Table 1 Discharge planning in the early-mid phase of the hospital stay and preparation for discharge
Activity | n (%) | |
|---|---|---|
Early-mid | Preparation | |
Psychotropic medication management | ||
Explore the patient’s view on medication | 295 (65.7) | 308 (68.6) |
Share with the patient why medication will be continued, and how to take medication post-discharge | 176 (39.2) | 289 (64.4) |
Education about self-administration of medication | 36 (8.0) | 104 (23.2) |
Explain strategies to address post-discharge side effects of medication | 103 (22.9) | 205 (45.7) |
Consult with an assigned physician on expected difficulties in post-discharge medication management | 105 (23.4) | 164 (36.5) |
Disease management | ||
Explain mechanism of the disease and symptoms | 119 (26.5) | 169 (37.6) |
Discuss identification of each symptom in accordance with the patient’s perceived experience of disease | 237 (52.8) | 271 (60.4) |
Discuss the cause of hospitalisation | 285 (63.5) | 295 (65.7) |
Explore the patient’s feelings and wishes in his/her life with the disease | 193 (43.0) | 281 (62.6) |
Explain why hospital staff (in outpatient service) and the patient will meet regularly post-discharge | 169 (37.6) | 331 (73.7) |
Verify the date of outpatient service and means of transportation | 95 (21.2) | 300 (66.8) |
Symptoms management | ||
Discuss identifying triggers that increase symptoms | 191 (42.5) | 280 (62.4) |
Discuss identifying signs of deterioration | 140 (31.2) | 244 (54.3) |
Develop and share post-discharge strategies to address deterioration post-discharge | 106 (23.6) | 261 (58.1) |
Ensure means of post-discharge access to healthcare agency when the symptoms worsen | 82 (18.3) | 237 (52.8) |
Advice about coping with symptoms | 172 (38.3) | 264 (58.8) |
Support for personal relationships | ||
Facilitate self-exposure based on assertion training | 46 (10.2) | 74 (16.5) |
Advice and intervention for relationship building | 129 (28.7) | 173 (38.5) |
Family support | ||
Contact with family members to provide emotional support | 161 (35.9) | 183 (40.8) |
Complement the information that physician provided to family members | 170 (37.9) | 200 (44.5) |
Family involvement | ||
Advice about communication with the patient | 129 (28.7) | 170 (37.9) |
Debrief responses and feelings when visiting the patient or the patient visits them | 199 (44.3) | 266 (59.2) |
Respond to their concerns about the patient’s symptoms and challenging behaviours | 182 (40.5) | 210 (46.8) |
Inform current condition and prognosis of the patient | 173 (38.5) | 198 (44.1) |
Share regarding the disease and medication | 135 (30.1) | 183 (40.8) |
Refer to peer support group available in the community or hospital | 46 (10.2) | 59 (13.1) |
Explain why medication and outpatient service will be continued, and how to address deterioration and crisis | 93 (20.7) | 195 (43.4) |
Coordination with post-discharge community care resources | ||
Consult on social rehabilitation and participation to facilitate the patient’s wishes | 88 (19.6) | 211 (47.0) |
Contact with family members to explore the patient’s post-discharge place in daily life | 96 (21.4) | 203 (45.2) |
Trial participation in day-care, workshop, or Alcoholics Anonymous | 48 (10.7) | 86 (19.2) |
Visit planned post-discharge residence | 38 (8.5) | 59 (13.1) |
Help the patient collect necessities for post-discharge daily life | 73 (16.3) | 148 (33.0) |
Multidisciplinary meeting to share information on social rehabilitation, participation, and place in daily life | 97 (21.6) | 153 (34.1) |
Meeting with in-hospital workers and community service providers | 55 (12.3) | 94 (20.9) |