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Discharge Planning and Referral FormDischarge Planning and Referral Form Resident Paramedical Record #Primary Contact PersonRelationshipProposed Discharge DateDischarge LocationCommunication with
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How to fill out discharge planning and referral

01
To fill out discharge planning and referral, follow these steps:
02
Collect all necessary information about the patient, including their medical history, current diagnosis, and any specific needs or preferences they may have.
03
Evaluate the patient's condition and determine their eligibility for discharge planning and referral.
04
Consult with the patient's healthcare team to understand their specific requirements and goals for discharge planning and referral.
05
Develop a comprehensive discharge plan that outlines the necessary steps and services required for a successful transition from hospital to post-acute care or community-based care.
06
Fill out the appropriate referral forms or documents, including all relevant information about the patient and their healthcare needs.
07
Coordinate with the necessary healthcare providers or agencies to ensure a smooth and seamless transition for the patient.
08
Communicate the discharge plan and referral details to the patient and their family members, addressing any concerns or questions they may have.
09
Monitor and evaluate the effectiveness of the discharge plan and referral, making any necessary adjustments or modifications as required.
10
Follow up with the patient after discharge to assess their progress and provide any necessary support or additional referrals.
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Remember, each patient's situation may be unique, so it's important to tailor the discharge planning and referral process according to their individual needs.

Who needs discharge planning and referral?

01
Discharge planning and referral are essential for various individuals, including but not limited to:
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- Patients who have undergone a surgical procedure or extensive medical treatment and require post-acute care or rehabilitation.
03
- Individuals with chronic illnesses or complex medical conditions who need ongoing healthcare support and services.
04
- Elderly patients who may require assistance with daily activities or specialized care in a long-term care facility or nursing home.
05
- Patients with mental health disorders or substance abuse issues who need access to appropriate mental health resources or addiction treatment programs.
06
- Individuals with disabilities or physical impairments who require assistance with mobility, adaptive devices, or accessibility services.
07
- Patients with terminal illnesses who may require hospice care or palliative services to ensure comfort and dignity in their final days.
08
Discharge planning and referral aim to facilitate a smooth transition and continuity of care for these individuals, ensuring they receive the appropriate services and support for their specific needs.
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Discharge planning and referral is a process that ensures a patient receives appropriate care and support after leaving a healthcare facility. It involves coordinating services and resources to meet the patient’s ongoing healthcare needs.
Healthcare providers, including hospitals and other medical facilities, are generally required to file discharge planning and referral for patients upon discharge to ensure continuity of care.
To fill out discharge planning and referral, begin by gathering patient information, including medical history and post-discharge needs. Complete the designated forms accurately and ensure all necessary signatures are obtained before submission.
The purpose of discharge planning and referral is to facilitate a smooth transition for patients from a care setting to their home or another facility, ensuring they have the necessary resources and services to continue their recovery.
Discharge planning and referral must report information such as patient demographics, discharge date, follow-up care needs, referrals to other providers, and any necessary support services required after discharge.
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