Transition and relocation to long-term care can be difficult for older adults and their families. Because preparation for this transition is critical, curricula at all levels of nursing education should facilitate understanding of patient needs. A systematic review of literature on this topic is discussed.
Learning Outcome: After completing this learning activity, the learner will be able to discuss the needs of older adults transitioning to long-term care, and the important role nurses and healthcare team members play in this transition. Learning Engagement Activity: • For detailed information on population projections and estimates, access the following publication from the U.S. Census Bureau: https://www.census.gov/prod/2014pubs/p25-1140.pdf
• Nurses and healthcare team members play a substantial role in preparing the older adult for transition to LTC. Identify at least five strategies that nurses can use to facilitate this transition. Compare your list to Table 2.
Contact hours available until 6/30/2020. Requirements for Successful Completion: Complete the learning activity in its entirety and complete the online CNE evaluation.
Authors Conflict of Interest Disclosure: The author(s), editor, editorial board, content reviewers, and education director reported no actual or potential conflict of interest in relation to this continuing nursing education article.
Commercial Support and Sponsorship: No commercial support or sponsorship declared.
Accreditation Statement: This educational activity is jointly provided by Anthony J. Jannetti, Inc. and the Academy of Medical Surgical Nurses (AMSN).
Anthony J. Jannetti, Inc. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.
Anthony J. Jannetti, Inc. is a provider approved by the California Board of Registered Nursing, provider number CEP 5387. Licensees in the state of California must retain this certificate for four years after the CNE activity is completed.
This article was reviewed and formatted for contact hour credit by Rosemarie Marmion, MSN, RN-BC, NE-BC, AMSN Education Director.
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7/2/18 5:45 am
Very interesting on increased needs for LTC with age (65) increase to 83.7 million. Thinking of the increase anxiety with changes that occurs with moving to a new environment as well as the client that might have lived alone increase in socialization and adjusting to increased contact with people.
7/18/18 1:32 am
There is a mounting distress changing a person's surroundings, dealing with new people and situations, that needs to be addressed as early as possible to make the smooth transition from one situation to the next. Autonomy really does play a big part in this transition. If the older adult feels that he/she is in control of the choices being made, the transition to the new circumstances can be more tolerated. This also applies to the families of these patients.
7/21/18 11:18 pm
i am unable to submit my evaluation, not sure why
10/3/18 11:46 am
Article is both interesting and informative; could be taken further - most nurses do not have any experience with a ltc and therefore can not provide proper information nor can they be empathetic with the elderly. the majority of facilities i have been to with multiple family members are less than desirable and understaffed
11/20/18 6:12 pm
very educative with lots of information.
1/17/19 6:08 pm
Thank you for providing us with this very important subject. (CEU)
2/2/19 6:10 pm
7/14/19 8:13 pm
I teach nursing students about the older adult. I use the NLN ACES content. Transitions of care are an important topic but most of it is related to decreasing readmission to an acute care facility (mainly because of the healthcare dollar cost) and related to poor outcomes when information about a patient is not effectively shared with the health care team and between facilities. My concern (having had a family member in a subacute rehab or LTC facility for a couple of months) and from taking my students into LTC for clinical every semester is the lack of education of the staff that works in LTC. You would think that the nurses and the GNAs/CNA's that work in these facilities should have the greatest knowledge about needs of older adults (physiological as well as psychosocial), but this is not the case. While I agree that nurses should be the leaders for better elder care, but without a change in the knowledge level requirement of all staff working with older adults, I see that transition to a LTC facility will remain a difficult task of the older adult. While this study is a start and emphasized the importance of the topic, it really had no strong detailed strategies that will bring about concrete answers to this very difficult problem. I do agree that more research is definitely needed as well as public education, nursing school education, and changes at the state and federal level related to nursing home policies.
10/7/19 11:11 am
On medical surgical units, this issue is prevalent. We see pts returning multiple times within a small window and RN's , providers, and case managers alike need to address the transition multiple times (usually) before both the pt and their families agree to LTC placement. I wish more PCP offices and their case managers would also address the issue before the pt is admitted into the hospital and feeling overwhelmed because not only are they ill, but now they need to think about their next step when it comes to their living situation and giving up some of their Independence.
5/7/20 12:33 pm
Article provided insight to patient's perceptive fears. Furthermore, the nurse plays an important role in helping patients overcome their fears of abandonment, loss of independence, etc.
5/31/20 9:36 pm
Great insight into the needs of patients and families.