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The purpose of this assignment is to gain an understanding on what goes into a discharge plan. For assignment 3, using the case study, you will create a discharge plan for a patient using the attached

Discharge Plan template document.

You are to complete all sections of the discharge plan:  assessment, diagnosis/plan, education needs, financial worksheet, and the reflection and conclusion.  You need to be as detailed as possible in filling out all the boxes. The reflection and conclusion section allows you to summarize the patient’s plan of care based on all proceeding information and to make recommendations for the plan of care for the patient.  Reflect on what you learned in this assignment.  What do you think about using this discharge plan, did it help you to consider areas you might not have previously included in a discharge plan? Please follow the

example discharge plan provided for your guida

What necessary community resources and referrals will the patient need? What, if any, special equipment, or supplies might the patient need? You may not find all the information you need for the discharge plan in the case study.  So, you need to research the patient’s condition, etc. to help you complete sections of the discharge plan. You can find approximate costs for equipment/insurance, etc. on the internet.  Remember this is a fictitious patient.

Case Study

Mr. Joe Jones, who is 75 years of age, is being discharged home after having a right knee replacement. “I am glad that the surgery is over.  Now, I can walk without a walker and pain.” He lives in a one level home independently.  His wife died last year. He has private insurance.  Mr. Jones is a retired engineer and can meet his financial needs for daily living.  His allergies include penicillin and seasonal allergies. The discharge orders from the orthopedic surgeon include continuous passive motion (CPM) at the current setting of 0-degree angle extension worn when walking with crutches (non–weight-bearing post discharge day 1 and may begin weight-bearing post-discharge day 2); and home nurse visits, as needed. Physical therapy should begin the day after discharge at an orthopedic center. Dressing changes BID until stitches are removed 14 days post-op.  Clean with normal saline and apply clean, dry dressing with paper tape.  The prescriptions will be faxed to the center. The following medications with prescriptions attached include: Lovenox (enoxaparin) 70 mg subcutaneously once daily for 7 days, Vicodin (hydrocodone bitartrate) 10 mg every 4 hours PRN, and Colace (docusate sodium) 100 mg every day. The patient is to follow up with the orthopedic surgeon in 3 weeks. His daughter, Nancy, plans to stay with him for several weeks to assist him with meals and household chores, and take him to physical therapy and the orthopedic surgeon for follow-up. Mr. Jones has three other children, Kevin, Lucy, and John, who live in other states. He is a widower and attends a local church. He volunteers as an usher every Sunday. He has a past medical history of a colon resection related to acute diverticulitis and arthritis. Mr. Jones uses ibuprophen 200-400 mg prn for pain.

Discharge Plan Template
Name: Joe Jones
DOB: 01/02/1944
Date of Admission: 3/4/2020
Assessment Date: 3/4/2020
Admitting Diagnosis: right knee replacement
Past Medical History (include surgical history)
colon resection related to acute diverticulitis and
arthritis. allergies include penicillin and seasonal
allergies
Subjective history of current hospitalization (what led to current hospitalization?)
Knee pain
Family and social history
His wife died last year. His daughter, Nancy, plans to stay with him for several weeks to assist him
with meals and household chores, and take him to physical therapy and the orthopedic surgeon for
follow-up. Mr. Jones has three other children, Kevin, Lucy, and John, who live in other states.
Summary of physical assessment (complete head-to-toe from hospitalization documentation)
Mr. Jones is alert and oriented x3, vision and hearing unchanged from baseline, , denies numbness
and tingling. Strength decreased on right lower extremity due to TDK. Heart rhythm remains regular,
rates 80-140 bpm. Mark states pain of 7-8 on right knee. Respiratory rate 12 bpm, denies dyspnea.
SpO2 98% on room air. Bowel sounds active in all quadrants, no change in bowel or urinary patterns.
Skin is grossly intact, no sign of infection or breakdown noted.
Allergies: penicillin and seasonal allergies
Effects of diagnosis on daily living: non–weight-bearing post discharge day 1 and may begin weightbearing post-discharge day 2); and home nurse visits, as needed. Physical therapy should begin the
day after discharge at an orthopedic center. Dressing changes BID until stitches are removed 14
days post-op. Clean with normal saline and apply clean, dry dressing with paper tape.
Current Medications (to add rows, click “insert row” on Table Layout tools)
Name
Dose
Lovenox (enoxaparin) 70 mg
Vicodin
(hydrocodone
bitartrate)
10 mg
Schedule
subcutaneously once
daily for 7 days
every 4 hours PRN
Last taken
Colace (docusate
sodium)
ibuprophen
100 mg
every day
200-400 mg
prn for pain.
Activity of Daily Living and Instrumental Activity of Daily Living Assessment (Place an “X” in
the appropriate column)
Activity
Bathing
Dressing
Personal Cares
Continence
Toileting
Transferring
Ambulation
Climbing Stairs
Eating
Shopping
Food
Preparation
Managing
Medications
Using the Phone
Housework
Laundry
Transportation
Managing
Finances
Total
Not applicable
Dependent
Semi
x
x
x
Independent
x
x
x
x
x
x
x
x
x
x
x
Patient Support System (based upon above assessment, who is available to provide care or
support to patient)
Name
Nancy
Relationship
daughter
Availability
plans to stay with him for
several weeks to assist him
with meals and household
chores, and take him to
physical therapy and the
Kevin, and John
Lucy
son
daughter
orthopedic surgeon for
follow-up.
live in other states
live in other states
Medical Follow-up
Physical therapy should begin the day after discharge at an orthopedic center. Dressing
changes BID until stitches are removed 14 days post-op. Clean with normal saline and apply
clean, dry dressing with paper tape.
Financial Summary
Mr. Jones is a retired engineer and can meet his financial needs for daily living
II. DIAGNOSIS/PLAN
List your top three priorities, create a nursing diagnosis, and create two goals for each
Priority
1. Risk for Infection
2. Impaired Physical Mobility
Nursing diagnosis
• Invasive procedures;
Surgery/restrictive therapies
surgical manipulation;
implantation of a
foreign body
Client outcomes
1. Client will achieve timely
wound healing,
•
3. Acute Pain
•
Reports of pain;
distraction/guarding
behaviors
1. Client will display
increased strength
and function of
affected joint and
limb. Participate in
ADLs/rehabilitation
program.
1. Client will report
relieved/controlled of pain
2. be free of purulent
2, Client will maintain a
drainage or erythema, and be position of function, as
afebrile
evidenced by the absence of
contracture.
2. Client will appear relaxed,
able to
rest/sleep appropriately.
III. EDUCATION NEEDS
Need
risks
Physical therapy
Method
Verbal, written
Verbal, written, and video
Evaluation of learning
Teach back method
demostration
Example Discharge Plan
I. ASSESSMENT
Name: Mark Fox
DOB: 03/23/1955
Date of Admission: 3/1/2017
Assessment Date: 3/5/2017
Admitting Diagnosis: 1. Acute Myocardial infarct
due to thrombosis. (Numerous thrombi noted in
atrium and ventricles). Coronary arteries are
normal. 2. New onset atrial fibrillation. 3.
Cardiomyopathy; ejection fraction
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