When a loved one is discharged from the hospital, the transition home can feel overwhelming. Will they manage their medications correctly? Will they have the support they need to recover safely? Without proper care, many patients end up back in the hospital—a cycle that can be stressful, costly, and preventable.
This is where the collaboration between discharge nurses, social workers, and home care providers like Age Well Care plays a vital role. Together, we work to ensure a smooth transition, helping patients recover safely at home while reducing the risk of hospital readmission.
The Discharge Nurse: Ensuring a Safe Transition
Discharge nurses are the bridge between hospital care and home recovery. Their role is to ensure that patients leave the hospital with clear instructions and the necessary resources to heal safely at home. They:
The Social Worker: Connecting Patients to Vital Resources
While the discharge nurse focuses on the medical side, the social worker ensures patients have the right support system in place for a successful recovery.
They:
How Age Well Care Helps Keep Readmission Rates Low
Once a patient is home, Age Well Care steps in to provide essential home care services that support recovery and reduce the risk of complications. Here’s how we help:
A Partnership for Better Outcomes
By working together, discharge nurses, social workers, and Age Well Care create a safety net that helps patients heal at home successfully. This partnership:
Let Age Well Care Be Part of Your Recovery Team
If you or a loved one is being discharged from the hospital, let Age Well Care be your trusted home care partner. We work alongside your discharge nurse and social worker to provide the care and support you need to recover safely—right in the comfort of your home.a