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Transition Reprogrammed Guidelines×June 2015×1FOREWORD ........................................................................................................................................................
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How to fill out transition care

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To fill out a transition care form, follow these steps:
02
Begin by collecting all necessary information such as personal details, medical history, and current medications.
03
Fill in the patient's name, contact information, and any relevant identification numbers.
04
Provide information about the patient's current medical condition and any specific care requirements.
05
Specify the preferred transition care facility or caregiver, if applicable.
06
Include the name and contact information of the patient's primary healthcare provider.
07
Review the completed form for any errors or missing information.
08
Sign and date the form, and ensure all required signatures are obtained.
09
Submit the filled-out transition care form to the appropriate healthcare or care management provider.

Who needs transition care?

01
Transition care is typically recommended for individuals who are transitioning from one healthcare setting to another, such as a hospital to a rehabilitation center or home care.
02
It is commonly needed for patients who require additional support and ongoing medical assistance during the transition period.
03
This may include elderly individuals with complex health conditions, individuals recovering from surgeries or serious illnesses, and those who need assistance with activities of daily living.
04
Transition care can also be beneficial for patients with mental health conditions who are transitioning from inpatient to outpatient care.
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Transition care is a program that provides short-term care and support to help older people transition back to their homes after a hospital stay.
Healthcare providers and facilities involved in a patient's care are required to file transition care.
Transition care can be filled out by documenting the patient's medical history, care plan, and support needs during the transition period.
The purpose of transition care is to ensure a smooth and safe transition for older people from hospital to their homes.
Information such as the patient's medical condition, medications, care plan, and support services received must be reported on transition care.
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