5-1 This course is the culminating experience of your MPH

VALLEYRIDGE MEDICAL CENTER DISCHARGE PLAN Patient Name: Mary Bailey Date of Birth: 02/21/1942 Admission Date: 04/24/2024 Discharge Date: 05/09/2024 Primary Medical Diagnosis: Left Heart Failure DISCHARGE PLAN I. Assessment & Goals – (Summarize the patient’s medical condition, functional abilities, support systems and recovery goals). a. Medical condition – Mary has decreased cardiac contractility with a 38% ejection fraction. b. Functional abilities: Mary can perform basic self-care tasks but can easily be short of breath and she requires a walker. c. Support systems: Mary lives with her husband. d. Cultural considerations: Mary is originally from Vietnam and immigrated to the US following the Vietnam War. e. Recovery Goals: Manage medications, establish a nutritious diet and increase stamina. II. Discharge Destination – (Specify whether the patient will be discharged to their home or another healthcare facility). – Mary will be discharged to her home. III. Medication Management – (List the patient’s prescribed medications and dosages and provide instructions for proper administration). – Take prescribed medications as instructed by your physician. IV. Medical Equipment and Supplies – (Identify any required medical equipment, assistive devices, or supplies the patient needs). – He will continue to use a walker for mobility & support. A bedside commode has been ordered for the home. 2 V. Home Health Services – (Detail the types and frequency of home health services the patient will receive, such as nursing visits and physical therapy). – A home health nurse will visit Mary 2-3 X/week to assess her progress and monitor her vital signs. VI. Follow-up Appointments and Communication – (Schedule follow-up appointments with healthcare providers and outline communication protocols among the care team). a. Mary needs a follow-up appointment with her cardiologist within 2-4 weeks of discharge. b. Mary’s primary care physician will be informed of her discharge, and a follow-up appointment needs to be scheduled within 4-6 weeks. VII. Patient and Caregiver Education – (Describe the education and training provided to the patient and their caregivers to ensure proper care and support during recovery). a. Mary will receive education on medications and when to see medical attention and advised to avoid salt and fats in her diet. b. She will also receive information on managing activities of daily living such as bathing, dressing, and using the toilet with his limited mobility. – -Mary Bailey Discharge Plan Critique After completing the module learning activities you are to critique a patient discharge plan. In the critique you will identify the patients needs, cultural/social considerations, what referrals are needed, evidence to support your position, and finally your recommendations on how the discharge plan can be improved. . Set up your paper using the criteria below as your subheadings. use updated peer reviewed references . Please address the following in your critique 1. Patient’s Needs – The critique exhibits an understanding of the patient’s medical condition, & potential medical challenges post-discharge. 2. Cultural/Social Considerations – Identifies social support network and cultural factors which might support or impede the patient’s recovery post hospitalization 3. Interprofessional Referrals – Identifies what interprofessional referrals would be needed to support patient following discharge. 4. Integration of Evidence-Based Practices – Incorporation of evidence-based practices and guidelines in the discharge plan. 5. Clarity of Communication and Recommendations – Clarity and appropriateness of communication in the discharge plan.

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