How to manage a MFFD patient in the acute hospital settings?

Autor: Punam Sinha, Anil Kumar
Rok vydání: 2020
Předmět:
Zdroj: Postgraduate Medical Journal. 98:153-154
ISSN: 1469-0756
0032-5473
DOI: 10.1136/postgradmedj-2020-139187
Popis: Numerous articles have been written about the decompensation, deconditioning of frail patients awaiting discharge who are medically fit, that is, they do not need to stay in the acute hospital. Their care or further management could be provided in the community. There is a general view that they are stable and hence documentation and clinical input is quite abbreviated. With this article, I want to emphasise that these patients need regular full assessment to prevent any decompensation, deconditioning so that they do not have worse outcomes. This article is mainly geared towards junior doctors under training. Anyone who is working in the NHS(National Health Service)hospitals will resonate with this word MFFD1—it is the mantra everyone in the NHS hospitals understand. The senior nurse can assess one’s ward round and criticise that there was no plan if one has not mentioned the magic word MFFD (or not MFFD) and also the EDD (Expected date of discharge). Whole hospital is obsessed with these words. Let’s explain this to the readers. In simple terms it is ‘medically fit patient for discharge. Sometimes, another terminology is also used MSFD (medically stable patient for discharge)’. Basically, stating that those patients who do not need hospital bed for their acute management are labelled as MFFD and an active exit …
Databáze: OpenAIRE