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Discharge planning involves taking into account things like: follow-up tests and appointments. whether you live alone. whether someone can help you when you go home. your mobility. equipment needed for your recovery. wound care, if needed. medicines, especially if you need multiple medications. dietary needs.
Start ? consultants name at the top (they take ultimate medicolegal responsibility for the patient's care). Patient Details. Which ward (and department) ... Diagnoses. Current diagnosis. ... Management (procedures, operations, treatments, referrals) ... Discharge drug list. ... Follow-up plan. ... Action for GP or patient.
6 Components of a Hospital Discharge Summary Reason for hospitalization: description of the patient's primary presenting condition; and/or. ... Significant findings: ... Procedures and treatment provided: ... Patient's discharge condition: ... Patient and family instructions (as appropriate): ... Attending physician's signature:
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.
Please be advised that I will no longer be able to treat you as a patient. The termination of our physician/patient relationship will be effective in 30 days from the date of this letter.