An 81-year-old female patient has just been admitted to the hospital following a stroke
The patient's daughter is upset that nurses are trying to carry out discharge planning early in the admission, characterizing their efforts as evidence that they "just want to get her out the door as soon as possible.". How can a nurse best respond to the daughter's concern? A) "Actually, it's been found that patients who leave the hospital as soon as possible recover better and more quickly than those who stay hospitalized longer.".
B) "Our goal is not to rush your mother's discharge but rather to have as many supports in place as possible when it does come time for her to go home.".
C) "Unfortunately, one of the realities of hospital care today is that patients do get discharged earlier than they did in years past.".
D) "Discharge can often happen with little notice, so we are trying to get as much organized early in her admission as we can.".
B
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The goal of early discharge planning is to establish as many aspects of care as possible, maximizing the patient's chances of a healthy recovery. Answers C and D are often true, but these statements are unlikely to be of benefit to the patient's family, nor do they provide the best justification for early discharge planning. Answer A is not necessarily true.
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