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Transitions in Care


  • Care transitions occur when an older adult moves from one care setting or level of care to another.
  • One typical care transition is when there is a hospital discharge to nursing, rehabilitative, or home care.
  • Care transitions can be difficult and stressful for both the patient and the family caregiver.
  • Communication between health providers and family caregivers is important to ensure smooth transitions.
  • Care coordination can help make sure that the patient's needs are met during and after the care transition.
  • Family members and caregivers can find the resources and information they need to connect with appropriate care transition supports and services. 

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