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What is the transitional care model designed by Mary Naylor? Evolved from evidence that the post-acute transition of patients was unnecessarily directed to subacute facilities The process for a nurse to direct another person to perform nursing tasks and activities. Provide care in the home increased significantly with the Olmstead Decision by the U.S. Supreme Court affirming that public entities must provide community-based services to individuals with disabilities Promotes the role of the advanced practice registered nurse (APRN) to deliver and coordinate care in collaboration with the interprofessional team for at -risk patients while in the hospital and then continuing that care in the home.
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HEALTH SCIENCE
NURSING

 
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