Identify and discuss the potential barriers to effective planning for transition of care for the person in the case study.

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This topic requires you to look beyond the acute care facility and at the wider context of health care, in particular took at the political backdrop against which the transition of care from hospital to community is occurring.
From the available data in the case study identify and discuss the potential barriers to effective planning for transition of care for the person in the case study. It is expected that your discussion will address factors such as but not limited to:
• The adequacy of the information provided in the case study and what further information is needed so that you as the nurse could develop a plan for the ongoing care of this person post hospitalisation.
• How assumptions about pathophysiological, psychological, cultural, spiritual and social processes potentially impact on the provision of care the person in the case study and people in general with long-term health care needs in a community or extended care setting. For example social capital, socio-economic status, stereotypes (ageism, racism, able-bodiedness).

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