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5 Critical Post-Hospitalization Steps to Ensure Recovery

Melissa Garcia Villa

09 Sep 2024

2 min read

Gordon L. Chen, MD

Sep 23, 2024

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min read

Throughout my internal medicine, cardiology, and outcome-based care career, I’ve focused on preventing unnecessary hospitalizations. After over two decades of studying and practicing transformative care, I’ve seen how families can significantly impact their loved one's health outcomes by following a few key steps after hospitalization.

Here’s how you, as a family member, can actively contribute to a successful recovery and prevent future hospitalizations:

The period immediately following discharge is high-risk. Families should invest heavily in care during this time to prevent poor outcomes and readmissions. Shift your mindset to focus on intensive care early on, tapering off only when the patient is stable and on the path to recovery.

Post-hospitalization, patients often transition from 24-hour care to little or no care at home. Establish a clear caregiving plan to bridge this gap. Arrange for dedicated support from a family caregiver or a professional to manage basic needs, ensure medication adherence, and follow discharge instructions. This foundational care is crucial for a successful recovery.

Navigating post-hospitalization care can be overwhelming. Ensure follow-up tests, specialist appointments, and health record management are handled. Hire a care manager to coordinate these tasks and prevent complications if necessary. Proper care coordination is essential for a smooth recovery.

A physician familiar with the patient’s medical history and family goals is vital. They can manage medication adjustments, address potential interactions, and avoid polypharmacy. A follow-up check-in within the first few days post-discharge ensures the patient’s medication regimen is appropriate and that they receive the necessary follow-up care.

Once the patient is stable, shift towards proactive and preventative care. Engage with a preventive care team to optimize health through lifestyle changes, such as improved nutrition, increased physical activity, and stress management. This proactive approach will help maintain health and prevent future hospitalizations.

Understanding and implementing these steps can significantly impact your loved one’s recovery and health outcomes. A comprehensive post-discharge plan is crucial for successful recovery and long-term well-being.