Discharge Planning
As the home health nurse, you recognize that Red Yoder is having difficulty managing his current illness, wound care, and chronic conditions on his own and requires further intervention.
• In situations similar to Red’s, what are some strategies to improve care transitions from hospital to home?
• What are some barriers to successful transitions of care?
• What resources does Medicare provide to promote care transitions?
• What options for caregiving support should the nurse be prepared to discuss?
