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Related Concept Videos

Discharge Summary Forms01:31

Discharge Summary Forms

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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.
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Continuing Care01:25

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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,...
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Planning Nursing Care I01:21

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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...
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Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
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Related Experiment Video

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An Explicit Live Discharge Protocol for Hospice-Initiated Live Discharges.

Stephanie P Wladkowski1, Susan Enguidanos2, Tracy A Schroepfer3

  • 1College of Health and Human Services, Bowling Green State University, Bowling Green, OH, USA.

Journal of the American Medical Directors Association
|November 3, 2025
PubMed
Summary

Hospice-initiated discharges, unlike voluntary ones, often leave patients unprepared. A new live discharge protocol (LDP) aims to improve care transitions for patients no longer eligible for hospice.

Keywords:
Live dischargedischarge planninghospiceprotocol

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Area of Science:

  • Palliative Care
  • Healthcare Management

Background:

  • Hospice-initiated discharges occur when patients stabilize and are no longer terminal, often without adequate preparation.
  • These discharges disrupt care continuity, leaving patients and caregivers unprepared for post-hospice medical, emotional, and logistical needs.

Purpose of the Study:

  • To address the lack of standardized guidelines for hospice clinicians managing live discharges.
  • To introduce an explicit live discharge protocol (LDP) to support clinicians in these transitions.

Main Methods:

  • Development of a live discharge protocol (LDP).
  • The LDP provides a framework for information collection and communication before discharge.

Main Results:

  • The LDP is designed to guide hospice clinicians in supporting patients discharged alive and their caregivers.
  • It facilitates compassionate, coordinated, and continuous care transitions out of hospice.

Conclusions:

  • The developed LDP offers an evidence-informed tool for hospice clinicians.
  • Implementation of the LDP can enhance the quality of care transitions for patients leaving hospice.