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Nursing Home Discharge Planning Cheat Sheet (DRAFT) by [deleted]

What is the Discharge Planning Process

This is a draft cheat sheet. It is a work in progress and is not finished yet.


During a patient's stay at a facility their doctor and the staff should be working with the patient and caregiver to plan for the discharge. The caregiver, a family member or friend who may be helping, should be important members of the care planning team. Patient and caregiver can use this checklist to prepare for the discharge.

In general, the basics of a discharge plan are:
Evaluation of the patient by qualified personnel
Discussion with the patient or his repres­ent­ative
Planning for homecoming or transfer to another care facility
Determ­ining whether caregiver training or other support is needed
Referrals to a home care agency and/or approp­riate support organi­zations in the community
Arranging for follow-up appoin­tments or tests

A. Discharge to or Prolonged Placements

Prolonged placement in this facility
Interm­ediate Care Facility
Home for Aged
Other Specify: ______­___­___­___­___­___­___­___­___­______

B. Medica­tions & Supple­ments

Use a Patient Medication Profile of prescr­iption drugs, over-t­he-­counter drugs, vitamins, and herbal supple­ments.
Review the list with the physician.
Tell the physician what drugs, vitamins, or supple­ments taken before being admitted.
Ask if patient can continue taking these after leave.

B. If Discharged will Resident require?

Diet education
Housek­eeping help
Nursing care
Personal care
Help with emotional & adjustment issues

Rehabi­lit­ation Therapy
Physical Therapy
Occupa­tional Therapy
Speech Therapy

Discharge Planning: IDEAL

Other Requir­ements

Financial Assistance
Community Resources