Discharge Planning for Home Health Care is a comprehensive, step-by-step guide to assessing the needs of patients and establishing a coordinated hospital-to-home discharge plan. The referral format and assessment tools provide the user with an organized and systematic approach for the transition of the patient through the continuum of care. This comprehensive resource is based on current reimbursement and regulatory issues and contains over 150 tools for easy application to a broad spectrum of health care settings.

Here's a practical guide for nurses in helping patients make a transition from one care setting to another. Focuses on DRGs and the critical need for planning and teamwork resulting from early discharge. Provides checklist to help ensure continuity of care, as it relates to health promotion, recuperation, short- and long-term rehabilitation, chronic disease, institutional care, and terminal illness. Also includes legal and ethical considerations.

First published in 1992. Routledge is an imprint of Taylor & Francis, an informa company.