National League of NursingNational League of Nursing

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Coordinating and Managing Care During Transitions Among Care Settings


Older adults transitioning among care settings, such as from the hospital to home, especially those with multiple co-morbidities, are particularly vulnerable. Likewise, transitions are not necessarily limited to physical settings but can also include changes in activities, adjustment to the loss of a spouse or loved one, and changes in medication; all of which carry a vulnerability in optimizing health. There is recognition that decreasing the health complications in older adults during these transitional periods requires quality intraprofessional communication. This teaching strategy can be used to enhance student learning in beginning and/or advanced pre-licensure nursing courses. Students will examine common problems that cause poor transitions among care settings as well as discuss improvements that can be made to improve outcomes for older adults during the transitioning process. 

Coordinating and Managing Care During Transitions Among Care Settings

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