Care Transitions in the Older Adult

Active Roles for Older Adults in Navigating Care Transitions: Lessons Learned from the Care Transitions Intervention

Older persons suffer from complex and chronic health conditions that require ongoing self-care activities as well as management by health care professionals. Older adults commonly receive care in multiple settings (hospital, skilled nursing facility, ambulatory clinic, home) necessitating transitions between settings of care. Multiple strategies have been proposed to aid care coordination betwe...

Transitions From Pediatric to Adult Care

Older Persons’ Transitions in Care (OPTIC): a study protocol

BACKGROUND Changes in health status, triggered by events such as infections, falls, and geriatric syndromes, are common among nursing home (NH) residents and necessitate transitions between NHs and Emergency Departments (EDs). During transitions, residents frequently experience care that is delayed, unnecessary, not evidence-based, potentially unsafe, and fragmented. Furthermore, a high proport...

Health care transitions: perceptions from older patients in Rhode Island.

Health care transitions are often dangerous for older patients. Interviews with older adults about their health care moves in Rhode Island (RI) were conducted to develop an Internal Medicine (IM) curriculum designed to provide IM interns with insights about the impact of transitions on patients. This paper describes some ways patients talk about their transitional experiences. Following pilot i...

Medication transitions and polypharmacy in older adults following acute care

BACKGROUND/OBJECTIVE Medication changes at transitions of care and polypharmacy are growing concerns that adversely impact optimal drug use. We aimed to describe transitions and patterns of medication use before and 1 year after older patients were hospitalized for community-acquired pneumonia, the second-most common reason for admission in North America. MATERIALS AND METHODS This was an ana...