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  1. Oct 21, 2014 · Discharge planning and involvement of a home-care transition coach — either a nurse or social worker — has been shown to facilitate implementation of the patient’s recovery goals in the community and reduce the risk of recurrent admissions, as well as being cost-effective compared with usual care.8 Disappointingly, the interventions ...

    • Cara Tannenbaum
    • 2014
  2. Nurse health coaches (NHCs) may be one way we can help pa-tients adopt lifestyle changes and prevent revolving-door admissions. What is an NHC? NHCs are taught to keep an open mind, focus on what patients per-ceive to be barriers to a desired goal, and help them recognize their strengths.

  3. Session Objectives. Understand the benefits from hospital and primary care perspectives of working together to address hospital readmissions versus working in silos. Explain how care transitions impact avoidable and unavoidable readmissions for populations at risk. Understand why COPD /CHF populations were targeted.

  4. Sep 26, 2022 · This highlights the importance of strategies that include housing stability to reduce revolving door in the HP. A network-based concept integrates different health care specialists. This includes psychiatrists, specialized nursing staff and psychologists, social workers and pedagogues.

  5. Registered Nurses are most suitable for implementing health coaching for self-care, including preventing and managing chronic illness and recovering from situations like post-surgical needs. Nurses already promote health, and therefore, are skilled in educating people in self-care.

  6. May 10, 2021 · Registered Nurses are most suitable for implementing health coaching for self-care, including preventing and managing chronic illness and recovering from situations like post-surgical needs. Nurses already promote health, and therefore, are skilled in educating people in self-care.

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  8. Literature review indicates that patients at higher risk for revolving-door phenomenon are more likely to be younger, single males, with a diagnosis of a psychotic illness and high number of previous admissions.

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