Medication discharge planning for the elderly

The purpose of this study was to investigate the status of medication discharge planning for the elderly in relationship to readmission rates to the hospital. Registered nurses were surveyed regarding their practice of medication discharge planning. The study group consisted of 102 medical records for patients 65 years of age and over with congestive heart failure who had been discharged to their homes on one or more medications. A chi-square test showed a significant relationship existed between medication discharge planning and readmission. Patients who received instructions before discharge were less likely to be readmitted.

Preventive discharge planning

Much attention has been brought to the variety of legal and treatment problems that arise when encountering incompetent patients. Either incompetent patients are not discharged when there is no longer a need for hospitalization, or the patient is discharged with little hope that after treatment plans will be followed. Both situations are costly and ineffective. Problems associated with treating incompetent patients can be anticipated and minimized. This article suggests mechanisms in the form of preventive discharge planning and durable powers of attorney. The authors also emphasize the benefits of building and maintaining relationships with attorneys for the purpose of providing public information seminars and legal assistance to families.

Pediatric discharge planning: differing goals for two populations

The role of the pediatric discharge planner is complex. Because of the constant changes in medical technology and reimbursement policies, it is important to remain knowledgeable about existing resources. In addition, the medical status and treatment plans of pediatric patients frequently change. The discharge planner must have the ability to be flexible in the organization and implementation of discharge plans to facilitate meeting the needs of the patients and their families. Discharge planning for the pediatric patient is not a simple process. Instead it is a collaborative effort between health care professionals and families whose primary goal is the optimum health of the child.