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P1052 ABC Transitions in Care

Introduction Getting back into your normal routine after a hospitalization is something to look forward to. You’re probably excited to return home—sleep in your own bed, eat with your family—but it’s important to understand your treatment plan before you leave the hospital. This guide will help you understand what you need to do before you’re discharged from the hospital and what you should do at home to make your transition out of the hospital go as smoothly as possible. Use the worksheets in each chapter to remember and record important information about your health and lifestyle. There are links to additional resources to offer more support for you and your family on page 15. Chapter 1 Before You Leave the Hospital Questions to Ask Your Doctor When your doctor determines that you’re ready to return home, you will be given discharge instructions. These instructions may include information on how to take care of bandages, medications you should take, exercises to do, and other home care information. 3 Before you go home, you should be very clear on what your limitations are and whether or not you will need special care, assistance, or equipment to get back on your feet. Discharge Planning Checklist During your stay, your doctor and the staff will work with you to plan for your discharge. You and your caregiver (a family member or friend who may be helping you) are important members of the planning team. You and your caregiver can use this checklist to prepare for your discharge. Instructions: • Use this checklist early and often during your stay. • Talk to your doctor and the staff (like a discharge planner, social worker, or nurse) about the items on this checklist. • Check the box ❏ next to each item when you and your caregiver complete it. • Use the Notes page to write down important information (like names and phone numbers). • Skip any items that don’t apply to you. What’s ahead? ❏ Ask where you’ll get care after you leave (after you’re discharged). Do you have options (like home health care)? Be sure you tell the staff what you prefer. ❏ If a caregiver will be helping you after discharge, write down their name and phone number. Your health ❏ Ask the staff about your health condition and what you can do to help yourself get better. ❏ Ask about problems to watch for and what to do about them. Write down a name and phone number of a person to call if you have problems. ❏ Use “My Medications”sheet on page 6 to write down your prescription drugs, over-the-counter drugs, vitamins, and herbal supplements. ❏ Review the list with the staff. ❏ Tell the staff what drugs, vitamins, or supplements you took before you were admitted. Ask if you should still take these after you leave. ❏ Write down a name and phone number of a person to call if you have questions. Recovery & support ❏ Ask if you’ll need medical equipment (like a walker). Who will arrange for this? Write down a name and phone number of a person you can call if you have questions about equipment. ❏ Ask if you’re ready to do the activities below. Circle the ones you need help with, and tell the staff: • Bathing, dressing, using the bathroom, climbing stairs • Cooking, food shopping, house cleaning, paying bills • Getting to doctors’ appointments, picking up prescription drugs P1052 Discharge Planning Checklist.indd 1 8/3/15 1:26 PM Discharge Planning Checklist Download/print PDF


P1052 ABC Transitions in Care
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