There are simple discharges – those which a patient will be allowed to go home with no plans of follow-ups and home delivery – and complex discharges – ,which patients needs extra care and referral to a care facility. Discharge planning is meant to decide the requirements of a patient when there is a transition from the health care facility to a different environment. As the case manager, my colleagues and I analyze the information got from Mr. Trosack and his family. We identified the health care issues to consider when devising the discharge plan. One of the issues is that Mr. Trosack has a hearing impairment on his left ear and does not have an accurate eyesight. This is because he wears glasses when reading. This is an imperative issue to consider in formulating a discharge plan. If Mr. Trosack is to go to a referral facility, they have to be informed on this condition so that proper care can be accorded to him. For instance he may decide to stroll around the facility some day and a hurrying vehicle can injure him because he will not hear the caution from the driver. They also need notify him the time to take the prescribed drugs, as he may not be able to read for the time well. The other issue is that he has been diagnosed with hypertension and non-insulin dependent diabetes. There were prescriptions given to him to control the conditions. The discharge plan has to include these prescriptions and someone who will be ensuring that he is given the medicine. It has been found that Mr.
Trosack does not complete his doses because during the assessment of his home, the bathroom cabinet was filled with old prescriptions. This provides evidence that he needs proper follow up in his discharge plan. Mr. Trosack’s apartment is small and has many memorabilia of the second world war. This is a health issue to consider because a person being discharge needs a comfortable place. The place should have plenty of space to help the patient avoid much struggle when moving around. A recovering patient should not be subjected to anything that will trigger negative emotions. The souvenirs in Mr. Trosack’s apartment will definitely keep him thinking. This will alter the smooth recovery process that he is meant to undergo. He should be having things or people to help him affirm that his health will get better and not the memorabilia. It was evident from the assessment that his close family – his son and son’s wife do not visit Mr. Trosack regularly. This is an important health issue to address, since there are times when he might need an emergency. This is reinforced by the fact that Mr. Trosack lives in the second floor of an apartment. His hip condition does not need disturbance which might be caused by the movement upstairs. From the findings, his food is not kept at the apartment but at the bakery. Given that he is overweight these factors should be given consideration when formulating his discharge plan. Apart from the case manager, there are other important interdisciplinary team members to help determine a suitable discharge plan for Mr. Trosack. A social worker will be needed in the team. The social worker will work together with the team to give psychosocial support to the patient and the family. They will also be helpful in providing services in the hospital before the discharge. Such service is like convincing the patient and his family of the importance of a care after discharge. A dietitian would aslo be necessary to coach the patient especially given his diabetic condition. They will advise the kind of diet required in the plan. Physicians will be needed to check the condition of the patient and recommend the best discharge plan. Rehabilitation nurse will be helpful to