20 Jan Discussion 2: Discharge Planning
SOCW–6204/8204: Medical Social Work I
Discussion 2: Discharge Planning
One of the most common terms heard in inpatient hospital settings throughout the country currently is “length of stay.” This essentially refers to how long a patient occupies a bed in a hospital. The objective of some hospitals is to minimize the length of stay in an effort to contain costs. Due to most hospitals’ priority of keeping length of stay as short as possible, discharge planning begins upon admission to the hospital. It is a process that capitalizes on social worker’s engagement, assessment, and planning skills.
An effective discharge plan ensures that a patient is being discharged to a safe environment that is conducive to healing and recovery. In some cases, this is different from the environment they were living in prior to the hospitalization. In addition, the discharge plan must adequately meet the patient’s medical needs outside of the hospital environment. This can include coordinating follow-up medical appointments and appropriate therapies, ordering medical equipment, arranging home health care, placing the patient in a skilled nursing facility, and linking the patient to supportive community resources. Constructing a discharge plan requires hospital social workers to collaborate with the patient, his or her family, caregivers, medical team, and community resources.
To prepare for this Discussion, think about the components of discharge planning and the individuals involved in discharge planning. Consider medical social work practice skills within the generalist intervention model as discussed in Discussion 1 this week. Examine the factors involved in creating a discharge plan for a patient in a hospital setting. Consider the specific roles a medical social worker plays in creating a discharge plan.
By Day 4 (( Note!!! PLEASE WRITE OUT EACH QUESTION BEFORE PROVIDING A RESPONSE
Post a brief description of the components of discharge planning. Identify and explain the key factors that must be considered in the discharge planning process. Explain the roles of a medical social worker in creating a discharge plan. Be specific. Then, explain how discharge planning incorporates all of the practice skills in the generalist intervention model. Finally, explain challenges a medical social worker might face working with other professionals involved in discharge planning.
Be sure to support your postings and responses with specific references to the resources and the current literature using appropriate APA format and style.
Be sure to support your responses with specific references to the resources. If you are using additional articles, be sure to provide full APA-formatted citations for your references both within the text and on the referencing section. PLEASE ALWAYS INCLUDE THE REQIRED TEXTBOOK as part of the references and if possible some of the REQUIRED READING if applicable. Please always start by referring to THE TEXTBOOK, below REQUIRED
Hospital Social Work (Paperback) 2006 Author:
Handbook of Health Social Work 3RD 19
Author: Gehlert, Sarah
ISBN-13: 978-1-119-42072-9
ISBN-10: 1-119-42072-5
Edition/Copyright: 3RD 19
Publisher: John Wiley & Sons, Inc.
Required Readings
Learning Resources
Beder, J. (2006). General medical social work. In Hospital social work: The interface of medicine and caring (pp. 9-20). Routledge. https://doi.org/10.4324/9780203956120
Gehlert, S., & Browne, T. (Eds.). (2019). Social work roles and health-care settings. In Handbook of health social work (3rd., pp. 21-36). Wiley. https://doi.org/10.1002/9781119420743
Agency for Healthcare Research and Quality. (n.d.). Care transitions from hospital to home: IDEAL discharge planning implementation handbook. Retrieved from https://www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.pdf
Craig, S. L., & Muskat, B. (2013). Bouncers, brokers, and glue: The self-described roles of social workers in urban hospitals. Health Social Work, 38(1), 7–16.
Department of Health and Human Services. (2019). Your discharge planning checklist: For patients and their caregivers preparing to leave a hospital, nursing home, or other care setting. Retrieved from https://www.medicare.gov/pubs/pdf/11376-discharge-planning-checklist.pdf
Fox, M. T., Persaud, M., Maimets, I., Brooks, D., O’Brien, K., & Tregunno, D. (2013). Effectiveness of early discharge planning in acutely ill or injured hospitalized older adults: A systematic review and meta-analysis. BMC Geriatrics, 13, 70.
Marshall, J. W., Ruth, B. J., Sisco, S., Bethke, C., Piper, T. M., Cohen, M., & Bachman, S. (2011). Social work interest in prevention: A content analysis of the professional literature. Social Work, 56(3), 201–211.
National Association for Social Workers. (2016). NASW standards for social work practice in health care settings. Retrieved from https://www.socialworkers.org/LinkClick.aspx?fileticket=fFnsRHX-4HE%3d&portalid=0
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