Transitional Care
Services
A care transition is the process of moving a patient from one healthcare setting or care team to another as their medical needs change. These transitions are particularly vulnerable times for a patient's health, which is why clear communication and careful planning are essential. Right at Home’s nursing, care management, and care teams are trained and equipped to help with transitional care at home. Contact your local Right at Home office to learn about their transitional care services.

When you are discharged from the hospital, the effects of your condition aren't necessarily gone when you return home. This often makes it difficult when trying to adjust back to daily life. Most readmissions are preventable with a little extra attention and care. That's exactly what Right at Home's RightTransitions program offers.
Right at Home can provide services that allow you to get back on your feet including:

Why RightTransitions?
Transitional care benefits patients by improving care coordination and education, which helps reduce hospital readmissions and increases patient empowerment over their health. Instead of navigating a complex healthcare system, patients and their families receive consistent support across various settings, such as hospitals, rehabilitation centres, and homes.
Transitional care directly addresses the fragmented nature of the healthcare system. By ensuring clear communication and coordinated care between different settings, it lessens the likelihood that patients will be readmitted to the hospital for a related issue.
At discharge, patients are often overwhelmed with information from multiple sources, leading to confusion about their care instructions. Transitional care provides a central point of contact, who can clarify instructions, manage medication schedules, and ensure a unified care plan. This greatly reduces the risk of medication errors and misunderstandings.
Transitional care programs provide patients and their families with the necessary education and tools to manage their own care effectively. By understanding their conditions and treatment plans, patients are more likely to adhere to instructions, attend follow-up appointments, and recognise "red flags" that require medical attention.
Beyond preventing immediate readmissions, transitional care focuses on the overall wellbeing of the patient. This includes coordinating essential follow-up care with GPs and specialists. It also helps connect patients with non-medical community support, ensuring they have the resources needed for a successful recovery at home.
For both patients and their families, transitional care offers a safety net during a particularly vulnerable time. It removes the stress of managing complex medical arrangements alone and ensures a smoother, safer transition from one care environment to the next.
Did you know that you can switch your home care provider with just two weeks' notice?
Did you know that you can switch your home care provider with just two weeks' notice?
Don’t settle for inconsistent care. If you need help with your Support at Home application or are ready to start care now, our local Care Managers can help. Call your local Right at Home office or submit the form below to arrange a call back and a free, no obligation, in-home consultation with a Right at Home Care Manager today.
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