A practical guide for nurses in helping patients make a transition from one care setting to another. The book focuses on the critical need for planning and teamwork resulting from early discharge, and provides a checklist to help ensure continuity of care, as it relates to health promotion, recuperation, short- and long-term rehabilitation, chronic disease, institutional care and terminal illness. It also includes legal and ethical considerations.
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Rorden et al. (1992) studied this question.