When given the choice, I Prefer Home. Get Care Now. Transition Care. Companion Care. Homemaker Care. Personal Care. Live-in Care. End-of-Life Care. Specialty Care. Skilled Care. An elderly person checks out of a hospital or nursing home only to be readmitted within a few months.
The downward spiral seems unstoppable, the medical bills never-ending. At least one in five people with Medicare are readmitted to the hospital within one month of discharge. But what if hospital care were different? Instead of sending elderly people home alone with confusing instructions and to-do lists, what if we also sent a coachβa trained expert to guide, encourage and empower?
What if that transition care service were affordable? A transition from a hospital or nursing home can be confusing. You get rehabilitation instructions, prescriptions to fill, follow-up appointments to make. Your coach will meet you at the hospital, nursing home or other health facility and guide you through the transition process. After your discharge, your coach will meet with you regularly, through phone calls or visits, and make sure you have what you need.
For example, your coach may schedule transportation to follow-up appointments, remind you about prescriptions and medication regimens, and make sure your home is safe. Your coach will also provide a listening ear and encouraging words.
This in-depth, piece tool kit stores the information you need to transition optimally, including medication instructions, appointment dates and test results. Your coach will encourage you to use this tool. The record also includes an easy-to-read symptoms chart that shows when you can wait and see your doctor and when you should call You can view the Personal Health Record and even download the pages for free. No need to tote the Personal Health Record with you to every doctor appointment.
