Is Your Patient Ready to Go Home?: A Discharge Guideline for Surgical Care

Is Your Patient Ready to Go Home?: A Discharge Guideline for Surgical Care

Author: Nurhayati

Publisher: Syiah Kuala University Press

Published: 2022-05-30

Total Pages: 97

ISBN-13: 6232645898

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This book is a tribute to nursing practices based on theoretical nursing and literature review. It presents important knowledge-building ideas in preparing patients for hospital discharge. Chapter I introduces the overview of hospital discharge. Chapter II discusses the Transitions’ Theory based on Meleis Middle Range Theory that can be used as the basic framework to guide the discharge transition concept which is relevant to the main concept of hospital discharge. Chapter III illustrates Self-Care Nursing Theory by Dorothea Elizabeth Orem and it’s an application in surgical care. Chapter IV has shown how the discharge planning process is going. Chapter V and VI discuss the discharge teaching process and how to develop a mini-teaching plan using METHOD. Chapter VII describes the discharge readiness for hospital discharge. Chapter VIII discuss the follow-up care program during the postdischarge phase.


Facilitating Patient Understanding of Discharge Instructions

Facilitating Patient Understanding of Discharge Instructions

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2014-12-01

Total Pages: 108

ISBN-13: 0309307414

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The Roundtable on Health Literacy brings together leaders from academia, industry, government, foundations, and associations and representatives of patient and consumer interests who work to improve health literacy. To achieve its mission, the roundtable discusses challenges facing health literacy practice and research and identifies approaches to promote health literacy through mechanisms and partnerships in both the public and private sectors. To explore the aspects of health literacy that impact the ability of patients to understand and follow discharge instructions and to learn from examples of how discharge instructions can be written to improve patient understanding of-and hence compliance with-discharge instructions, the Roundtable on Health Literacy held a public workshop. The workshop featured presentations and discussions that examined the implications of health literacy for discharge instructions for both ambulatory and inpatient facilities. Facilitating Patient Understanding of Discharge Instructions summarizes the presentations and discussions of the workshop. This report gives an overview of the impact of discharge instructions on outcomes, and discusses the specifics of inpatient discharge summaries and outpatient after-visit summaries. The report also contains case studies illustrating different approaches to improving discharge instructions.


Fragility Fracture Nursing

Fragility Fracture Nursing

Author: Karen Hertz

Publisher: Springer

Published: 2018-06-15

Total Pages: 169

ISBN-13: 3319766813

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This open access book aims to provide a comprehensive but practical overview of the knowledge required for the assessment and management of the older adult with or at risk of fragility fracture. It considers this from the perspectives of all of the settings in which this group of patients receive nursing care. Globally, a fragility fracture is estimated to occur every 3 seconds. This amounts to 25 000 fractures per day or 9 million per year. The financial costs are reported to be: 32 billion EUR per year in Europe and 20 billon USD in the United States. As the population of China ages, the cost of hip fracture care there is likely to reach 1.25 billion USD by 2020 and 265 billion by 2050 (International Osteoporosis Foundation 2016). Consequently, the need for nursing for patients with fragility fracture across the world is immense. Fragility fracture is one of the foremost challenges for health care providers, and the impact of each one of those expected 9 million hip fractures is significant pain, disability, reduced quality of life, loss of independence and decreased life expectancy. There is a need for coordinated, multi-disciplinary models of care for secondary fracture prevention based on the increasing evidence that such models make a difference. There is also a need to promote and facilitate high quality, evidence-based effective care to those who suffer a fragility fracture with a focus on the best outcomes for recovery, rehabilitation and secondary prevention of further fracture. The care community has to understand better the experience of fragility fracture from the perspective of the patient so that direct improvements in care can be based on the perspectives of the users. This book supports these needs by providing a comprehensive approach to nursing practice in fragility fracture care.


Before the Scalpel

Before the Scalpel

Author: Panchali Dhar

Publisher: Tell Me Press LLC

Published: 2009-01-21

Total Pages:

ISBN-13: 0982942109

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Before the Scalpel: What Everyone Should Know about Anesthesia demystifies the issues surrounding the types and uses of anesthesia and addresses common fears about wakefulness and pain. Straightforward language, real-life examples, photographs and illustrations guide you. Individual chapters focus on how anesthesia is used in plastic and cosmetic surgery, labor, and for dental care. Other chapters explore the special needs of babies and children, how surgeons and anesthesiologists have adapted their techniques in response to growing obesity rates, and discuss how to avoid post-operative nausea and vomiting. Throughout the book, Dr. Dhar carefully flags issues directly affecting your medical care. Each chapter ends with an invaluable checklist, called prescriptives, that highlights key points and provides space to take notes when you talk with your surgeon or anesthesia provider. The checklists help you ask questions relevant to your case and ensure that you receive and remember the answers.


Patient Safety and Quality

Patient Safety and Quality

Author: Ronda Hughes

Publisher: Department of Health and Human Services

Published: 2008

Total Pages: 592

ISBN-13:

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"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/


Advances in Patient Safety

Advances in Patient Safety

Author: Kerm Henriksen

Publisher:

Published: 2005

Total Pages: 526

ISBN-13:

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v. 1. Research findings -- v. 2. Concepts and methodology -- v. 3. Implementation issues -- v. 4. Programs, tools and products.


