Hospital discharge · Porto and AMP

The most fragile moment is not the surgery. It is going home.

Discharge hands you a plan. At home, someone has to make it work: a case manager, the team and the family. This page can be forwarded as it is: ondasaude.pt/alta-hospitalar

Talk to us

The case manager starts from €90 / month. See the packages.

Nurse in conversation with the person in her care

The first 72 hours

What needs to happen when you get home.

This is not our deadline; it is the interval in which the family usually needs a plan, someone responsible and a first visit.

01

Receive the discharge

The discharge note, the medication and what the hospital asked for in the coming days. You do not need everything organised before you write to us.

02

Turn the hospital plan into a home plan

The case manager reads the discharge and writes what happens at home: who comes, for what, and what the family needs to know.

03

Who answers for the case

A named case manager, a nurse or doctor. They liaise with the hospital and the attending doctor, and coordinate who comes into the home.

04

The first visit

The assessment is at home. The case manager sees the person, the home and the family, using validated clinical indices, and leaves a written plan.

Who it is for

Who this page is usually for.

Families after surgery or in rehabilitation, and people who cannot yet go to appointments alone. We work from Porto, covering the metropolitan area.

After surgery

After an operation, when coming home still needs watching, dressings, pain control and mobility.

Rehabilitation

When physiotherapy or speech therapy needs to start at home, not in a waiting list for clinic appointments.

Not yet able to go alone

People who cannot yet go alone to dressings, the pharmacy or appointments, and families who cannot be at home all day.

Porto and metropolitan area

Porto
Matosinhos
Gaia
Maia
Gondomar
Valongo

In plain terms

How this differs from a typical home-help service.

A typical social home-help service focuses on meals, laundry, hygiene and housework. That support matters, and it is a different service.

Typical home help

  • Meals, laundry and housework
  • Hygiene and help with routines
  • Social support, without a clinician responsible for the case

Onda Saúde

  • A clinical case manager, a nurse or doctor
  • Daily support inside a plan that gets reviewed
  • Validated clinical indices and a signed weekly report

We do not replace social home help, and we do not talk it down. We offer clinical coordination at home, with day-to-day presence when the plan calls for it, not a lone home helper without a plan or a report.

Questions people ask

What social workers and families usually want to know.

When should we write to you?

As soon as you know the discharge date, or on the day itself. The sooner we have the discharge note and the context, the sooner the home plan can be written. We reply within 24 hours.

Do you replace the hospital team?

No. The hospital remains the service that operated or that followed the person. We receive the discharge, translate the plan for home and keep the link to the attending doctor and the originating service.

Who comes home first?

The case manager, a nurse or doctor. They assess, write the plan and decide which daily support and which rehabilitation come next.

How quickly do you start?

We reply within 24 hours. The next step is the home assessment and a written plan. The pace depends on the discharge date, the area and what the hospital asked for.

How do we share the discharge note?

Write to us through the contact section on the site. You can send the discharge note, the medication list and what the hospital asked for in the coming days. Data is treated in confidence, under the GDPR.

The next step

Tell us about the discharge.

Tell us the situation, the date and what the hospital asked for. We reply within 24 hours, with no commitment.

Talk to us about the discharge