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Discharge planning strategies

Staff Development Weekly: Insight on Evidence-Based Practice in Education, April 15, 2005

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Question: Mr. Smith, a 70-year-old Alzheimer's patient admitted to an acute care hospital after falling at home, was discharged home after three days when he no longer needed acute medical care. After two weeks, Mrs. Smith notices her husband's condition has weakened and he can no longer get around by himself and cannot perform activities of daily living. Must Mr. Smith be admitted again as an inpatient to qualify for skilled nursing facility (SNF) services?
 
Answer: Mr. Smith would not have to be admitted as inpatient again, and if he met the criteria for admission to a SNF, would qualify for the post-acute extended care benefit under the 30-day rule. The SNF would then have an opportunity to evaluate his long-term needs.

Editor's note: The above study question is from the online course "Nursing CE Series: Discharge planning: The process and strategies to comply with transfers and referral." For more information on this and other courses in our Nursing CE library, go to www.hcprofessor.com and click on Nursing CE.   

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