MEDICINE

Use of Discharge Pathway and Improvements

Use of Discharge Pathway and Improvements

Introduction

Discharge planning is a process that must begin at the same time of admission. It should be systematic, interdisciplinary and coordinated by a health specialist. Should involve the patient and family and include the assessment of their living environment, family support, assessment of disability and ability to carry out a vocational rehabilitation. All decisions taken in the discharge process should involve and reflect the consensus of the family and the patient with medical equipment. Therefore, the need to use a measurement system failure, given the wide variety of diseases covered by the Physical Medicine and Rehabilitation and the existence of tables nosological very different in its etiology, severity and prognosis. In this context, it is necessary to use functional assessment scales, to simplify this work and enable greater control of the whole process from the beginning. There are multiple assessment scales, both specific and general purpose; the most used the Functional Independence Measure (FIM) of the Uniform Data System for Medical Rehabilitation. From these scales have been developed different systems of data: The Union Data System (UDS) and the TBI Model Systems National Database of the National Institute on Disability and Rehabilitation Research among the highlights. In this paper, besides describing the various stages of discharge planning, there will be a study of the different information systems developed, and the rating scales used (Doenges et al, 2010, pp. 175).

The general approach to discharge planning can be applied to most medical specialties, which are guided by a plan that includes at a specific symptomatology, diagnosis and treatment that will leave a greater or lesser number of sequels. After this, treatment will proceed to discharge.

From that moment one enters the field of Physical Medicine and Rehabilitation. The goal of rehabilitation is to achieve the maximum potential physical, psychological, social, vocational and educational consonant with psychological or anatomical deterioration of the patient. The problem arises when you have to define what is the maximum achievable potential of a given subject, especially if it refers to the central nervous system diseases, which are one of the most common in the statistics of rehabilitation services. A priori one might think that the potential is unlimited if a person is given time to develop. Relatives of patients will claim a rehabilitation treatment continued trying to reach a goal is often impossible as normal premorbid (Gulanick & Myers, 2011, pp. 165).

In the case of patients hospitalized for an extended period of time, can be raised high weekend during which patients return to their habitual residence. The intention pursued by these periods of high is it possible to ascertain to what extent these aspects remain that hinder the reintegration of the individual and put a solution to them.

Before the final discharge should make an assessment of the patient's functional status and verification that the environment is suitable to receive him. This may require a final home visit by social worker. But all these actions are dependent on the condition ...