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What Is Transitional Care?

A transition of care is when someone moves from one care setting – such as a hospital, skilled nursing facility, rehabilitation center or even their home – to another. Unfortunately, these transitions don’t always go smoothly and a person can be readmitted to the hospital.

Transitions of care services from At Your Side Home Care are available 24 hours a day, seven days a week - including holidays. Services vary by location.

Transitional Care - How We Can Help

A strong support system at home, along with coordinated care, can reduce one’s risk of hospital readmission. At Your Side Home Care has processes in place to help people successfully transition home after a stay in a hospital, rehabilitation center or skilled nursing facility.

Our Transitional Care services allow our team to:*

  • Obtain and review hospital discharge instructions and incorporate these instructions into a client’s personalized care plan
  • Pick up prescriptions, provide medication reminders and help the client adhere to their prescribed regimen
  • Educate the client, caregivers and family members on red flags or warning signs for chronic conditions
  • Assist clients with scheduling and attending follow-up medical appointments
  • Provide home care services as needed
  • Communicate with the client’s family members, discharge planner, health coach or other health care professional
  • Assist with personal care services such as bathing, grooming and personal hygiene
  • Help with meal preparation, laundry and light housekeeping
  • Identify trip hazards and make home safety recommendations
  • Provide companion care services

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Transition to Home Package

For individuals who need Transitional Care services, At Your Side offers a one-time “Transition to Home” package. This includes assistance from the hospital, rehabilitation center or skilled nursing facility along with help getting settled in at home. We’ll even call a friend or family member to let them know their loved one has arrived home.

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Preparing for Discharge

As you or a loved one prepare for discharge, call us at 800-886-4044 for a no obligation consultation. We can provide as much or as little support needed to help someone safely transition home. Our caregivers are available 24/7 including holidays, and we customize our care based on each client’s needs and preferences. Contact a local office to learn more about transition of care services in your area.

*Services vary by location

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  • "Patricia has been great with my 93 year old mother!"
    She's creative and just seems to know what my mother needs and wants. She's a great aid to me knowing doctors visits, prescription pick-up and grocery runs are all taken care of - big load off my mind and schedule.
  • "The owners and nurse are fantastic!"
    Always willing to take calls from my Mom and explain things in a way she and I can understand. Also walked us through the insurance process. That was not easy and their expertise was greatly appreciated.
  • "At Your Side has given me peace of mind!"
    The fact that At Your Side was able to step in with certified dementia care specialists and begin caring for my father has been fantastic. The staff and caregivers are both sympathetic and empathetic and I feel it has helped my father during this difficult time. It has also given me peace of mind since I live a long distance from my father, and the communication from staff and caregivers is reassuring.
At Your Side is part of ComForCare,
with over 200 Locations Nationwide
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If you are looking for care outside of the Houston area, please check our ComForCare site for locations.