Discharge Planning Essay

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DISCHARGE PLANING A well-managed discharge benefits not only patients and their families or carers, but also health care professionals. It prevents delayed discharges and inappropriate readmissions, ensuring the cost-effective use of beds. A well-managed discharge benefits not only patients and their families or carers, but also health care professionals. It prevents delayed discharges and inappropriate readmissions, ensuring the cost-effective use of beds. Ideally, discharge planning should start before or on admission to ensure the timely provision of appropriate services. The aim is to assess, plan, coordinate and evaluate patient-focused, evidence-based and cost-effective care for patients leaving the hospital. With staff shortages and a high turnover of patients, discharge planning takes on particular relevance. Ineffective communication between hospital and community staff is not new, as research has shown (Skeet, 1970; Nixon et al, 1998; Waters, 1987). To avoid misunderstandings, close contact with the multidisciplinary and primary health care teams should be maintained. Discharge planning in practice Discharge planning at The Royal Marsden Hospital is carried out by clinical nurse specialists for community liaison. They aim to provide a holistic service that meets the needs of patients with cancer in both the hospital and the community. The extensive treatment that many oncology patients receive often makes them quite ill and they may need a 'trial' discharge to assess whether they can manage at home. Patients and carers are consulted throughout the discharge planning process. Carers may require a needs assessment for themselves, as set out in the Carers (Recognition and Services) Act 1995. Community liaison nurses (CLNs) aim to support patients and their carers physically, socially and psychologically when planning a discharge. Each patient's

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