Case Study: Nurses leading Complex Care for Individuals and the Caregiving Family using TCM

Catalog description

Many studies reveal that the transitional care needs of people with complex health and social needs and those of family caregivers are poorly managed, often with devastating human and economic consequences. The purpose of this case study is to provide an immersive experience for students with the Transitional Care Model (TCM), supporting engagement with multidisciplinary team at Penn. This nurse-led, team-based care management strategy has been proven to improve health and quality of life outcomes and reduce costs for at risk older adults who experience episodes of acute care while supporting their family caregivers. This course will enable students to apply skills foundational to the delivery of evidence-based transitional care.