Friday, February 14, 2020

Discharge planning of a patient using a patient profile Essay

Discharge planning of a patient using a patient profile - Essay Example These readmissions crop up as a result of mistakes resulting from lack of proper care for the patients after discharge, or discontinuation of medication (DOH, 2005). Low health literacy being in high rates gives rise to increased rates of re-hospitalisation, especially, in urban patients, who earn low income. Lack of coordination between the in-patient and out-patient process, boosts the risk of readmission in hospitals, together with gaps in social care and supports. Primary care physicians find it hard to understand the complex process of hospitalisation, since the inpatient care is provided in the hospitals (Bortwick et al., 2009). A discharge plan is the key tool used by the primary care- providers so as to go on with the care of the patient. Therefore, a safe and comprehensive discharge plan is essential when discharging a patient, in order to aid the primary care providers and social workers in their duties. A discharge plan Discharge is a vital component of care management in any aspect. It makes sure that social care and health systems remain proactive when supporting patients, their families and carers, when there is the need to go home, or move to a different setting (SPLG, 2010). Mr. Sharma, 87 years old man has been hospitalized and, due to the considerable progress he has made in recovery, he will be discharged after ten days. A safe and comprehensive discharge plan needs to be developed which will suit him, and which will ensure his recovery without re-hospitalisation. Mr. Sharma’s discharge plan is supposed to prepare the home for him, to meet all his needs, reduce the probability of readmission, as well as saving on social care services (SPLG, 2010). Putting in mind that Mr. Sharma has multiple conditions, an open wound, he is taking many drugs, and that he is an old man, the following discharge plan will best suit him. A discharge plan will help his carers after he is discharged, to coo rdinate services and care (Katikireddi and Cloud, 2009). This paper will address the probable problems, the interventions, and the rationale behind the decisions made. Problem The patient is an old man aged 87 years old. Outcome Being an old person, the patient requires careful and extra care since he is exceptionally delicate. Close supervision should be done always to ensure all the medical requirements are done (Lindenberg, 2010). Intervention 1. Meet with the family members and the carers of the patient, in order to discover who takes care of the patient most time, prior to discharge (Roberts, 2002). 2. Explain the need to have a person close to Mr. Sharma always, and close supervision. 3. Ensure that the patient will be kept busy and occupied. This can be through the provision of a television set or even constant company, to avoid boredom. 4. Discover if there is polypharmacy. Rationale The patient is an elderly person and hence the need to meet with the family members and the carers to enlighten them on the complications faced by old people after discharge, and the factors that can lead to readmission. According to the National Service Frame work for older people, old people are likely to suffer multiple complications, unlike, young people. They can have different conditions requiring different and specific treatment (DOH, 2001). The need to meet with the family members and carers of the patient is to make them understand how to care for the old person to reduce the case of readmission. The elderly patient needs a person close to him to monitor

Saturday, February 1, 2020

I.R Essay Example | Topics and Well Written Essays - 500 words - 2

I.R - Essay Example Feminism, on the other hand, is a very complicated political theory, a branch of Critical Social Theory, As per the neorealist theory, the chances of conflict give directions to actions while the post classical realism sponsors assessment of chances of confrontation on security issues among states. The three primary hypotheses of neorealist theory are: 1) recurrent equilibrium behavior, 2) states not coming forward for cooperative relations, and 3) states compete to remain on equal footing (Brooks 1997). Assuming worst-case chances of confrontations on the basis of neorealist theory provides benefits in approximating global decision taking. Actually, states are projected productively such way. So the assumptions on the behavior of states become useful in throwing light on swapping of various aspects of human nature, aggression and fear. States get focused to achieve their short-term goal of making their defense line strong. Disadvantage occurs in long term negative impacts on states’ other preferences. Long term goals become secondary to short term defense needs in a conflict (Brooks 1997). Neorealist theorists don’t give credence to the factors the liberal theorists perceive as impacting the probability of conflict. The postclassical realism is more akin to liberal theory in the sense that productive discussion can take place with liberal theorists. The main difference remains between the material and non-material factors (Brooks 1997). Liberal feminism is an ideology of egalitarianism. Since Plato so much has been written on the topic that it seems the relation of gender to politics is very complex. Feminism is against Rousseau’s masculine savage, unable to grasp abstract ideas. Both Rousseau and Freud have different opinions; Freud perceives women as â€Å"opposition to civilization† and all â€Å"civilization† is the work of