Development of Discharge Plan Model for Palliative Care Patients at LOEI HOSPITAL

Abstract

Objective : This study aims to develop discharge planning for palliative care patients and study the effectiveness of palliative care’s discharge planning guideline at Loei hospital.

Methods : The sample was purposive sampling consisting of palliative care patients were 66 people and caregivers were 66 people. The research process was divided into 4 phases were; the first phase; situation analysis, Phase 2 is the development phase of discharge planning. Phase 3 is to use the results from the practice of discharging patients with palliative care to make improvements. Phase 4 is the monitoring and evaluation phase.

Result : the result using a demographic questionnaire, symptoms suffering assessment, and family satisfaction assessment. The results found that the sample after discharge from the hospital showed the suffering symptoms such as pain, breathlessness, and anxious with 34.85 percent. The telephone counseling average was 2.56 times. The re-admission in the hospital with preventable problems was 18.18 percent. They were received home visiting was 78.80 percent. The place of death was at home with 92.89 percent. The death characteristics with calm symptoms were 65.15 percent. The family satisfied with patient care at the highest level was 73.26 percent, (Mean =4.62 SD =61.37)  and the high level was 18.21 percent. (Mean = 4.06 SD =58.59)

Conclusion : This research is to prepare patients for continued care after being discharged from the hospital. By good managing physical symptoms effectively, communicate with patients and families, continuous care after being discharged from the hospital. To allow patients to have a good quality of life and die peacefully according to their wishes that were in advanced care planning.