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  • Subject Name : Nursing

Chronic Disease and Planned Discharging Policy

The older people, suffering from chronic disease, are always subjected to transitional care policy. The nurse, who is well skilled and trained to tackle the psychological needs, should continue to assist a patient through one's continuum. These old people are most at risk since they cannot solve the puzzle of today's complex medical practice. For example, if Elizabeth, as mentioned in the case study, was asked to take three different pills for different times in a day, then it was almost impossible for a 88 years old lady. It looks easy until someone steps on other's shoes. Apart from that, in many cases, the family members of the patient are found as void. The patient, thus, requires transitional assistance even after discharge. It is important from the patient's perspective to plan a discharge program.

According to the NCBI report if the discharge policy is poor then a chronic patient is under two threats. They are- 1) relying more on informal treatment and 2) lack of treatment to special needs. As per Allen et al. (2014), the improper discharge policy creates a burden on the adults of the patients. If the guardian is well educated then the treatment policy is maintained as mentioned by the professionals. However, the improper guardianship leads to over-reliance toward the informal treatment. If the discharge policy is not planned properly then the chronic patient may not get the actual need of their existing disease (Finlayson et al. 2018). In the worst case, the patient is treated with improper drugs. The similar incident is found here as Elizabeth needed to readmit within a month of discharge.

The nurses should plan a discharge policy for the chronic patient. The medication chart with proper diagram should be provided to avoid any possibility mistreatment. Besides, the treatment of older people will terminate with a meeting with adult family members. The present health issues will be discussed with the family members. Also, the required treatment policy at home will be explained properly. If any issue is found, then the family member will be advised to call the hospital to get assistance (Sendall et al. 2017). For single people, the self-assessment process will be provided as the follow-up program.

The importance of transitional care is patient understanding and patient-centred caregiving, understanding the patient is most important (Low & Manias, 2019). In most of the cases, the patient claims to understand the post-treatment policy but it is not actually. If the nursing system is more concerned about the understanding patient, then it will enhance their caregiving policy.

PICO framework:

Research questions

1. Are the elders completely aware of the post medical treatment policy?

2. What interventions are the staff considering?

3. How the intervention is effective?

4. What is the expected result?

Population

Interventions

Comparison

Outcome

Elements of PICO frame work

· 98% claims they understand the process 

· 59% of them do fails to describe

· Treatment with planned discharge

· Patient centered transitional care

· 68.9% more effective that traditional system

· Longer gap between re-hospitalization

Links to the evidences

· Improper discharge policy

· Improper transitional care

· Meeting with patient’s family

· Regular interaction by telephone

· Clear and elaborate description of previous post medical history

· At least a year gap between two readmissions

Systematic review

Australian Institute of Health and Welfare. (2020). Retrieved 30 May 2020, from http://www.aihw.gov.au/

References:

Allen, J., Hutchinson, A. M., Brown, R., & Livingston, P. M. (2014). Quality care outcomes following transitional care interventions for older people from hospital to home: a systematic review. BMC health services research, 14(1), 346.

Finlayson, K., Chang, A. M., Courtney, M. D., Edwards, H. E., Parker, A. W., Hamilton, K., ... & O’Brien, J. (2018). Transitional care interventions reduce unplanned hospital readmissions in high-risk older adults. BMC health services research, 18(1), 956.

Low, J. K., & Manias, E. (2019). Use of Technology-Based Tools to Support Adolescents and Young Adults With Chronic Disease: Systematic Review and Meta-Analysis. JMIR mHealth and uHealth, 7(7), e12042.

Sendall, M., McCosker, L., Crossley, K., & Bonner, A. (2017). A structured review of chronic care model components supporting transition between healthcare service delivery types for older people with multiple chronic diseases. Health Information Management Journal, 46(2), 58-68.

Remember, at the center of any academic work, lies clarity and evidence. Should you need further assistance, do look up to our Nursing Assignment Help

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