You can view the webinar recording below. Supporting documents, such as webinar slides, are available to download by scrolling to the attachments section below.
This webinar presents some of the core competencies on how to best prepare and ease the difficulties surrounding care transitions, particularly to and from a hospital environment for adults with dementia. A transition of care is defined as moving from one practitioner or setting to another as condition and care needs change (Coleman and Boult, 2003). It is usually accompanied by a change in care plan. This transition can take place within settings (e.g. within the home care team), between settings (e.g. between a hospital and home) and across health states (e.g. curative and palliative care). During transitions of care, communication — between the individual with dementia and his or her family, within the home care team, and among all providers involved in caring for the person — is especially important to support medication safety, understanding of the care plan, clarity of roles and responsibilities, and care coordination.
- Describe some of the common care transitions experienced by persons with dementia and the associated risks for this population
- Identify important strategies to prevent adverse outcomes due to poor transition planning or execution
- Name key features of several current evidence-based models for care transitions
- Kathryn Agarwal, MD, Section of Geriatrics, Baylor College of Medicine
- Karen Rose, PhD, RN, FAAN, School of Nursing, University of Virginia
- Alan Stevens, PhD, Center for Applied Health Research, Baylor Scott & White