self-management. The problem when patients with heart failure lack self-care ability, they are readmitted to the hospital at a cost of $15 billion dollars each year. Current discharge practices are not working as patient educational level, health literacy, learning style, and self-care deficits are not appropriately addressed. Discharge practices today include literature, medication instructions, follow-up information, and plan of care teaching on the day of discharge. One solution to this problem outlined here is beginning discharge instruction at the time of admission. Following the recommendations of the plan, "Discharge Education begins at Admission," allows for thorough assessment of patient needs and while hospitalized each encounter used for reinforcement and clarification of teaching. Chart reviews of the previous 90-days will target patients diagnosed with heart failure readmitted to the hospital three times in the same period. Any patients admitted or readmitted with heart failure will be noted, a thorough assessment performed by the nurse, and teaching will begin focusing on self-care. The hospital stay will act as the platform for patient-centered education using teach back to measure knowledge learned and clarification of any deficits noted considering the educational and literacy level of each individual. Follow up phone calls within forty-eight hours of discharge using a simple questionnaire to evaluate retention of discharge instructions, assess for deficits, and answer any further questions. The Discharge Instruction Survey (Appendix A) is scored measuring knowledge retained and applying a risk assessment of readmission. The aim of this project is provide patient-centered education to increase understanding of heart failure, optimize self-care, and prevent readmission to the hospital. Results of the questionnaire will determine patient's risk of readmission and need for further follow up.
