16. Transition Management

Learning Objective:

16.1 Acknowledges that changing care environments are difficult and stressful for stroke survivors and therefore provides support and education to prepare them for transitions.

Suggested Learning Resources:

Optional Learning Resources:

Suggested Evaluation Methods:

Self-reflection about understanding the patient across the continuum which re-counts a clinical situation.

Learning Objective:

16.2 Participates in discharge planning with stroke survivor and caregiver.

Suggested Learning Resources:

Review of organization specific policies.

Locates and becomes familiar with stroke education resources and community resources available for stroke survivor and family.

Health Quality Ontario: Transfer of Accountability

Optional Learning Resources:

Suggested Evaluation Methods:

Using the trigger tool as a guide, reflect on a discharge plan for a current patient and write up additional considerations to share with the team.