Hospital discharge scheme Health Dictionary

The release of a patient from a provider’s care, usually referring to the date at which a patient checks out of a hospital.... discharge

An institution the primary function of which is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and nonsurgical. Most hospitals provide some outpatient services, particularly emergency care.... hospital

A facility, which may be attached to an acute hospital, geriatric centre or nursing home, providing non-residential care, such as medical care, nursing care, physiotherapy, occupational therapy, podiatry, speech therapy and counselling services, usually during the day.... day hospital

Services which seek to ensure that a person’s views are heard and his or her interests represented.... advocacy scheme

A medical condition for which hospitalization could have been avoided if ambulatory care had been provided in a timely and efficient manner.... avoidable hospital condition / admission

A facility that serves patients who do not need acute care or care in another kind of specialty hospital and whose needs for frequency of monitoring by a medical practitioner and for frequency and duration of nursing care exceed the requirements for care in a comprehensive care or extended care facility.... chronic hospital

A scheme utilizing volunteers to visit, spend time with and become friends with an older person in his/her place of residence.... community visitor scheme

A prolonged hospital stay due to non-medical conditions, such as a lack of, or delayed start of, community care arrangements.... delayed discharge

A process by which an admitted inpatient’s needs on discharge are anticipated, planned for or arranged.... discharge planning

A hospital providing a variety of services, including medicine and surgery, to meet the general medical needs of the community it serves.... general hospital

A hospital which, not only provides high quality comprehensive medical and nursing services, but also develops a corporate identity that embraces the aims of health promotion; develops a health-promoting organizational structure and culture, including active, participatory roles for patients and all members of staff; develops itself into a health-promoting physical environment; and actively cooperates with its community.... health-promoting hospital

Schemes providing nursing care, personal care or practical help for older people who have returned home after a stay in hospital.... home-from-hospital / hospital after-care schemes

A service provided by a religious denomination, primarily aimed at meeting the spiritual and religious needs of patients in hospitals. In the UK, NHS hospital trusts employ both full-time and part-time chaplains, usually representing the mainline Christian churches (Anglican, Free and Roman Catholic). Their duties vary but always at the least involve meeting the speci?cally religious needs of patients as well as of relatives and sta? who may ask for help. Public services in chapels, the bedside administration of the Word and Sacraments, and prayers and radio services are among chaplains’ duties. When requested by patients, chaplains also liaise with representatives of other world faiths.

Chaplains have a broad responsibility for the spiritual health care of all in hospital. They share this with other sta? members, particularly the nursing sta?, for whom the chaplains can be a resource. Chaplains also train and use volunteers from local churches to help with ward visiting and other chaplaincy duties. Much of the time spent with patients takes the form of a listening ministry, helping patients to ?nd their own answers to what is happening to them in hospital and in life generally. Spiritual health can be seen as a quest for the right relationships in four areas – with other people; with oneself; with the world around; and with ‘Life’ itself. The religious person subsumes all that in his/ her relationship to God.

The link between spiritual disease and physical ill-health is well established; the chaplain therefore helps a hospital to provide a HOLISTIC approach to health care. Chaplains also give time to the care of sta? who face increasing levels of stress at work, making use of support groups, counselling, meditation, etc. Chaplains support patients’ relatives facing a crisis, for example, by being with them over the period of a death, and by providing regular bereavement services for those who have lost babies. Some chaplains have a particular expertise in ETHICS and are members of the various hospital ethics committees. A chaplain may have a ‘nonmanagement’ view of the health of the hospital itself, which can be of use to hospital management. (See also SPIRITUAL PAIN.)... hospital chaplaincy

An infection acquired by a patient while in hospital. Because of the high level of antibiotic use in hospitals, some bacteria become resistant

– for example, METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS (MRSA). This makes hospital-acquired infections potentially dangerous and sometimes life-threatening, and is one of the developments that is prompting calls for greater care in the prescribing of antibiotics as well as higher standards of cleanliness.... hospital-acquired infection

Home-based specialist medical care used to shorten hospital stays or prevent hospital admission.... hospital-at-home scheme

A hospital that specializes in providing restorative services to rehabilitate chronically ill and/or disabled individuals to a maximum level of functioning.... rehabilitation hospital

A hospital that admits only certain types of patients or those with specified illnesses or conditions. Examples include psychiatric hospitals and rehabilitation hospitals for the older population.... specialty hospital

A hospital that provides education for students in the health professions.... teaching hospital

See HOSPITAL.... virtual hospital

Due to a number of causes. Unlike colostrum secreted during breast-feeding after delivery. A pathological nipple discharge is non-milky, recurs from time to time, and is usually only from one nipple. It may be watery or a sticky yellow, staining being detected on bra or pyjamas. When blood-flecked it should be promptly investigated by a competent authority.

