TY - CHAP M1 - Book, Section TI - Transitions and Continuity of Care A1 - Flint, Lynn A. A2 - Williams, Brie A. A2 - Chang, Anna A2 - Ahalt, Cyrus A2 - Chen, Helen A2 - Conant, Rebecca A2 - Landefeld, C. Seth A2 - Ritchie, Christine A2 - Yukawa, Michi PY - 2014 T2 - Current Diagnosis & Treatment: Geriatrics, 2e AB - Older adults with chronic illnesses are frequently in contact with the health care system. They periodically require hospitalization for acute exacerbations of chronic illness, falls, infections, and other problems. For these patients, hospitalization often marks the beginning of a journey through a series of disconnected settings and providers. Because of this lack of connection, the journey is not smooth. Mishaps along the way are sometimes insignificant, sometimes even undetected, but others are life altering. The discussion here focuses on how this journey became so complex, the risks of the journey, and the best practices and innovations aimed at minimizing these risks. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - accessmedicine.mhmedical.com/content.aspx?aid=1100065779 ER -