Patient Education, Discharge Preparation and Home Adjustment
Social support has been shown in research to be an independent factor in the rehospitalization of patients with a variety of diseases and disabilities, especially heart disease which has the highest rates of rehospitalization within 30 days of discharge.
Hospital
Home Health
Patient Education and Support
Remotivation has been used successfully in acute care hospitals resulting in improved morbidity and quicker discharge, saving as much as $1400 per admission. As ACOs are developed, hospital can improve their processes and outcomes by incorporating remotivation into the skills of its nursing and housekeeping staff to provide better social support to the patients prior to discharge.
Remotivation can be incorporated into discussions initiated during nurse verbal interactions with the patient in the patients room. It can be conducted into adhoc small group discussions in day rooms or solarium on the wards of hospitals. Topic can be generic (having to do with common everyday activities) or the topic can be discharge planning oriented and involve adjustment to living back at home.
Remotivation is cost effective in that the training is 1 or 2 days and can be accessed online.
Volunteer or Auxiliary Programs
Example #1
Remotivation was used by volunteers at Wake Medical Center in Raleigh, North Carolina. The Director of Recreational Therapy at the hospital coordinated the program. Hospital volunteers were recruited to take the basic remotivation training. Volunteers were assigned by the Director of Recreational Therapy to visit patients in their rooms to conduct individual one to one remotivation sessions. Both the volunteers and patients found the sessions to be beneficial. The remotivation format provided a positive, uplifting way to guide discussions with the patients. The remotivation session plans kept the sessions on non-threatening, safe topics. It prevented the volunteers from getting into discussions with patients that were negative or stressful for the patient.
Example #2
Remotivation was used by staff at Winchester Hospital, Winchester, MA. The nursing supervisor of the medical surgical ward of the hospital hired a certified remotivation therapist to conduct individual and group sessions prior to, during and after patients received surgery or other medical procedures. Group sessions were conducted in patient rooms or in a treatment room on the ward. The outcomes of the program were carefully measured and reported in a professional presentation at the Gerontological Society of America. Patients receiving remotivation experienced quicker recovery and were discharged earlier from the hospital. The program saved the hospital an average $1400 per patient admission on the ward where remotivation was practiced.
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