After a stay in a nursing home, special instructions will inevitably need to be followed as well as preparations made to continue care at home. Consultants at Medicare.gov report that caregivers and patients should participate in forming plans for a nursing home discharge that include schedules, medications and follow-up doctor visits.
Step 1
Acquire a discharge plan from a social worker, nurse or discharge coordinator at the facility. Consultants at the Center for Medicare Advocacy report that nursing homes must provide detailed discharge plans to patients and their caregivers to make sure the transition is safe and orderly. The plan is required whether the patient is being discharged to a different nursing home, private home or other long-term facility. Review the discharge instructions to make sure you understand them and can follow the guidelines.
Step 2
Get a prognosis from the doctor so you'll know what to expect. For example, if you have a terminal condition, you should be prepared for additional health challenges. Know what limitations to expect, what your plan of therapy includes and what you can do to get healthier.
Step 3
Learn as much as you can about your prescriptions. You should have a schedule of when to take your meds as well as information about possible side effects. Get the prescriptions you need immediately as well as instructions for over-the-counter medicines you can use.
Step 4
Purchase or rent medical equipment you'll need once you get home. Many physical therapy groups can provide the equipment prior to your discharge. Other equipment can be ordered and delivered, or ask your caretaker to make the purchases. Possible assistive equipment you may need includes walkers, stability handles, shower chairs and wheelchairs.
Step 5
Determine who will help you once you get home. Hire a representative from an in-home nursing care agency to fill in at times when family members cannot be present. Keep a schedule of caregivers, or delegate overseeing the schedule to a trusted family member or friend.
Tips and Warnings
- Talk to a social worker if you don't have anyone to care for you once you get home or if you need assistance paying for equipment or services.
- You can initiate legal proceedings if you feel the discharge is unwarranted or premature, reports CTElderlaw.org.
Things You'll Need
- Facility discharge plan
- Medical equipment
- Schedule
