Programa de alta hospitalaria programada para preparar el egreso del paciente y familia.

Abstract

This article describes the implementation, development and evaluation of the Hospital Discharge Schedule (PAH), specifically in the area of surgery of the Dr. Rafael Calderón Guardia Hospital, in order to show a model to implement for other national and international hospitals, providing tools for patients and families to perform self-care and their incorporation into the community to which they belong, based on the needs shown during hospitalization and at discharge from hospital. This is a descriptive and quantitative study, whose population consisted of the total expenses for the planned discharge area of Surgery, Hospital Rafael Angel Calderon Guardia, in 2010, selecting a sample of 1224 patients who required assessment and involvement in the preparation of discharge by the nurse program manager. The program performs a needs assessment of the patient at admission and discharge status, this information is recorded in the Instrument Needs Assessment of the patient, which constitutes the basis for the intervention plan for the user and family placement and the day of discharge, preparation of oriented high by professionals in nursing. Such intervention is documented in the instrument recording the condition of graduation from users of surgery and the nursing notes. The patient and family achieve according to the intervention of the nurse in charge of the program and collaboration with other health team members acquire knowledge and skills according to the degree of dependence or health condition to achieve self-care after discharge from the hospital. Conclusion. The benefits are evident in the implementation of PHA result in a timely preparation according to the degree of dependence and according to the health condition of the patient self-care and family after discharge from the hospital, and streamline administrative procedures and the relocation users with timely social issues.