Transitional Care Explained

Transitional Care Explained | Aged Care Weekly

What is transitional care? When an elderly person leaves a hospital they will likely need transitional care to help them recover properly. But this is not the usual after-hospital care one gets after going home or going to aged care. It is a special kind of care.

The Nature of Transitional Care

This is for older patients who have just been in the hospital. This type of care is essential for patients to fully recover and to make long-term decisions regarding their health and overall welfare. Transitional care may be provided in the patient’s home or in a live-in setting, as in an aged care home. In fact, if the patient already resides in an aged care home, then the latter is usually the preferred option. Further, it is important to note that this care can only be accessed directly from the hospital.

Transitional care is short-term, after-hospital care. The duration of the care depends on the individual needs and goals of the patient.

What types of services are provided?

Transition care is generally short-term. Basically, it focuses on the senior’s individual goals and particular therapies needed. There are also transitional care packages available which could include the following:

  • Physiotherapy for balance, strength and mobility, exercise and low-intensity therapy
  • Social worker access
  • Nursing support
  • Personal care

Payment for Transitional Care

The service provider, or organisation that offers the transition care, charge fees. These are based on the daily care fee and the services you need. They usually explain this to you. If not, ask and have them explain to you. You need to know how much is the charge and how such an amount has been computed. This is important before you come to an agreement with the service provider. But in most cases, the fee is calculated based on the daily services needed and received by the patient.

What if I can’t afford, you might ask? If you are financially capable and if circumstances allow, you can pay for the transitional care received. However, the Australian government also offers subsidies on a range of aged care services, including transition care.

Who provides the services?

The services are often provided by organisations not connected with the government. These non-government service providers charge you with a fee according to the daily services you receive. Nevertheless, the state and territory governments are in charge of managing the day-to-day running of said care.

How long are the services needed?

Transitional care is a short-term after-hospital care. The duration of the care depends on the individual needs and goals of the patient. However, the average length of the services is only up to 12 weeks. In some cases, it could be extended up to 18 weeks if, after assessment, the patient needs more help and care.

Who needs it?

This is only intended for older people who have been in the hospital. But not all old people get this after-hospital care. You will need Aged Care Assessment (ACAT or ACAS) first while you are still in the hospital. After the assessment, if you are eligible, then you get the approval. Once you do, the people in charge will explain the options to you and work out things based on what’s best for you. For more details on transitional care, check out this guideline.


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