A patient has been admitted for a skin graft following third degree burns to the bilateral calves. The plan of care involves 3 days inpatient and 6 months outpatient treatment, to include home care and dressing changes
When should the nurse initiate the educational plan?
a. After the operation and the patient is awake
b. On admission, along with the initial assessment
c. The day before the patient is to be discharged
d. When narcotics are no longer needed routinely
ANS: B
Initial discharge planning begins upon admission. After the operation has been completed is too late to begin the discharge planning process. The day before discharge is too late for the nurse to gather all pertinent information and begin teaching and coordinating resources. After a complicated operation, the patient may well be discharged on narcotic analgesics. Waiting for the patient to not need them anymore might mean the patient gets discharged without teaching being done.
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