The Geropsychiatric Nursing Collaborative has developed Geropsychiatric Nursing Competency Enhancements and 27 associated Key Concepts (see POGOe Product 20660) to draw attention to the special mental health issues of older adults and assist faculty to address them. The key concepts are organized into four domains: assessment, management, approach to older adults, and role. This product provides an index of resources addressing Key Concept II.A. --Management: Care Transitions.

Older adult patients undergoing mental health treatments need support  to facilitate consistent implementation of care plans across systems of care. Mental health issues in late life are often complex and nurses caring for these patients must have the knowledge and skills necessary to facilitate care across the continuum. Especially important is the interface between acute inpatient psychiatric and medical care and  nursing home, assisted living facility and home care.

Nurses can facilitate continuous care management by evaluating the patient’s functional status and support system, communicating with other providers and collaborating in an interdisciplinary manner. This knowledge is necessary to improve care outcomes of patients in transition.

This product contains resources that address the following:

• Geriatric Assessment
• Cognition