A successful hospital discharge should include the patient’s family, and should be conducted with the help of a multidisciplinary health professional team . This is important because inadequate discharges have been linked with increased readmission rates within 90 days of discharge .
Discharge planning should consider the patients: :
Sociodemographics (home environment, and financial resources for medical care)
Use of health and social services before hospitalization
General health, function, mental and emotional status
Knowledge of heart failure and related self-care
Prehospitalization compliance with healthcare regimen
Needs and expectations at discharge
35. Grady KL, Dracup K, Kennedy G, Moser DK, Piano M, Stevenson LW, Young JB. Team Management of Patients with Heart Failure: A statemetn for healthcare professionals from the cardiovascular nursing council of the American Heart Association. Curculation 2000;102:2443-2456.