Table 1 Checklist for observation and assessment of patients used by the staff during the CRA stay in preparation for the discharge planning process and to help decide on the type of services to be offered afterwards
From: Like a hotel, but boring: users’ experience with short-time community-based residential aftercare
Area | Cues |
|---|---|
Self-care | Hygiene, food preparation, diet, cleaning, washing, shopping, exercise/activities, and mastering substance abuse problems |
Medicating | Self-medicating, misuse of medicines, need of support with medicating |
Economy | Assess needs of any support to manage finances, e.g. pay bills |
Social network | Assess the social network, relationships, and participation in any social activities |
Housing | Visit the residence together with the patients – assessment of the facilities in the residence, such as cooking and cleaning |
Primary care services | Assess present follow-up services and other tailored services |
Leisure time | Assess patients’ hobbies and interests |
Facility | Assess patients’ technical aid needs |
Mobility | Assess the need for assistance to take the bus, visit public offices, cultural and leisure activities |
Job/education | Assess present education and job – arrange job/education or activities together with the patients |
Before discharge | The contact person organizes a meeting with the patient and community agencies for assessment and approval of tailored services. The follow-up services must be up and running at home at the expected date of discharge. The general practitioner has received discharge summary from the CRA. |