When an older adult is discharged from the hospital, she or he should have an individualized, comprehensive discharge plan to help prevent unnecessary complications and rehospitalization. But the large number of older adults who are hospitalized and their typically greater needs can make creating such a plan a challenge for clinicians. Clear communication among hospital personnel, patients, family embers, case managers, and community caregivers (such as home health care nurses and long-term care staff) is essential. In examining effective discharge planning for this population, this article examines five discharge models.
机构:
Vanderbilt Univ, Med Ctr, Dept Med, Div Gen Internal Med,Sect Hosp Med,Ctr Qual Aging, 2525 West End Ave,Ste 450, Nashville, TN 37203 USA
VA Tennessee Valley Healthcare Syst, Geriatr Res Educ & Clin Ctr, Nashville, TN USAVanderbilt Univ, Med Ctr, Dept Med, Div Gen Internal Med,Sect Hosp Med,Ctr Qual Aging, 2525 West End Ave,Ste 450, Nashville, TN 37203 USA