What must be developed with the resident or representative prior to discharge?

Before a resident is discharged from a nursing care institution, it is essential to develop written follow-up instructions. This document serves to ensure that the resident and their representative clearly understand the post-discharge plan, which may include details on medication management, follow-up appointments, rehabilitation services, and other care needs that must be addressed after leaving the facility. Proper communication of these instructions is vital for the resident's continuity of care and helps to minimize the risk of readmission or complications after discharge.

The other options, while potentially relevant in certain situations, do not directly address the immediate need for a clear understanding of the resident’s ongoing care requirements post-discharge. A financial settlement agreement may involve complex discussions about payments and liabilities, which are not as crucial as ensuring the resident understands their care plan. Additional insurance paperwork may be important for billing and claims but is not fundamentally tied to the care and safety of the resident after discharge. A new admission application would be necessary if the resident were to return to the facility, but it does not contribute to the discharge process itself. Therefore, written follow-up instructions are the most critical component to develop prior to discharge to support a smooth transition and ensure the resident's ongoing health and well-being.