Exit Plan and Checklist | VA Birmingham Healthcare

My plan for taking care of myself upon discharge and my opinion on my care plan checklist.

MY OPINION ON MY CARE PLAN IS KNOWN

  • The medical team involved me in developing my care plan.
    • Your healthcare team should involve you in designing the care plan for your treatment. Please contact your nurse or medical social worker to ensure that you are involved in designing your treatment.
  • The medical team understands my concerns.
    • Personal preferences and beliefs are considered when developing your individualized care plan. Your religious, cultural and social beliefs can have a major impact on how health care is provided to you. Make sure your health care team understands your point of view and communicate your point of view to them.
  • I understand the treatment I will receive.
    • The benefits of involving patients in care planning are vast; it reduces anxious emotions, improves overall quality of life, reduces patient dissatisfaction, and enables greater patient compliance are just a few.

I HAVE A PLAN TO CARE FOR MYSELF ON RELEASE

  • I know when my next appointment is.
    • Your discharge documents will tell you about any follow-up your care team has planned or referred to you. Be sure to bring all necessary documents and information to your appointment.
  • I know what to do (where to go/who to call) in an emergency.
    • In the event of the unexpected, I know how to contact my healthcare team. The main phone number to contact my nurse/doctor is _______________.
  • I know how to notice the early onset of these things
    • Infection
      • Temperature increase
      • Change in stomach/gut
        • Nausea Vomiting
        • Diarrhea/Constipation/BM Changes
      • Headache
      • Aches
    • Heart attack
      • Tightness/tightness in the chest
      • Chest pain
      • Sweat
      • Weakness/nausea
      • Feeling of “imminent doom”.
    • Stroke
      • Sudden change in mental status or confusion
      • Numbness (especially in the face, limbs, or one side of the body)
      • Difficulty speaking or difficulty hearing what others are saying
  • I know what medications I will need.
    • The pharmacy or nurse should discuss your medications with you. They will tell you which medications you will need to take, what each medication does, how often you will need to take the medication, how long the prescription will last, potential side effects of the medication, and many other aspects of your treatment. .
  • I know what types of foods to eat and what to avoid.
    • Some medical conditions will require patients to adhere to certain dietary restrictions after their hospital stay. Patients need to understand the limits of their limitations, why they need to follow the prescribed diet, and the impacts the diet may have on their health.
  • I know how to keep my skin healthy.
    • Keeping the bad bacteria out and the good bacteria in is our skin’s primary mission. Any damaged skin is a potential access point for harmful bacteria and should be carefully maintained. Skin care for surgical wounds or any form of injury/abrasion/laceration should be the top priority during your hospital stay and after discharge.
    • Keeping your mouth clean and free of debris/bacteria has been shown to reduce pneumonia rates. Be sure to keep your mouth clean!!

Resources:

Discharge Planning: Communication, Education and Patient Engagement

Patient Engagement in Health Care Decision-Making: A Review

https://www.ingentaconnect.com/content/ben/ccp/2011/00000006/00000002/art00004

https://onlinelibrary.wiley.com/doi/abs/10.1002/yd.23319831911

A measure of self-efficacy in self-care

Patient Engagement in Health Care Decision-Making: A Review

About Terry Gongora

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