EoL Discharge Enablement PCSP
Timely and comprehensive discharge planning supports the provision of quality patient care can assist with minimizing the number of re-admissions if the plan is clinically appropriate for the patient.
Discharge plans should also include detailed education & discharge instructions to the patient where appropriate and crucial information, including escalation of care contacts should be shared with the next of kin are care provider as required.
It is essential that a clear plan of care and appropriate referrals are made to ensure seamless provision of care when a patient is transferred to a community setting.
Without a thorough discharge plan, referrals and appropriate paperwork including where clinically appropriate a ReSPECT form, the patient will be at high risk of re-admission.