Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Planning Nursing Care I01:21

Planning Nursing Care I

5.5K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
5.5K
Discharge Summary Forms01:31

Discharge Summary Forms

1.2K
The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
1.2K
Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

1.4K
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
1.4K
Restorative Care01:19

Restorative Care

2.4K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
2.4K
Continuing Care01:25

Continuing Care

1.9K
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
1.9K
Planning Nursing Care II01:29

Planning Nursing Care II

3.5K
A nursing care plan can present in two forms: informal and formal. Informal is a care plan for the individual use of the nurse and goals they wish to accomplish during their shift. Informal care plans are not included in the patient chart. A formal nursing care plan is a written or computerized guide that organizes patient care. It is further subdivided into two: standardized and individualized care plans. Standardized care plans are pre-populated care plans for specific patient populations,...
3.5K

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Development of risk-standardized metrics for benchmarking hospitals on their inpatient antibiotic use.

Infection control and hospital epidemiology·2026
Same author

The Effect of Rural Versus Urban Residence on Risk of Unplanned Readmission and Death in Older Veterans Discharged From VA Hospitals.

The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association·2026
Same author

Expanding Home- and Community-Based Service Access in the Veterans Health Administration.

Journal of the American Medical Directors Association·2026
Same author

Prevalence of Unmet Service Needs and Associated Person-Reported Outcomes in Long-Term Services and Supports in the United States.

Journal of the American Geriatrics Society·2026
Same author

"This Is What I Acquired in the Military, I Want to Keep It at the VA": Healthcare Perspectives and Preferences Among Rural American Indian/Alaska Native Women Veterans.

The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association·2026
Same author

Rural-Urban Variability in Home and Community-Based Service Use Among Veterans.

Journal of the American Geriatrics Society·2026

Related Experiment Video

Updated: Jan 18, 2026

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
06:52

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Published on: September 30, 2020

10.4K

Community Discharge Among Long-Stay Nursing Home Residents: The Discharge Planner Perspective.

Kathleen Abrahamson1, Tetyana Shippee2, Heather Davila3

  • 1College of Nursing, University of Wisconsin Oshkosh, Oshkosh, Wisconsin, USA.

Journal of Gerontological Social Work
|June 9, 2025
PubMed
Summary

Discharging long-stay nursing home residents to the community presents challenges. Key themes include focusing on new admissions, early planning, multidisciplinary input, service availability, finances, and safety.

Keywords:
Nursing homecommunity dischargedischarge planning

More Related Videos

Using a Real-Time Locating System to Measure Walking Activity Associated with Wandering Behaviors Among Institutionalized Older Adults
04:13

Using a Real-Time Locating System to Measure Walking Activity Associated with Wandering Behaviors Among Institutionalized Older Adults

Published on: February 8, 2019

7.2K

Related Experiment Videos

Last Updated: Jan 18, 2026

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
06:52

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Published on: September 30, 2020

10.4K
Using a Real-Time Locating System to Measure Walking Activity Associated with Wandering Behaviors Among Institutionalized Older Adults
04:13

Using a Real-Time Locating System to Measure Walking Activity Associated with Wandering Behaviors Among Institutionalized Older Adults

Published on: February 8, 2019

7.2K

Area of Science:

  • Gerontology
  • Health Services Research
  • Public Health Policy

Background:

  • Discharge planning is standard for short-term nursing home residents.
  • Community discharge for long-stay residents, post-rehabilitation, is more complex.
  • A statewide policy aimed to increase long-stay resident community discharges.

Purpose of the Study:

  • To analyze discharge planners' perspectives on facilitating community discharge for long-stay nursing home residents.
  • To identify barriers and facilitators to successful long-stay resident transitions.

Main Methods:

  • Qualitative analysis of interviews with 42 nursing home discharge planners.
  • Thematic analysis to identify recurring patterns and challenges.

Main Results:

  • Discharge planners often prioritize newly admitted residents over long-stay residents.
  • Early, multidisciplinary planning is crucial but often lacking.
  • Significant barriers include limited community services, financial concerns, and resident safety considerations.
  • Balancing resident safety with their desire to return home is a key tension.

Conclusions:

  • Current discharge planning practices may not adequately support long-stay residents' transition to community living.
  • Addressing systemic issues like service availability and financial constraints is essential.
  • Policy interventions need to consider the unique needs and complexities of long-stay residents.