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Exam (elaborations)

Discharge Planning Test Correct 100%

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  • Discharge Planning

Acute Care Hospitals - ANSWER- Diagnose/stabilize the patient - Discharge the patient - Prevent re-admissions Discharge destinations from the acute care setting - ANSWER- Hospice - Long term acute care hospital - Short term care - Home/home based options Long term acute care hospital (LT...

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  • October 30, 2024
  • 5
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Discharge Planning
  • Discharge Planning
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Discharge Planning Test Correct 100%
Acute Care Hospitals - ANSWER- Diagnose/stabilize the patient

- Discharge the patient

- Prevent re-admissions



Discharge destinations from the acute care setting - ANSWER- Hospice

- Long term acute care hospital

- Short term care

- Home/home based options



Long term acute care hospital (LTACH) - ANSWER- Continued acute care due to complex medical
needs

- No longer require intensive care or diagnostic procedures

- More cost effective than acute hospitals

Ex. complications post surgery, ventilator, wound care



Hospice - ANSWER- Program for people who are terminally ill

- Focus is to help people live comfortably, not on curing an illness

- Can be a hospice facility or within the patient's home

- compassionate rather than curative




Short term care options - ANSWER- Acute rehabilitation

- Skilled nursing facility (SNF)

- Transitional care unit (TCU)



Acute Rehabilitation names - ANSWER- Inpatient Rehabilitation Facilities (IRF)

- Acute Rehabilitation Unit (ARU)

- Rehabilitation Hospital

- Rehabilitation institute

, Can be within hospital or own rehabilitation hospital



Acute rehabilitation - ANSWER- Interdisciplinary rehab, goal of restoring functional independence an
discharging the patient to a home based setting

- At least 3 hours of therapy per day at least 5 days per week

- PT, OT, SLP or prosthetics/orthotics

- MD psychiatrist -daily visits

- 24 hr rehab nursing

- Rehab team has weekly meetings to review progress

- Family conferences and training



Transitional Care Unit (TCU) - ANSWER- Hospital based, short term sub-acute care

- Acutely stable but needs skilled nursing care

- Transitioning from hospital to home or one care setting to another

- Complex patients

- Therapy less than 3 hrs/day for 5-6 days/wk

- Not a candidate for acute rehab - too high or too low level



Acute rehabilitation candidates - ANSWER- Complex nursing, medical management and continued
rehab, not ready for home

- Functional improvement

- Tolerate 3 hours of therapy per day

- Diagnosis: stroke, SCI, BI, Major multiple trauma, amputation, other neuro disorders

- Goal is to d/c home but may require another destination



Names of SNFs - ANSWER- Sub acute care

- Post acute rehab

- Rehab centers

- Rehab facilities



SNF/Extended care facilities (ECF) - ANSWER- Patient is medically stable

- Unable to be cared for at home and need assistance with daily tasks

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