How can this patient avoid re-hospitalization

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Reference no: EM133859020

Transitional Care Case Study

48 year old female going home from skilled rehab post total knee replacement. PMI includes osteoarthritis, osteoporosis, COPD and depression. She is 20 days post op and ready to go home. She has a non healing surgical wound 8cmx1cm with no depth. Meds are coumadin, calcitonin, prednisone,advair, albuterol and percocet. USe the case study to answer questions below.

What are considerations for this patient to transition to home?
How can this patient avoid re-hospitalization?
How would you determine risk for readmission to acute care?

Reference no: EM133859020

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