Post-Hospital Care at Home

Overnight or extended hospital stays can have a profound impact on a senior’s physical and mental well-being. Prolonged hospitalization increases the risk of infections, loss of muscle mass, and functional decline. Additionally, extended stays can lead to confusion and feelings of isolation, especially for older adults with dementia.

Sadly, many seniors experience readmission to the hospital shortly after discharge. Effective discharge planning and ongoing support at home are crucial for reducing this risk.

As your aging loved one transitions back home from the hospital, you may need assistance managing discharge instructions and maintaining regular care routines. Having the right support can make all the difference in ensuring a smooth recovery and enhancing their overall well-being.

Supportive In-Home Care After Hospitalization

Grace Hands Home Care has developed the “Ready, Set, Go Home” transitional program to offer essential non-medical support after your senior leaves the hospital or a rehabilitation facility. Our professional caregivers are dedicated to reducing the risk of readmission due to preventable issues at home, providing you with peace of mind during their recovery.

The “Ready, Set, Go Home” program is designed to ensure seniors achieve the best outcomes post-hospitalization by offering vital personal care services, including:

  • Dressing
  • Personal grooming
  • Bathing
  • Toileting
  • Mobility and transfer assistance
  • Companionship to alleviate feelings of isolation
  • Errand running
  • Light housekeeping
  • Meal preparation
  • Medication reminders

Our caregivers will closely monitor your aging loved one during their recovery. By identifying potential issues early—especially within the first two to seven days after discharge—you can promptly address concerns with your senior and their primary care provider, significantly reducing the risk of another hospitalization or emergency room visit.

FAQs About Hospital Readmission

Many seniors experience a loss of function after hospitalization, which can impair their independence and overall quality of life. Daily tasks may feel overwhelming, especially for those with chronic conditions alongside serious health events or surgeries.

Post-hospitalization syndrome can also develop, lasting several weeks after discharge. Signs of this syndrome may include:

  • Bowel or bladder issues
  • Disrupted sleep patterns, diet, routines, and activity levels
  • Foggy thinking and increased disorientation
  • Heightened stress and anxiety
  • Lingering fatigue
  • Medication-related side effects
  • Physical weakness

Seniors are particularly vulnerable to infections, falls, or other symptoms that could lead to re-hospitalization or even death. They may struggle with self-care, completing household tasks, managing medications, attending medical appointments, or reaching out to their healthcare team about concerning symptoms.

The “Ready, Set, Go Home” program is designed to ensure a successful transition for your senior loved one from the hospital or rehabilitation facility to their home.

Our program includes a helpful checklist and guide that allows you to:

  • Keep a comprehensive record of discharge instructions
  • Document vital information, including areas where assistance is needed and contacts for coordinating care at home
  • Reference notes from healthcare providers
  • Compile questions for follow-up visits

This structured approach helps facilitate a smooth recovery and reduces the risk of complications after discharge.

Grace Hands Home Care can assist your loved one by visiting them in the hospital or rehabilitation facility to create a personalized care plan prior to discharge. Collaborating with you and the healthcare team, we customize senior home care services to address specific needs at home. This proactive approach ensures that your loved one receives the right support to facilitate a smooth recovery and maintain their well-being after returning home.