Patient Discharge Planning Quiz
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Questions and Answers

What is the primary goal of discharge planning?

  • To provide long-term care within the hospital premises
  • To ensure a smooth transition of patients from a health organization to their next destination (correct)
  • To keep patients in the hospital for as long as possible
  • To reduce the number of patients admitted to hospitals
  • When should discharge planning with coordination of services ideally begin?

  • Just before the patient is discharged
  • During the patient's stay at the hospital
  • After a patient has already left the hospital
  • At the time of patient admission to the hospital (correct)
  • Which of the following disorders would NOT typically be treated in a psychiatric hospital?

  • Schizophrenia
  • Bipolar disorder
  • Dissociative identity disorder
  • Cancer (correct)
  • In discharge planning, what is the purpose of determining the appropriate post-hospital destination for a patient?

    <p>To facilitate the patient's continuing care after leaving the health care agency</p> Signup and view all the answers

    What does a transition coach typically help patients with in the context of discharge planning?

    <p>Navigating through post-discharge healthcare and support services</p> Signup and view all the answers

    Which term describes a small hospital specifically trained and staffed to provide healthcare services in remote and rural areas?

    <p>Rural general hospital</p> Signup and view all the answers

    What is the main role of the transitional care nurse/advanced practice nurse/gerontological nurse in the model described?

    <p>Developing the discharge care plan during in-hospital assessment</p> Signup and view all the answers

    What is the focus of the High-intensity Care Team in the GRACE Team Care Model?

    <p>Supporting the primary care physician</p> Signup and view all the answers

    Which of the following is a key component of patient participation in the model discussed?

    <p>Communication between nursing staff and the patient</p> Signup and view all the answers

    What is the objective of restorative care as mentioned in the text?

    <p>Enhancing quality of life by promoting independence and self-care</p> Signup and view all the answers

    Which professionals head the High-intensity Care Team described in the text?

    <p>Nurse practitioner and social worker</p> Signup and view all the answers

    What is the focus of postdischarge follow-up as part of the model discussed?

    <p>Helping patients manage their health conditions after discharge</p> Signup and view all the answers

    What factors does a case manager or social worker usually consider when selecting a setting for a patient?

    <p>Patient's health care needs, self-care capacity, insurance, and place of residence</p> Signup and view all the answers

    Who usually identifies a patient's needs for a smooth and safe transition from the acute care hospital to their discharge destination?

    <p>Nurses, therapists, health care providers, and dietitians</p> Signup and view all the answers

    Which model emphasizes the role of a transition coach in facilitating the discharge of a patient to home or a rehabilitation center?

    <p>Coleman’s “Care Transitions Program” (2006)</p> Signup and view all the answers

    What are the four pillars on which Coleman’s “Care Transitions Program” (2006) is based?

    <p>Medication self-management, patient-centered record, follow-up, indicators of worsening medical condition</p> Signup and view all the answers

    Which model emphasizes comprehensive discharge planning and follow-up for older adults who are chronically ill?

    <p>Naylor’s “Transitional Care Model” (2009)</p> Signup and view all the answers

    What does Naylor’s “Transitional Care Model” (2009) emphasize for older adults who are chronically ill?

    <p>Comprehensive discharge planning and follow-up</p> Signup and view all the answers

    Study Notes

    Models of Care

    • The transitional care model consists of six key components: in-hospital assessment, discharge preparation, patient participation, continuity of care, predischarge assessment, and postdischarge follow-up.
    • The High-Intensity Care Team (GRACE Team Care Model) is led by a nurse practitioner and a social worker, supporting primary care physicians and addressing patients' health conditions.

    Restorative Care

    • Restorative care aims to help individuals regain maximal functional status and enhance quality of life through promotion of independence and self-care.
    • Patients often require restorative care after early discharge from hospitals.

    Types of Hospitals

    • Mental health facilities, also known as psychiatric hospitals, specialize in treating severe mental disorders.
    • Rural hospitals are small hospitals trained and staffed to provide healthcare services in remote and rural areas.

    Discharge Planning

    • Discharge planning is a coordinated, interprofessional process that develops a plan for continuing care after a patient leaves a healthcare agency.
    • Discharge planning involves determining the appropriate post-hospital destination, identifying a patient's needs, and meeting those needs while the patient is still hospitalized.
    • Discharge planning models include Coleman's "Care Transitions Program" and Naylor's "Transitional Care Model".

    Discharge Planning Models

    • Coleman's "Care Transitions Program" (2006) emphasizes the role of a transition coach and is based on four pillars: medication self-management, patient-centered record, follow-up, and indicators of worsening medical condition.
    • Naylor's "Transitional Care Model" (2009) focuses on comprehensive discharge planning and follow-up for older adults who are chronically ill.

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    Description

    Test your knowledge on patient discharge planning, a crucial process which involves identifying a patient's needs for a smooth transition from a healthcare facility to their discharge destination. Learn about the roles of case managers, social workers, nurses, therapists, and healthcare providers in this process.

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