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The Pros And Cons Of Transition Of Care

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Transition of care is vital part of recovering from any type of surgery. It can be detrimental to the patient’s health if all of the necessary steps and parties involved are not in proper sequence. Transition of care is a vulnerable time for all patients, but especially older patients and those with comorbidities. Transition of care is the coordination of care of patients transferring from different levels of care which include hospital admission through discharge, skilled nursing facilities, long-term care facilities, assisted living facilities, home health care agencies, primary care physicians, specialist, and care takers at home (National Transitions of Care Coalition, n.d.). This paper will outline the downfalls of transition of care
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Mildred Pasek, my friend and colleague died on August 8th 2017 following an anterior approached back surgery on July 28th at the New England Baptist Hospital. Before you read on, my goal is not to criticize the orthopedic or vascular surgeon’s professionalism, immense skill or personal care of Mildred as these cases affects all providers on a deep emotional and professional level. My concern is for the post-operative care of patients, like Mildred, who have comorbidities, are not necessarily in the ideal condition going into surgery, or at a critical time can advocate for themselves. As well as the debilitating arthritis, she had hypertension required three antihypertensive medications to control. Those meds were held pre surgery, and never resumed.

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There are many different types of transitions people go through in life. The children and young people are the ones that go through the most physically and mentally as they starting to grow up and develop as individuals. As when growing up the children try to cope with sudden changes, as from going to primary to secondary school. Not only will this affect them, but their friendship groups will also change too. The most common type of transitions the children go through are starting or moving school, illness, puberty, bereavement and parents splitting up.

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Like many mentally ill Kentuckians, Morton was neither dangerous enough to be kept in a hospital for long nor healthy enough to care for himself in the community. If successful, House Bill 94 would "keep people out of the revolving door of the hospital," Sheila Schuster of the Kentucky Mental Health Coalition told the committee. Most states have adopted some version of "assisted outpatient treatment" since the 1980s, when families of the mentally ill began to lobby for it. Police or family members can have the mentally ill involuntarily committed to a hospital for treatment once they deteriorate to the point that they pose a threat to themselves or others. First, at a hearing, a judge would decide if the individual met various criteria, including having a severe mental illness, symptoms of anosognosia, a likelihood that he would be a danger to others and a determination that outpatient treatment was the least restrictive alternative available.

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The circulating nurse also initiated the time-out. During the time-out, the circulating nurse said the patient’s name, the surgery that the patient was getting, and the limb in which the surgery was being performed on. The other health care professionals agreed that it was the right patient, right site, and right procedure. Throughout the surgery the circulating nurse continued to ensure the safety of the patient by watching the surgical staff and making sure that the sterile field was not contaminated. This nurse’s role also included gathering materials for the surgeon, throwing away trash, and keeping the environment comfortable for the staff.

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