A patient has been admitted for a complex operation that will require complicated home care, including dressing changes. The primary nurse should begin the process of teaching and discharge planning
a. after the operation and the patient is awake.
b. upon admission along with the initial assessment.
c. the day before the patient is to be discharged.
d. when narcotics are no longer needed routinely.
B
Initial discharge planning begins upon admission. The assessment phase is a time to establish the nurse–client and nurse–family relationships and begin the discharge planning process.
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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