Levesque J D
Montebello Rehabilitation Hospital, University of Maryland Medical System, Baltimore 21218.
Soc Work Health Care. 1988;13(4):49-63. doi: 10.1300/J010v13n04_05.
Hospital discharge planning is a challenging and complex task, which becomes increasingly difficult when the patient has suffered brain injury or cognitive impairment. The social worker is often in the conflicting roles of trying to serve the best interests of the patient as well as serving the institution in the discharge planning process. This paper is intended to be a practical guide to examine the issues involved in discharge planning from the perspective of the hospital's duties, with consideration being given to the potential risks to the patient.
医院出院计划是一项具有挑战性和复杂性的任务，当患者遭受脑损伤或认知障碍时，这项任务会变得愈发困难。在出院计划过程中，社会工作者常常处于相互冲突的角色中，既要尽力维护患者的最大利益，又要为机构服务。本文旨在从医院职责的角度，对出院计划中涉及的问题进行实用指导，并考虑患者可能面临的风险。
