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from Part II - Other Topics in Neuroprognostication
Published online by Cambridge University Press: 14 November 2024
Following hospitalization and treatment for an acute neurological illness, most patients will not immediately regain their previous level of function or be able to return home. As discharge from the hospital becomes imminent, patients must be assessed for what environment and level of services are best suited for them, taking into account their medical needs, appropriateness for therapy, bed availability at different facilities, family preferences, and available financial resources. Clinicians and hospital administrators tend to focus on the clinical resources a discharge facility possesses, and may overlook elements of the discharge plan important to the patient and their family. Discussions about the patient’s condition at discharge and needs for a discharge facility can come as a surprise to family members and may engender anger and conflict between the patient’s family and the medical team when expectations for a quick recovery are not met.
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