(HS Welke 078957 2025) Geriatric Care Transitions: Working Together to Support Aging in the Right Place

Course overview

Care transitions can make or break a patient's recovery. When patients move from hospital to home or to a new care facility, missed communication, family confusion, and unsafe environments often lead to setbacks - or even rehospitalization. But true care transitions require a team approach . It's time to move beyond facility-based silos and embrace community-wide collaboration - because no single provider can do it alone. By working together across disciplines and engaging caregivers, we ensure patients move to the least restrictive environment with the support they need to thrive. practical, evidence-based strategies to ensure smoother transitions, improve outcomes, and reduce the stress that so often accompanies these moves. Discover how to teach families what to expect and how to advocate for their loved one's care. Learn how to incorporate transition planning into discharge prep, address psychosocial challenges like anxiety or depression, and guide patients through functional activities they'll encounter in their new environment. Plus, we'll show you how to collaborate more effectively with case managers, social workers, and healthcare teams to create seamless transitions that prioritize patient safety and independence. Equip yourself with the tools to confidently support patients and families through one of the most challenging -- and crucial -- stages of care. Because a well-planned transition isn't just a checkbox; it's the bridge to better outcomes, greater independence, and a stronger support network for both patients and providers .