In this unit you have been following the journey of Joseph Russo from the acute- care hospital setting to his return to the community

In this unit you have been following the journey of Joseph Russo from

the acute- care hospital setting to his return to the community.

This assessment requires you to examine how care will be transferred

from the hospital to his home. Joseph is being discharged home to the

same suburb/town/city in which you live (or have undertaken your

most recent PEP), and therefore you will need to seek information on

services available to meet his (and his family’s) complex needs in your

local community. You will need to consider the transfer of information

between differing services during his care transition. Mr. Russo does

not wish for his admission diagnosis to be disclosed or discussed.