When the discharge is yellow, indicating pus, an infection is suspected which may develop into an abscess. Herbal treatment can be effective but if, after a week, the condition has not improved surgical exploration may be necessary to remove the affected duct.

Alternatives. Clivers, Goldenseal, Fenugreek, Marigold, Poke root, Queen’s Delight, Wild Indigo. Taken as tea, powder, liquid extract or decoction.

Tea. Formula. Equal parts: Red Clover, Clivers, Gotu Kola. 2 teaspoons to each cup boiling water; infuse 15 minutes. Half-1 cup thrice daily.

Powders. Formula. Wild Indigo 1; Echinacea 2; Poke root 1. Dose: 500mg (two 00 capsules or one-third teaspoon) thrice daily.

Tinctures. Formula. Echinacea 2; Goldenseal 1; Poke root 1. Dose: 30-60 drops thrice daily.

Topical – for sore nipples. Wheatgerm oil, Evening Primrose oil. Lotions: Goldenseal, Marigold, distilled extract of Witch Hazel. Nipples to be washed before a child is again put to the breast. Cracked nipples: Comfrey – pulp from fresh plant, or equal parts powder and milk as a paste.

Minerals: magnesium, zinc. ... breasts, nipples, discharge

May be due to a perforated eardrum or to inflammation of the external ear (otitis externa). Whatever cause, antibacterials and alteratives would be required. See: OTITIS EXTERNA. OTITIS MEDIA. ... ear discharge – otorrhoea

The loss of mucus, pus, or blood from the anus. Haemorrhoids, anal fissures, and proctitis (inflammation of the rectum) can all cause anal discharge.... anal discharge

A hospital, formerly known as an asylum, specializing in the treatment of psychiatric illness.

Most admissions to mental hospitals are for acute psychiatric illness.

The majority of admissions are voluntary, but in some cases detention under the Mental Health Act may be necessary.... mental hospital

The emission of fluid from the nose. Nasal discharge is commonly caused by inflammation of the mucous membrane lining the nose and is often accompanied by nasal congestion. A discharge of mucus may indicate allergic rhinitis, a cold, or an infection that has spread from the sinuses (see sinusitis). A persistent runny discharge may be an early indication of a tumour (see nasopharynx, cancer of).

Bleeding from the nose (see nosebleed) is usually caused by injury or a foreign body in the nose.

A discharge of cerebrospinal fluid from the nose may follow a fracture at the base of the skull.... nasal discharge

A fluid that flows from the urethra in some cases of urethritis caused by infection.... urethral discharge

The emission of secretions from the vagina. Some mucous secretion from the vaginal walls and from the cervix is normal in the reproductive years; its amount and nature vary from woman to woman and at different times in the menstrual cycle (see menstruation). Oral contraceptives can increase or decrease the discharge. Secretions tend to be greater during pregnancy. Sexual stimulation also produces increased vaginal discharge.

Discharge may be abnormal if it is excessive, offensive-smelling, yellow or green, or if it causes itching. Abnormal discharge often accompanies vaginitis, and may be the result of infection, as in

candidiasis or trichomoniasis, or may be due to a foreign body, such as a forgotten tampon, in the vagina.... vaginal discharge

see hospital.... community hospital

(HES) (in England) a database containing data on all admissions to NHS hospitals and admissions of NHS patients treated elsewhere. See record linkage.... hospital episode statistics

see case fatality rate.... hospital fatality rate

see nosocomial infection.... hospital infection

a social worker employed to assist hospital patients with social problems that may arise through illness. See also social services.... hospital social worker

in the USA, a hospital that is owned or operated by a religious organization or community association to provide health-care facilities on a non-profit basis. In recent decades the role of voluntary hospitals has changed from one of caring primarily for *charity patients to one of serving all members of a community. At the same time, the practice of charging higher fees to patients able to afford them in order to compensate for the expense of caring for charity patients has generally been eliminated.... voluntary hospital