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Discharge Planning
Emma Jagasia
Florida Hospital Tampa
When the patient was notified of the discharge plan, she was
confused and angry. She stated she was at the hospital to be treated for
pain; she still has pain, so why is she leaving. For the type of pain she claims
to have, it is important that she be educated on medication compliance and
alternative methods to control pain. With her pain medication, it is essential
she only take the prescribed dose at the designated time. She was also
educated on proper mediation compliance and side effects with pain
medications. Ms. Turner was informed about alternative means to control
pain. Various positions were demonstrated to show how body placement can
help relieve pain in certain areas. She asked about the best setting to be in
to try and relieve pain. The nurse explained to her that for many people
sitting in a quiet room that is slightly dim can sometimes provide relief. Due
to her other disease processes, education on proper nutrition with a heart
healthy, or cardiac diet were provided. A decrease in salt intake was
suggested along with an increase in daily fruit and vegetable consumption.
Ms. Tuner did not meet any of the requirements for core measures, so none
of that education was required.
Ms. Turner was given a full list containing all for her medications
that included the proper dose, next time the dose is to be given, and any
considerations such as take the medication with food. The list was gone over
prior to her discharge. The patient had no questions regarding reasons for
taking the medications or concerns about any of the side effects. Many of the
medications were home medications, so she was pretty familiar with them.
The concern the patient had about her living situation was
addressed by the case manager. Many resources such as numbers to
shelters, womens homes, the police department, were provided and
discussed with Ms. Turner. She didnt meet any of the necessary
requirements or the case manager to report the abuse, so the case manager
suggest Ms. Turner report it herself. She also suggested The Spring of Tampa
Bay, a womens home, for safe housing. The patient stated that she could not
go back there. When asked why, the Ms. Turner said it was a long story and
she wasnt going back. When speaking with the case manager privately she
showed some frustration due to the lack of motivation from Ms. Turner to
remove herself from her current situation. The case manager also showed
concern because she did not feel like Ms. Turner had the adequate resources
to obtain her medications. When she talked to Ms. Turner about these
concerns, Ms. Turner informed her that she had a lot of friends who helped
her get what she needed. The patient had Medicare, which covered all of her
medication expenses. Ms. Turner told the Case manager that she wanted
home health. However, due to her current condition she did not qualify and
the insurance would not cover the cost. The patient expressed great
dissatisfaction and the case manager explained that she had done
everything within her power to help.