Which of the following factors contribute to poor outcomes for older adults during transitions of care? (Select all that apply.)
a. Inability to read and understand discharge instructions
b. Inadequate financial resources to purchase medications
c. Lack of desire to comply with discharge instructions
d. Improved medication reconciliation during hospitalization
e. High levels of nurse-patient engagement
ANS: A, B
Language and literacy levels and socioeconomic factors are major contributors to poor transitions of care for older adults. A high level of nurse-patient engagement contributes to safe and effec-tive transitions. Medication reconciliation during hospitalization, at discharge and after discharge, decreases medication discrepancies, which are the most prevalent adverse event following hospi-tal discharge. There is no evidence that patients lack the desire to comply with discharge instruc-tions.
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