Vol 37 No. 3
Full Text:
Author(s):

Rukshini Puvanendran

Published in:

The Singapore Family Physician Vol 37 No 3 - Integrated Eldercare Course

Publication date:

1 July 2011

ISSN:

0377-5305

Abstract

The discharge of the patient from the hospital to the community or step down care facilities is a critical point in patient care. The discharge process is especially critical for elderly patients and patients with multiple co-morbidities and impaired function. Inappropriate discharge destination and incomplete communication with patients and ambulatory care can lead to adverse outcomes like unscheduled readmissions, emergency department visits and adverse events. Know the goals of discharge planning: reduce unnecessary hospital length of stay, prevent adverse outcomes after discharge, and co-ordinate services between hospital and community, bridging the gap between hospital and discharge destination. Discharge planning process should start at admission. Screen for the higher risk patient and intervene specifically to reduce the risks. Go through the elements of discharge planning: determine the post discharge site of care, do medication reconciliation, educate patient, create a useful discharge summary. Be clear of the doctor’s role in discharge planning.