Getting
Discharged from the Hospital: 5 Questions
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When you are in the hospital, part of the
process is to plan for your release from the facility. It may be
that you are released to a rehabilitation hospital, if intensive
therapy would benefit your recovery. Or, you may go to a skilled
nursing facility, if a lesser level of care is needed. Maybe you
will be strong enough to return to the home setting. Whatever is
decided for you will be planned at a "discharge planning meeting."
1. What is a
"discharge planner"?
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Most hospitals will have a discharge planner.
The job of the discharge planner is to plan what is best for you
when you leave the hospital. This person coordinates ordering
equipment, home health services, outpatient therapy, and many
other services. He or she will make sure that the doctor has
issued prescription orders for all services you will receive after
you leave the hospital. Find out who the discharge planner is so
you can direct your questions to the appropriate person.
2. What is a
"discharge planning meeting"?
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This is a meeting held at the hospital. It is
usually attended by the nursing staff, any therapists involved in
the patient's care, and sometime by the doctor and the patient's
family. At the discharge planning meeting, with input from the
medical staff, it is decided if the most appropriate placement
will be to a rehabilitation hospital, a skilled nursing facility,
home with help from hospice, or home perhaps with help from a
caregiver, family member, or friend. This determination is based
on the patient's expected rate of recovery, current strength
level, and estimate of future nursing needs.
3. How does it
get decided where the patient will go after the hospital?
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The hospital staff is very skilled at watching
the patient's recovery and estimating how much care the patient
will need over the coming days and weeks. If the patient is too
weak to go home and needs more time in therapy to regain strength,
then the recommendation is to be discharged to a rehabilitation
hospital. If the patient has nursing needs beyond that which can
be carried out in the home setting, then the medical staff know
that the patient will be going to another facility, probably to a
skilled nursing facility (called a "SNF" and pronounced "SNIFF").
If the patient is going to be able to be safe at home, and is
strong enough to get into and out of bed and on/off the toilet
safely, then the recommendation is for the patient to return home.
4. Is the
patient or family always included in this "discharge
planning" process?
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No, not always. Sometimes plans are made for you
and your family without your knowing or being invited to the
discharge planning meeting. It is ideal if you can have someone
attend this meeting on your behalf so that your needs may be more
fully addressed.
5. How would I
get included in the "discharge planning" meeting?
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Start by asking the nurse whether the hospital
has a discharge planner, and if so, that person's name and phone
number. Call that person (or have a family member call), introduce
yourself, and ask if there has been a discharge meeting scheduled
yet. Ask to be included. If the hospital does not have a full time
staff member designated as the discharge planner, ask the nurse
who will be coordinating your discharge plans, contact that
person, and ask to be included in any discharge planning meetings.
By being proactive, and using a bit of the hospital personnel's
jargon (e.g., "discharge planner"), you will usually end up
receiving more information about your care than you would have had
you not begun asking questions and being involved.
SmallTown Duo, owned by Sibyl Day and Mary Benson, specializes in
medical and legal books for consumers. They publish a popular book
called "What Did the Doctor Say? A Guide for Before, During, and
After Your Hospitalization." The book covers topics such as
questions to ask about your diagnosis, medications, doctor visits,
and avoiding common medical errors. For more information, visit
their website. http://www.SmallTownDuo.com
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