Principles and Practice of Geriatric Surgery

Principles and Practice of Geriatric Surgery

Author: Ronnie Ann Rosenthal

Publisher: Springer Science & Business Media

Published: 2011-07-12

Total Pages: 1364

ISBN-13: 1441969993

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"In the preface to this impressive and well-produced book, the editors state that their aim is not to describe a new surgical specialty, since most surgeons will soon need to be "geriatric surgeons," but to assemble a comprehensive account that will allow "all providers of healthcare to the elderly to understand the issues involved in choosing surgery as a treatment option for their patients." This is a useful book that deserves to do well. I hope that the editors and their publisher will have the stamina to make this the first of several editions, as it is clear that updated information about surgery in the elderly will be required to keep pace with this important field." NEJM Book Review


Discharge Planning for Home Health Care

Discharge Planning for Home Health Care

Author: Barbara Stover Gingerich

Publisher: Jones & Bartlett Learning

Published: 1994

Total Pages: 274

ISBN-13: 9780834205727

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Discharge Planning for Home Health Care is a comprehensive, step-by-step guide to assessing the needs of patients and establishing a coordinated hospital-to-home discharge plan. The referral format and assessment tools provide the user with an organized and systematic approach for the transition of the patient through the continuum of care. This comprehensive resource is based on current reimbursement and regulatory issues and contains over 150 tools for easy application to a broad spectrum of health care settings.


Surgical Technology - E-Book

Surgical Technology - E-Book

Author: Joanna Kotcher

Publisher: Elsevier Health Sciences

Published: 2017-01-31

Total Pages: 1120

ISBN-13: 0323430562

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Learn to deliver the best patient care before, during, and after surgery with Surgical Technology: Principles and Practice, 7th Edition. Within its pages you’ll find comprehensive coverage of all the updated AST Core Curriculum components — including all aspects of health care sciences; technological sciences; patient care concepts; preoperative, intraoperative, and postoperative care; surgical procedures; and professional practice. But what you won’t find in any other surg tech book is an incredibly reader-friendly approach featuring conversational, mentor-like guidance and loads of full-color pictures and illustrations. You’ll also have an abundance of helpful learning features at your disposal — like case studies, review questions, and online learning activities — that will help you easily master important concepts and apply that learning to professional practice. No other surgical technology text better prepares you for the challenges of professional practice! Comprehensive coverage addresses all areas of the AST Core Curriculum for Surgical Technology. Reader-friendly writing style and organization utilizes a mentoring approach to present content within the building blocks of fundamentals, aseptic technique, the role and function of the surgical technologist, and surgical procedures. Consistent chapter format breaks down each surgical procedure in an easy-to-understand way making it easy for students to comprehend the key elements of more than 70 procedures. Experienced author/consulting editor team lends a breadth of experience for a well-rounded view of life in the operating room and multiple perspective focused on quality patient care. Over 1,200 full-color illustrations and clinical photos bring concepts and procedures to life. Robust practice opportunities include review questions and case studies at the end of each chapter along with crosswords, additional review questions, and surgical practice videos found on the Evolve companion website. Learning objectives serve as checkpoints for comprehension and as study tools in preparation for examinations. Key terminology appears in boldface and in color within chapter discussions and are defined and cross-referenced to chapters in a back-of-book glossary. Key concepts are covered in a bulleted list at the end of each chapter discussion to summarize and rephrase chapter concepts. References and bibliographies provide a listing of in-text and additional citations of scientific research. Pathology appendix summarizes the most commonly seen pathological processes and organizes them by body system. Website mentions are highlighted within the text to draw readers’ attention to available videos in the Evolve Resources and suggested websites to visit for additional information on content covered.


Patients' Perception of Readiness for Discharge and 30 Day Readmissions

Patients' Perception of Readiness for Discharge and 30 Day Readmissions

Author: Angela Lawson Roberson

Publisher:

Published: 2013

Total Pages: 110

ISBN-13:

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The purpose of this research study was to investigate the difference between the adult medical-surgical patients' perception of readiness for discharge to home and 30 day readmissions to acute care. A convenience sample of 33 adult patients, aged 18 and greater, being discharged to home were included as participants in this study. The study was conducted on two medical-surgical nursing units at a teaching hospital located in an urban area in the upstate of South Carolina. On the participant's day of discharge, the participant's primary nurse provided the participant with the appropriate discharge instructions as outlined by the healthcare provider. The primary nurse notified the principal investigator the patient was ready for discharge. The principal investigator then approached the participant and explained the study to them including informed consent. If the participant agreed to participate in the research study, he/she was asked to complete a demographic tool and the Readiness for Hospital Discharge Scale (RHDS). An independent samples t test was conducted to determine the difference in how prepared the participant was for discharge based on reason for admission, medical or surgical, using the total test scores and subscale scores on the RHDS. No significant difference was found between the total RHDS score and the reason for admission, t(31) =.383, p >.05. There were no differences in how well prepared medical patients were for discharge (M = 164.95, SD = 37.56) when compared to how well surgical patients were prepared (M = 160.30, SD = 27.55). There were no significant difference in the subscale scores of Knowledge t(31) =.-012, p >.05, Personal Status t(31) =.357, p >.05, Coping Ability t(31) =.020, p >.05, or Expected Support t(31) =.899, p >.05 between the medical and surgical patients. Due to the low number of readmissions, no difference was found between the patients' perception of discharge to home and 30 day readmission rates.