Final answer:
Discharge planning should start during the admission process. It is a proactive step involving the healthcare team to secure arrangements for the patient's recovery and ongoing care needs.
Step-by-step explanation:
Discharge planning for a client who is experiencing an exacerbation of heart failure should begin during the admission process. This proactive approach ensures that the necessary arrangements for a successful transition back home or to another care setting are in place. It involves the healthcare team, including the surgeon, nurse, and anesthesia professional, who review aloud the key concerns for the recovery and care of the patient. This interdisciplinary team plays an integral role in planning for continuing care needs, arranging for home care services if needed, and providing ongoing support for self-management after discharge.