The influence of health care regulations while applying the theoretical model of discharge decision making that was proposed by Jette et al. for a patient who was admitted into acute care: A retrospective case report.
Type of Presentation
Poster Session
Start Date
4-12-2019 4:00 PM
End Date
4-12-2019 6:00 PM
Abstract
The Patient Protection and Affordability Care Act has targeted hospital readmission rates. Jette et al. suggested the theoretical discharge decision making model to reduce hospital readmission rates. The purpose of this retrospective case report was to discuss the influence of health care regulations while applying the theoretical model of discharge decision making in a patient who was admitted to acute care with uncontrolled diabetes, sepsis, and progressive wounds. Case Descriptions: The patient was a 63-year old Caucasian female with greater than six comorbidities. This patient experienced a negative health sequela due to the loss of health care services from a loss of health care coverage. She was then admitted into the acute care unit of the hospital after observed lethargy that was later determined from uncontrolled diabetes, sepsis, and progressive wounds. Throughout care, this patient improved functional bed mobilities and her function in the seated position. However, the patient was unable to achieve a sit to stand and ambulate at discharge. Outcomes: Through the application of the theoretical model of discharge decision making that was proposed by Jette et al., the recommended discharge destination was skilled nursing services. However, due to health care regulations, the patient received home health with nursing and pro bono podiatry appointments. Discussion: Although the physical therapy student determined that skilled nursing services were appropriate for this patient after discharge, there was a discrepancy that was attributed to health care regulations. Due to this discrepancy, this patient is potentially at risk for readmission into the hospital which would cause further strain on Medicare and Medicaid Services.
Faculty / Staff Sponsor
Dr. Rebecca Wojcik
The influence of health care regulations while applying the theoretical model of discharge decision making that was proposed by Jette et al. for a patient who was admitted into acute care: A retrospective case report.
The Patient Protection and Affordability Care Act has targeted hospital readmission rates. Jette et al. suggested the theoretical discharge decision making model to reduce hospital readmission rates. The purpose of this retrospective case report was to discuss the influence of health care regulations while applying the theoretical model of discharge decision making in a patient who was admitted to acute care with uncontrolled diabetes, sepsis, and progressive wounds. Case Descriptions: The patient was a 63-year old Caucasian female with greater than six comorbidities. This patient experienced a negative health sequela due to the loss of health care services from a loss of health care coverage. She was then admitted into the acute care unit of the hospital after observed lethargy that was later determined from uncontrolled diabetes, sepsis, and progressive wounds. Throughout care, this patient improved functional bed mobilities and her function in the seated position. However, the patient was unable to achieve a sit to stand and ambulate at discharge. Outcomes: Through the application of the theoretical model of discharge decision making that was proposed by Jette et al., the recommended discharge destination was skilled nursing services. However, due to health care regulations, the patient received home health with nursing and pro bono podiatry appointments. Discussion: Although the physical therapy student determined that skilled nursing services were appropriate for this patient after discharge, there was a discrepancy that was attributed to health care regulations. Due to this discrepancy, this patient is potentially at risk for readmission into the hospital which would cause further strain on Medicare and Medicaid Services.