HOW TO OBTAIN CONTINUING EDUCAHON UNITS _______ BYREADINGTHiSISSUE _______
Instructions: Registered nurses may receive two contact hours by reading Hie article noted below and successfully answering the questions in the following post-test. Tb obtain continuing education unit credit:
1. Read the article "Discharge Planning: rVedicting Patients' Needs" on page 5, careiuily noting the tables and other illustrative materials that are provided to enhance your knowledge and understanding of Hie content.
2. Read each question and record your answer on the registration form provided.
3. Type or print your full name and address and your social security number in spaces provided on the registration form.
4. forward the completed form with your check or money order for $1 2 made out to University of Maryland Foundation. Quizzes are accepted up to 12 months from date of issue.
Continuing Education Units; The University of Maryland School of Nursing is accredited as a provider of continuing education in nursing by the American Nurses Credentiaìng Center's Commission an Accreditation. SlACK Inc. and University of Maryland School of Nursing are co-providers of this continuing education home study program,
Answers to the post-test will be graded and you will be advised that you have passed or foiled within 60 days of receipt of your completed test, A score of 70% or above wilf comprise a passing grade. A certificate will be awarded to participants who successfully complete Hie test.
Ten contact hours erf participation in an educational offering is awarded one CEU. A contact hour is 50 minutes of instruction.
Contact hour verification can be awarded only at the completion of a program.
CONTAQ HOUR UNITS RECEiVED FOR SUCCESSFUL
COMRETiON OF THE POST-TEST MAY BE USED FOR
CERTIFICATION OR RECERTIt=ICATtON CREDIT,
Objectives: After reading the article "Discharge Planning: Predicting Patients' Needs" in this issue, the participant will be able to:
Ï . Identify why early assessment of discharge planning needs is important especially for older adults.
2. Describe the ten characteristics which are assessed by the Bfoylocfc Risk Assessment Screen (BRASS).
3. Discriminate among those patients who have low, moderate, and high Risk Index Scores on the BRASS.
4. Describe the assessment of validity and reliability performed on the BRASS.
5. identify Hie assets of using the BRASS or a measure with similar attributes,
Directions: Encircle the letter of the best answer on the registration form provided.
1 . An important reason for discharge planning for older adults is:
A. older adults are not able to plan for their own post-dischargeneeds with any degree of accuracy.
B. older adults account for 42% of Hie patient care days in hospitals.
C. approximately 50% of older adults discharged from the hospital are readmitted within one month.
D. successful discharge planning has been shown to decrease hospital costs by 37%.
2. The Blayiock Risk Assessment Screen (BRASS) was developed by the authors primarily because:
A. no other instruments are available which measure post discharge needs.
B. measuring risk for a long hospital stay is predicted by the patient's DRG (diagnosis related group).
C. it is a comprehensive, yet easy to use, instrument specific to Hie needs of older adults.
D. it addresses the need for health screening as part of the admission process.
3. Ten charaderisKcs are assessed with the BRASS. Which characteristic category if scored positively by the nurse can yield the highest number of points for the patient?
B. Number of previous admissions and/ or E.R. visits.
D. Functional status.
4. Using the Blayiock discharge planning risk assessment screen and obtaining a score of 25 points would suggest that the patient is at risk for:
A. needing no special post discharge care.
B. needing minimal home care planning.
C. needing complex discharge planning.
D. placement in a long-term care facility.
5. Using the BRASS, perform a discharge planning risk assessment screen for the following case situation. Determine the patient's risk score for discharge planning needs. "Mrs. H.P. is an attractive 55-year-old woman who lives with her husband in a nearby suburb. She has only been hospitalized for her four deliveries and has no vision or hearing difficulties. She is independent in her activities of daily living except she has never been able to manage her finances. Most of the time she does not know where she is (at the hospital) and she wanders about and gets lost especially at night even after repeated instructions that she is not to leave her room. She is admitted for evaluation of a change in mental status and both of her medkations(she has asthma, hypertension and hypothyroidism) have been slowty discontinued." What is her risk score?
6. Using the BRASS, perform a discharge planning risk assessment screen for the following case situation. Determine the patient's risk score for discharge planning needs: "Mr. S. is an 82-year-old oriented, pleasant gentleman who lives with his daughter. He has arthritis, COPD, hypertension, diabetes and was admitted for treatment of an abscess of his left foot. It is his second admission this month. His gait is unsteady and his daughter has needed to assist him for the past month or so. He has taken 7 or 8 medications daily at home for his chronic health problems and now antibiotics have been added. His vision is apod with his glasses on and he has a slight hearing loss in the high frequency range. He is independent in his activities of daily living except he needs help with transportation." His risk score indicating discharge planning needs is:
D. unable to determine.
7. In assessing the validity of the BRASS the authors obtained scores on 206 patients and compared the scores with:
A. length of hospital sta/.
B. scores on the Datz Index of Independence in Activities of Daily Living.
C. hospital billing charges.
D. summaries or hospital social work activities for each of the 206 patients.
8. When the authors separated out the 32 patients who were 65 years or older from the total sample of 206 patients, they noted that: A. most of the older adults had very high risk scores.
B. there were statistically significant differences in the length of stay for each level of risk factor index scores.
C. ability to prepare meals was a significant predictor in the length of hospital stay.
D. readmission to the hospital was highest in this group.
9. The authors concluded from their study that one of the most important areas for assessment eorfy in a hospital admission to assist in predicting post discharge needs is:
A. self medication administration.
B. wandering behaviors.
C. urinary incontinence.
D. social support.
1 0. Using BRASS could meet several of today's health core system needs.
Which one is most significant?
A. It is easy to use which helps a busy nursing staff.
B. It meets JCAHO requirements for determining who is in need of discharge planning resources.
C. It may improve quality of care outcomes for patients while in the hospital and in the transition to home.
D. It can help home health care agencies plan their staffing needs.
Answers to July 1991