Book contents
- Guidance for Healthcare Ethics Committees
- Guidance for Healthcare Ethics Committees
- Copyright page
- Dedication
- Contents
- Contributors
- Preface
- Section 1 The Context of Healthcare Ethics Committee Work
- Section 2 Consultation
- Chapter 7 Ethics Consultation Mission, Vision, Goals, and Process
- Chapter 8 A Method of Consultation
- Chapter 9 Informed Consent
- Chapter 10 Confidentiality and Privacy
- Chapter 11 Decision-Making Capacity
- Chapter 12 Discharge Challenges
- Chapter 13 Surrogate Decision Making
- Chapter 14 Advance Care Planning and End-of-Life Decision-Making
- Chapter 15 Potentially Inappropriate Treatment and Medical Futility
- Chapter 16 Cognitive Dissonance and the Care of Patients with Disorders of Consciousness
- Chapter 17 Ethical Issues in Reproduction
- Chapter 18 Ethical Issues in Neonatology
- Chapter 19 Ethical Issues in Pediatrics
- Chapter 20 Neuroethics
- Chapter 21 Ethical Issues in Clinical Genetics
- Chapter 22 Challenging Issues in Surgical Ethics
- Chapter 23 Psychiatric Ethics
- Section 3 Policy Development and Organizational Issues
- Index
- References
Chapter 12 - Discharge Challenges
Shifting from Acute to Chronic Care
from Section 2 - Consultation
Published online by Cambridge University Press: 17 February 2022
- Guidance for Healthcare Ethics Committees
- Guidance for Healthcare Ethics Committees
- Copyright page
- Dedication
- Contents
- Contributors
- Preface
- Section 1 The Context of Healthcare Ethics Committee Work
- Section 2 Consultation
- Chapter 7 Ethics Consultation Mission, Vision, Goals, and Process
- Chapter 8 A Method of Consultation
- Chapter 9 Informed Consent
- Chapter 10 Confidentiality and Privacy
- Chapter 11 Decision-Making Capacity
- Chapter 12 Discharge Challenges
- Chapter 13 Surrogate Decision Making
- Chapter 14 Advance Care Planning and End-of-Life Decision-Making
- Chapter 15 Potentially Inappropriate Treatment and Medical Futility
- Chapter 16 Cognitive Dissonance and the Care of Patients with Disorders of Consciousness
- Chapter 17 Ethical Issues in Reproduction
- Chapter 18 Ethical Issues in Neonatology
- Chapter 19 Ethical Issues in Pediatrics
- Chapter 20 Neuroethics
- Chapter 21 Ethical Issues in Clinical Genetics
- Chapter 22 Challenging Issues in Surgical Ethics
- Chapter 23 Psychiatric Ethics
- Section 3 Policy Development and Organizational Issues
- Index
- References
Summary
An integral part of quality hospital care is the planning involved for the timely and safe discharge of patients once their course of medical treatment requiring hospitalization is complete. In the majority of cases, patients enter the hospital with a medical condition, for which medical goals are established, agreed upon, and accomplished, resulting in a successful discharge. However, in some cases sound discharge planning encounters difficult challenges, including ethical conflicts, particularly in the growing population of patients with complex chronic diseases. Lifestyle-related risk factors such as poor nutrition and lack of exercise, and alcohol and drug use disorders cause, or contribute to many of these illnesses, such as heart and lung disease, obesity, diabetes, and addiction. These patients frequently have difficulty managing their illness and adhering to therapeutic regimens. Other conditions, like various forms of dementia, progressively deprive the individual of the ability to self-manage or participate in treatment.
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- Guidance for Healthcare Ethics Committees , pp. 104 - 112Publisher: Cambridge University PressPrint publication year: 2022