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- Instruments for evaluation of the risk of prolongation of hospitalizationPublication . Modas, Diana Andreia Santos; Nunes, Elisabete Maria Garcia TelesObjective: To map the existence of instruments for evaluation of the risk of prolonged hospitalization time with hospital discharge delay of the patient. Methods: It was conducted a scoping review of the literature in accordance with suggested by the Joanna Briggs Institute. It was carried out research on the electronic platform Ebscohost: Medline, Cinahl, MedicLatina, Cochrane Data Base of Systematic Reviews; PubMed, in repositories (RIMAS, RIAP, RIUIS, RCAAP and Veritati) and Google Scholar. The bibliographic references of the selected documents were consulted. Results: From the research carried out, 7 articles were selected for analysis, which included 4 instruments: Patient Status of Continence, Ambulation, Age, Social Background and Thought Processes; 4-Score, Blaylock Risk Assessment Screen and The Multidisciplinary Record. Conclusion: The risk of prolonged hospitalization time with hospital discharge delay can be evaluated using 4 types of instruments. This assessment focuses mainly on the patient's cognitive function, age, reliance on daily living activities, mobility and social support, and is committed to an early and preventive discharge planning.
- Causes of delayed hospital discharge among adult clients: a scoping reviewPublication . Modas, Diana Andreia Santos; Nunes, Elisabete Maria Garcia Teles; Charepe, Zaida BorgesOBJECTIVE: To map the existing evidence on the causes of hospital discharge delays among adult clients. METHODS: A scoping review was conducted. We searched in the Ebscohost' plataform, in PubMed, and in grey literature, consulting the bibliographic references of the documents found. RESULTS: From the 22 articles analyzed it was verified that the delay in hospital discharge is due to causes related to community resources, namely the lack of vacancies in health units, and social reasons; to organizational causes related to health care; to individual causes, standing out family and financial issues; culminating in organizational causes related to hospital management. CONCLUSION: The delay in hospital discharge is multifactorial. It's necessary to monitor the hospitalization process, focusing on early discharge planning.