Author/Editor     Lavtižar, Jana; Sivec, Gordana
Title     Vloga koordinatorja odpusta pacienta v Splošni bolnišnici Jesenice
Translated title     #The #role of patient treatment coordinatorat at Jesenice General hospital
Type     članek
Source     In: Moč za spremembe - medicinske sestre in babice smo v prvih vrstah zdravstvenega sistema : zbornik prispevkov z recenzijo Ljubljana : Zbornica zdravstvene in babiške nege Slovenije - Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije, Nacionalni center za strokovni, karierni in osebnostni razvoj medicinskih sester in babic
Publication year     2013
Volume     str. 311-316
Language     slv
Abstract     Vzpostavitev sistema načrtovanja odpusta v domačo oskrbo je eden od pomembnih dejavnikov zdravstvene oskrbe pacientov. Načrtovanje odpusta iz bolnišnic je proces, ki se začne pred sprejemom v bolnišnico in se konča po odpustu pacienta. V primeru zaznanih ovir pri načrtovanju odpusta se v načrtovanje vključi socialna delavka, pacienta pa se po zaključeni akutni obravnavi premesti na oddelek za zdravstveno nego. Na oddelku za zdravstveno nego se izvaja neakutna obravnava, ki poleg negovalne oskrbe pacienta vključuje rehabilitacijo s pomočjo fizioterapije in delovne terapije ter morebitno oskrbo ran. S tem se zagotavlja optimalna priprava pacienta na odpust ali premestitev iz bolnišnice in dosega kakovostno in varno obravnavo pacienta. Z multidisciplinarnim pristopom se doseže največjo možno stopnjo samostojnosti pacienta pri izvajanju življenjskih aktivnosti, ki pripomorejo k ozdravljenju ali ohranitvi zdravja. Pomemben element neakutne obravnave je tudi izvajanje družinskih konferenc, ki vključujejo pacienta, celotni zdravstveni tim in svojce/skrbnike. Vzpostavitev sistematičnega načrtovanega odpusta pacienta omogoča čim lažji prehod pacientov skozi celotno obravnavo in prehajanje iz bolnišnice v domačo oskrbo. Pri tem je pomembno pacientovo stanje pred sprejemom v bolnišnico, predvsem njegove želje in pričakovanja. Pri odpustu so nam ključne informacije zagotavljanje zdravstvene in socialne oskrbe v domačem okolju. Pri uvedbi načrtovanja odpusta pacienta je potreben sistematičen pregled, razmislek o učinkoviti realizaciji ob upoštevanju smernic oziroma priporočil sodobne literature.The establishment of the system of planned discharge into home care is one of the most important factors in healthcare. The planning of the discharge into home care is a part of a continuous process that has to begin prior to admission to hospital and ends after the discharge of the patient. If obstacles for the discharge of the patient arise during the admission, social worker is included into treatment and the patient is transferred onto the nursing ward. Non-acute care is being carried out; nursing care is being complemented by rehabilitation with physiotherapy and occupational therapy and eventual wound nursing. By all these the best possible preparation for discharge or transference from hospital is being made and quality and safe treatment of the patient are ensured. By using multidisciplinary approach the highest possible degree of patient independence with daily activities that influence convalescence or health preservation are achieved. An important component of non-acute care is the so- called family conferences where the patient, the entire healthcare team and relatives/ caretakers take part. The establishment of the systematic planned discharge of the patient enables the patient to pass the entire treatment and the proceeding from hospital to home care. It is very important to check the patients condition prior to admission to hospital and to ask the patient about his wishes and expectations. When it comes down to discharge, information about healthcare and social care in the home environment is very important. The introduction of the planned discharge requires a systematic review, a reflection about the effective realization with procedures and principles considered respectively the literature recommendations.
Keywords     načrtovanje odpusta
koordinator zdravstvene obravnave
multidisciplinarni tim
pacient
planned discharge
patient treatment coordinator
multidisciplinary team
patient