The patient is being admitted to the neurological unit with a diagnosis of stroke. When will the nurse begin discharge planning?
a. At the time of admission
b. The day before the patient is to be discharged
c. When outpatient therapy will no longer be needed
d. As soon as the patient's discharge destination is known
ANS: A
Discharge planning begins when a patient enters the health care system. In anticipation of the patient's discharge from an institution, the nurse makes appropriate referrals or consults a case manager or a discharge planner to ensure that the patient's needs are met at home. Referrals to home care or outpatient therapy are often needed. Planning the day before discharge, when outpatient therapy is no longer needed, and as soon as the discharge destination is known is too late.
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