NRS-460 Benchmark - Case Study: Timothy Smith -
Discharge Planning
Directions: Read the case study below. Evaluate the information and formulate a
conclusion based on your evaluation. Complete the critical thinking table and submit the
completed template to the assignment dropbox.
It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the
complex management of disease during the discharge of a patient, and the additional aspects of
communication and safety in the work environment. The purpose of this assignment is to
participate in discharge planning for a patient utilizing communication and information
technology, and in a scenario where patient and provider safety is a concern.
PART I: Health History and Medical Information
Evaluate the health history and medical information for Timothy Smith, presented below.
Mr. Smith is ready to be discharged from the hospital. Timothy has been weaned off of
oxygen. His tube feedings have been discontinued and he is tolerating a pureed diet. To
facilitate safe discharge, the hospital case manager has set up services with a transitional
care manager from a Home Health agency. The goal is for Mr. Smith to attain safe
recovery and rehabilitation.
1. Broken left leg status
2. Weight bearing status: non-weight bearing, stand pivot with right leg only
a. Assistive devices: wheelchair
b. PICC line present for discharge
3. Left upper leg wound care: dressing changes as needed for open reduction
internal fixation (ORIF) on leg
4. Psychiatrist telehealth follow-up scheduled for a Zoom call upon discharge
5. Telehealth follow-up visit scheduled two weeks after discharge with Primary
Care Physician (PCP)
Lab Tests and Vitals
1. Room air, respiratory rate 16 breaths per minute
2. Vital signs are within normal limits
,PART II: Critical Thinking Activity
Use the findings from your evaluation to complete the following:
Home Health Care and Rehabilitation Therapy
During care coordination and transition of care planning, it is important to consider the type
and level of care a patient might need.
You are the transitional care Discharge plan for Mr. Timothy Smith requires careful
manager assigned to Mr. Smith
prior to discharge. Based on Mr. planning with consideration of factors that can enhance
Smith’s assessment findings,
develop a discharge plan that recovery processes. Being the transitional care manager,
encompasses his care needs
my major objective is to ensure safety recovery processes
following discharge. Your
response should be a minimum of
as well as the continued provision of care at home. Mr.
200 words.
Smith is stable given that fact that he shows normal vital
signs and tolerates the pureed diet. As a result, it is
essential for me to continue monitoring both hydration
and nutritional intake. Timothy can only perform stand-
pivot transfer through the rights leg given that he
remains non-weight bearing on his left leg. As a result,
the continued care will require home safety assessment
and the wheel chair to support movement, besides
caregiver support to reduce the expected instances of
falls.
Furthermore, education ought to be offered on the
possible safe transfer procedures as well as maintenance
of the non-weight bearing safeguards. Timothy’s PICC
line will also need the intervention of skilled nurse for
2
, the line care; this may involve continuous monitoring of
3
Discharge Planning
Directions: Read the case study below. Evaluate the information and formulate a
conclusion based on your evaluation. Complete the critical thinking table and submit the
completed template to the assignment dropbox.
It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the
complex management of disease during the discharge of a patient, and the additional aspects of
communication and safety in the work environment. The purpose of this assignment is to
participate in discharge planning for a patient utilizing communication and information
technology, and in a scenario where patient and provider safety is a concern.
PART I: Health History and Medical Information
Evaluate the health history and medical information for Timothy Smith, presented below.
Mr. Smith is ready to be discharged from the hospital. Timothy has been weaned off of
oxygen. His tube feedings have been discontinued and he is tolerating a pureed diet. To
facilitate safe discharge, the hospital case manager has set up services with a transitional
care manager from a Home Health agency. The goal is for Mr. Smith to attain safe
recovery and rehabilitation.
1. Broken left leg status
2. Weight bearing status: non-weight bearing, stand pivot with right leg only
a. Assistive devices: wheelchair
b. PICC line present for discharge
3. Left upper leg wound care: dressing changes as needed for open reduction
internal fixation (ORIF) on leg
4. Psychiatrist telehealth follow-up scheduled for a Zoom call upon discharge
5. Telehealth follow-up visit scheduled two weeks after discharge with Primary
Care Physician (PCP)
Lab Tests and Vitals
1. Room air, respiratory rate 16 breaths per minute
2. Vital signs are within normal limits
,PART II: Critical Thinking Activity
Use the findings from your evaluation to complete the following:
Home Health Care and Rehabilitation Therapy
During care coordination and transition of care planning, it is important to consider the type
and level of care a patient might need.
You are the transitional care Discharge plan for Mr. Timothy Smith requires careful
manager assigned to Mr. Smith
prior to discharge. Based on Mr. planning with consideration of factors that can enhance
Smith’s assessment findings,
develop a discharge plan that recovery processes. Being the transitional care manager,
encompasses his care needs
my major objective is to ensure safety recovery processes
following discharge. Your
response should be a minimum of
as well as the continued provision of care at home. Mr.
200 words.
Smith is stable given that fact that he shows normal vital
signs and tolerates the pureed diet. As a result, it is
essential for me to continue monitoring both hydration
and nutritional intake. Timothy can only perform stand-
pivot transfer through the rights leg given that he
remains non-weight bearing on his left leg. As a result,
the continued care will require home safety assessment
and the wheel chair to support movement, besides
caregiver support to reduce the expected instances of
falls.
Furthermore, education ought to be offered on the
possible safe transfer procedures as well as maintenance
of the non-weight bearing safeguards. Timothy’s PICC
line will also need the intervention of skilled nurse for
2
, the line care; this may involve continuous monitoring of
3
