Senin, 28 Mei 2012

LESSON 10

LESSON 10

Discharge from the hospital


A.    READ THE TEXT BELOW

                                      Discharge from the hospital

Discharge from the hospital is the point at which the patient leaves the hospital and either returns home or is transferred to another facility such as one for rehabilitation or to a nursing home. Discharge involves the medical instructions that the patient will need to fully recover. Discharge planning is a service that considers the patient's needs after the hospital stay, and may involve several different services such as visiting nursing care, physical therapy, and home blood drawing.
The procedures in dichraging from the hospital are:
A.    Always check with the nursing supervisor to be sure the patient has officially been discharged by the doctor.
       1.    Sometimes the doctor will discharge the patient on the day the order is written.
        2.    Other times the patient will know several days before.
B.    On the day the patient is to be discharged
       1.    check when the patient will be leaving
       2.    Set up a schedule for the patient's care so that the patient does not become too tired
       3.    Allow for a rest period between the bath and packing
       4.    Make sure the patient is ready when family members arrive
       5.    As you help the patient with her/his care, make sure the instructions are understood about home    care and follow-upvisits.
      6.    Have the nurse answer any questions the patient has
 C.    Ask a family member to check with the business office – this person will be given a release paper stating financial matters for the patient have been taken care of and the patient is ready for discharge.
D.    Help the patient into a wheelchair, and wheel him/her to the entrance of the healthcare facility nearest the car.
      1.    Ask the family to drive up to the entrance.
      2.    To avoid injuries, do not leave the patient unattended until the family members have arrived with their car, and help the patient into the car.
      3.    Make sure all the patient's belongings are put in the car.
      4.    Say goodbye and wish the patient well.
      5.    Return the wheelchair to its proper place.
      6.    Your final responsibility is the terminal cleaning of the patient's unit.

Read more: Discharge from the Hospital - recovery, test, blood, pain, infection, medication, Definition, Description http://www.surgeryencyclopedia.com/Ce-Fi/Discharge-from-the-Hospital.html#ixzz1vwQPBxx5

WORD LIST

•    Discharge        : to allow someone officially to leave somewhere, especially a hospital or a court of law
•    Rehabilitation        : return someone or something to a good or healthy condition
•    Recover        : to get back something lost, especially health, ability, possessions.
•    Therapy        : a treatment which helps someone feel better especially after an illness
•    Supervisor        : a person whose job is to supervise someone or something
•    Release            : to give freedom or free movement to someone or something
•    Wheelchair        : a chair on wheels which people who are unable to walk use for moving around
•    Injuries            : physical harm or damage to someone's body caused by an accident or an attack

Taken from Cambridge Advance Learner’s Dictionary


B.    EXERCISES
     EXERCISE 1

Answer these questions based on the text!

1.    Who discharges a patient?
2.    Who arranges for the patient's transportation home?
3.    Place a check before each sentence that indicates a correct procedure for discharging the patient!
a.    __ Make sure the patient wants to go home before he/she is discharged
b.    __ Tell the patient what you plan to do.
c.    __ Assist the patient to dress if necessary.
d.    __ Accept presents from the patient.
e.    __ Collect the patient's personal belongings from the closet and bedside stand.
f.    __ Get the patient's valuables from the safe.
g.    __ Accept a tip from the patient for providing good nursing care.
h.    __ Get a wheelchair for the patient.
i.    __ Assist the patient into the car.

     EXERCISE 2

Directions: Describe the duties and responsibilities of each of the following individuals when discharging a patient from the healthcare facility.
1.    The physician
2.    The nursing supervisor
3.    The nursing assistant
4.    The patient's family

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