Health Promotion and Maintenance Q 111

---

A 65-year-old man has been admitted to the hospital for spinal stenosis surgery. When should the discharge training and planning begin for this patient?

  

     A. Following surgery

     B. Upon admission

     C. Within 48 hours of discharge

     D. Preoperative discussion

    

    

Correct Answer: B. Upon admission

---

Discharge education begins upon admission. Ideally, it involves the client and the family, as well as the hospital staff. Effective discharge planning can decrease the chances of the client being readmitted to the hospital, and also can help in recovery, ensure medications are prescribed and given correctly, and adequately prepare folks to take over the client’s care.

---

Option A: Preoperative instructions are important for discharge planning, so it must start not only after the surgery.

Option C: Creating a discharge plan within 48 hours of discharge could cause the plan to be incomplete, as it would lack the preparations made before the surgery.

Option D: Including the preoperative discussion in the discharge plan is correct, but this should also extend towards the admission and the data taken upon admission for comprehensive planning of the client’s discharge.

---