Elderly patients suffering from complex health concerns are likely to require a transition of care as their recovery journey involve varying interfaces cutting across primary, community, and hospital care. Each level of care involves different practitioners, needs, and settings, creating a need to manage the transitions to enhance the recovery process for the patients. Healthcare practitioners use varying case management strategies to effectively manage patient transition include continuum, integrated, transitional care model, and care transition intervention.
Each of the strategies used during the transition of care has a unique objective and purpose it intends to serve. Firstly, the continuum care refers to a transition strategy useful when a patient moves from one provider to another due to the existence of multiple conditions requiring medical address. The strategy aims at providing consistency to the patient when providing medical services. Hence, the providers emphasize on keeping integrated medical records, telehealth services, and extended accessibility (Rennke & Ranji, 2014) . On the other hand, the integrated care strategy allows health providers involved in treating one patient to share information on every procedure involved in treating the patient. Furthermore, all the involved healthcare providers unite to design a plan used in in the management of the existing condition. Moreover, the care transition intervention that targets patients suffering from chronic illnesses like stroke. The strategy enhances patient-healthcare engagement after hospitalization to enable them to understand how systems within the healthcare institution operates (Cesta, 2017) . Finally, the transitional care model (TCM) is a recognized strategy used in the case of management during the transition of care. The strategy revolves around discharge plans used in hospitals and home-based patient care techniques. The strategy requires healthcare providers such as nurses follow-up on patients after they get discharged, including home visits and engage outpatient providers.
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Healthcare providers have a variety of strategies to choose from when providing transitional care to their elderly patients, including continuum, integrated, transitional care model, and care transition intervention. Each of these strategies targets a unique aspect that might hinder the effectiveness of the treatment given to patients when they need to move through various healthcare providers. Case management transition strategies help to ensure that the patient acquires quality and consistent services, even as they consult different providers.
References
Cesta, T. (2017, December 1). Transitions in Care and the Role of the Case Manager . Www.Reliasmedia.com. https://www.reliasmedia.com/articles/141685-transitions-in-care-and-the-role-of-the-case-manager
Rennke, S., & Ranji, S. R. (2014). Transitional Care Strategies From Hospital to Home. The Neurohospitalist , 5 (1), 35–42. https://doi.org/10.1177/1941874414540683
