What should be included in a discharge summary?

A discharge summary is an essential document that encapsulates the client’s journey through services and provides crucial information for continuity of care. Including a summary of services received by the client is vital as it gives a comprehensive overview of the interventions, therapies, and supports that the client engaged with during their treatment. This information can be instrumental for future caregivers, as it allows them to understand what has been effective and what areas may still require attention.

Providing this summary not only helps in maintaining the continuity of care but also aids in evaluating the client’s progress and determining further treatment needs. It enhances communication among various professionals who may continue to work with the client.

While elements like the patient's next appointment, preferred staff members, and medical history might be important in different contexts, they do not encapsulate the overall experience and specific interventions undergone by the client quite like the summary of services received does. This summary serves as a critical touchstone for ongoing care and further planning.