Transitional care
Transition care is personalized post-hospital in home care in the client’s home or when someone moves from one care setting – such as a hospital, skilled nursing facility, rehabilitation center or even their home – to another.
Our team is knowledgeable about the transitional care process and we focus on giving seniors the best possible chance for
stabilization and full recovery through difficult transitions. Hospital to home care is a crucial aspect of speedy and successful recovery.
Transitional Care covers a range of services reflecting not only the facility discharge plan but other needed services which may include:
- Transportation from hospital, skilled nursing, or other care facility to home
- Meal planning and preparation, following dietary instructions or restrictions
- Medication assistance
- Assistance with movement, toileting, bathing, and dressing
- Transportation to follow up appointments
- Assistance with ongoing therapy (physical, speech, occupational)
The period following a hospitalization is one in which a successful recovery depends on the patient limiting their usual activities and getting the rest they need. A warm, caring, friendly, and skilled caregiver can do much to alleviate stress as well as provide respite for family caregivers. Once you have a discharge date, we will review the requirements in the discharge documents, and work with you and your loved one to develop a customized and comprehensive care plan that meets the unique needs of your loved one. We can also coordinate discharge with the Transition services, social workers or discharge coordinators. The care plan will take into account medical conditions, physical limitations, cognitive issues, medications, instructions from physicians, and the personal preferences of you and your loved one. Some of the tasks in the care plan will come from the discharge instructions, and some will come from the home care assessment we conduct.
Let us help ensure your loved one’s transition to home is seamless.
Kind Words from our Clients
Client satisfaction is our top priority, and we strive to provide our clients with the best possible service. Our clients’ feedback and reviews are a valuable resource for us.
