Additionally, performed post-discharge care transition programs on older Medicare recipients. The study measured cost-benefit ratio, self-management skills and abilities of patients through a series of intervention. This program enhanced patients' self-management skills and abilities.
Older patients' needs during the transitional period were frequently met by the intervention protocol, such as health teaching, guidance, and counseling.92 It is important to note that older patients who have experienced chronic illnesses are exceptionally well motivated and eager to learn about self-care strategies. It is important that nurses recognize this “critical moment” and provide education, counseling, and behavioral interventions. Nurses both in hospitals and the community should promote patients' adherence to health recommendations. Education provision to patients should not only help them manage the conditions better but also contribute to a successful transition.(Si-Yuan wang,Yue Zhao,Xiao-Ying zang.2014)