IDENTIFYING CARE TRANSITIONS NEEDS EXPERIENCED BY OLDER ADULTS AND CAREGIVERS HOSPITAL TO HOME
Claire Regan, Karen Hirschman, Molly McHugh, Onome Osokpo, Kathleen Mccauley, Elizabeth Shaid, Mary Naylor · 2023
Read IDENTIFYING CARE TRANSITIONS NEEDS EXPERIENCED BY OLDER ADULTS AND CAREGIVERS HOSPITAL TO HOME by Claire Regan, Karen Hirschman, Molly McHugh, Onome Osokpo, Kathleen Mccauley, Elizabeth Shaid, Mary Naylor (2023) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-10738517.txt.
Description
Claire Regan and six co-authors study the move from hospital to home for older adults in a 2023 paper. That handover is a fragile time, with higher risk of return trips to hospital or death. A nurse-led program called the Transitional Care Model aims to smooth it and has cut both harm and cost in trials.
The authors re-read records from a large trial of the program across three United States health systems, covering 184 patients. They cataloged the snags the nurses hit while running the program as designed. Social needs like housing and food topped the list, named in close to a quarter of cases. Care complexity, patient engagement, and communication with families and doctors followed.
Catalog record
| CREATOR | Claire Regan, Karen Hirschman, Molly McHugh, Onome Osokpo, Kathleen Mccauley, Elizabeth Shaid, Mary Naylor |
|---|---|
| YEAR | 2023 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 2 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |