Discharge Summary Sample Mental Health
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Questions & answers
What information is found in the discharge summary?
Discharge summary This report is completed after the patient is discharged from the hospital. The report is a summary of the admission to the hospital, care provided, the diagnosis, procedures, medications, tests, immunizations, any problems and the plan for care after discharge from the hospital.
What kind of information is provided in a discharge summary Why is it important?
A discharge summary should contain a sufficient level of information to ensure that both patients and other healthcare professionals are aware of the relevant events of a hospital admission. 1 2 The transition between different levels of care represents a potential area where patient care is at risk.
How do you write a mental health discharge summary?
DISCHARGE SUMMARY REQUIREMENTS A review of the mental health treatment. Reason for discharge. Date of discharge. Condition at discharge. Response to psychotropic medications. Collaterals notified. Recommendations for aftercare.
What is a mental health discharge plan?
Discharge planning is defined as a dynamic, flexible, comprehensive, and collaborative process that should be started at the time of admission and its aim is to identify the client's plans and needs to support them after existing from psychiatric unit.
What is included in the discharge summary?
To continue to paraphrase the APTA's description: All discharge summaries should include patient response to treatment at the time of discharge and any follow-up plan, including recommendations and instructions regarding the home program if there is one, equipment provided, and so on.
What should be included in a therapy discharge summary?
A discharge report written by a therapist shall include: Documentation of the patient's subjective statements, if relevant. Updated objective measures, including validated outcome surveys. Extent of progress toward each goal. which goals have been attained and which were not achieved.
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