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Home Care After a Hospital Stay

The first two weeks after discharge are when most setbacks happen. A caregiver can change the trajectory.

Most readmissions happen in the first few weeks after a hospital stay. A caregiver in the home — even part-time — can change the trajectory.

Start planning before discharge: ask the case manager about discharge timing; request a list of follow-up appointments; ask whether home health has been ordered and which agency; submit a care request so a non-medical caregiver can start within a day or two.

What to set up at home: a clear path to the bathroom; a chair in the shower; a charged phone within reach; meals prepped or delivered for the first three days; medications organized; doctor and home health contacts on the fridge.

Coordinating with home health: a non-medical caregiver can be present during nurse and therapy visits, take notes, and help with the parts of the plan that are not skilled.

Watching for setbacks: new confusion, falls, refusing to eat, sudden swelling, shortness of breath. Call the doctor early.

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Eastern NC Home Care Match is a neutral care-matching and lead-referral platform. We are not a licensed home care agency, home health agency, hospice, medical provider, or direct caregiver employer. We do not deliver care, prescribe treatment, or provide medical, legal, or financial advice. We may receive compensation from provider partners when we make a successful match.

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