Serving Greater Toronto Area, Markham, Richmond Hill and Vaughan
  • Successful Transition after Hospital Discharged

    For a patient perspective, transition back to home after being discharged from hospital requires adjustment to patient and families which sometimes can be life changing. During this transition period is crucial for patient to adapt with maximum support from families and healthcare team to prevent or reduce emergency visits and hospital readmission. The following are significant factors to consider for a successful transition at home.

    Learn about your medical illness and status. Understanding the structural and functional changes in the body caused by an illness and its manifestations will help you control or balance these symptoms. Knowledge increases compliance and will empower you in your health management.
    Assess your overall functional capacity that includes your physical, cognitive and emotional readiness. Physical factors such pain, weakness, limited range of motion may hinder the ability to do self care and other activities of daily living. Cognitive factors such as memory, understanding and processing of information are significant in functional assessment phase. This is to ensure that a comprehensive care plan will be establish to help facilitate transition at home for example of this is dementia patients. Emotional readiness involves inner will power and persistence of patient to achieve the baseline functional capacity.
    Home environment assessment is an important aspect to consider in a successful transition to home. Depending on the individual limitations, the patient may require a special equipment or for some patients, part of the home may need modification that is essential for continuing rehab care and/or to ensure safety.
    Assessment of social support includes family, friends or community support. They may play an important role such as a main family caregiver, substitute decision maker and advocate.
    Collaborative care involves consistent communication with your healthcare team ensuring continuity of care. Being the patient as the core of the healthcare team, it is significant to be an active member of health team and participate in care planning, decision making, setting up priorities and interventions towards your recovery. This will give an individual an empowerment to be in control of decision making and managing your health.
    Identifying barriers timely will help a patient and healthcare team to plan accordingly on how to manage and have interventions in place. The complexity of health problems most often times give challenges in transitioning to home. A comprehensive care pathway is a tool to navigate care and evaluate progress.

    If you or your loved one needs help in navigating transition to home care that facilitate recovery at home and integrate in the community, please contact the caring staff at Geri Health Home Care today. Call us at 416-431-6266. Serving Greater Toronto Area.