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Hospital-to-Home Transitional Care In Boston

 

Boston Nursing Care & Consulting provides private hospital-to-home nursing, with concierge-level transitional care for clients coming home from a hospital, rehabilitation center or skilled nursing facility in Boston and the surrounding Massachusetts communities. The first days and weeks after discharge are often the most vulnerable part of recovery. New medications, unfamiliar equipment and a long list of instructions can overwhelm patients and families alike. Our nurses bridge that gap, so your loved one comes home to a safe, organized environment and expert one-on-one care.

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Transitional Care Led by Registered Nurses

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Our hospital-to-home nursing team is led by experienced Registered Nurses (RNs) who coordinate closely with your hospital care team, discharge planners and physicians. We can begin planning before discharge. We review the discharge orders, prepare the home, and make sure nothing falls through the cracks during the move from hospital to home. Whether your loved one is returning home after surgery, a serious illness, a cardiac event, a stroke or an extended hospital stay, we manage every detail with precision and compassion.

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What Our Hospital-to-Home Nurses Provide

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Before and during discharge

• Coordination with hospital case managers and discharge planners

• A review of discharge instructions and new orders with the family

• A home safety assessment and preparation for medical equipment

• Transportation support and arrival with the client

 

Once home

• Medication reconciliation, organization and administration

• Vital signs monitoring and ongoing health assessments

• Wound care, incision care and dressing changes

• Watching for warning signs and acting quickly if something changes

• Safe mobility support and fall prevention

• Help following therapy exercises and dietary instructions

• Scheduling follow-up appointments, going with clients to them, and coordinating care between providers

• Flexible coverage, from a few hours a day to overnight or 24/7 care

 

A Safer, Smoother Return Home

At every stage, we prioritize responsiveness, clear communication and an elevated standard of care. Our nurses take the stress out of coming home, so your loved one can focus on healing, and your family can feel confident and fully supported. To arrange hospital-to-home nursing care in Boston, contact our team today. We recommend reaching out before discharge day.