Require complex home treatments like IV medications, wound care, enteral feedings, etc.
There is a need for nursing, physical occupational speech or respiratory therapy, social services or home health aide
You have difficulty following your physician's recommended treatment at home
Have a need for further instruction on medications, diet, treatments, etc.
Have a history of multiple hospital admissions and/or unstable medical history
You have been "readmitted" for diagnosis treated by hospitalization in the previous three months
You were getting along "ok" before you went to the hospital but now are significantly less independent
Have a potentially life threatening, severly incapacitating, or terminal diagnosis
Have received a variety of skilled nursing and ancilliary services up to the date of hospital discharge
Have a new diagnosis
Have new or adjusted medications
You require medical evaluation and observation
You have unstable problems such as blood pressure, blood sugars, pain control, etc.
Are a resident at an assisted living, retirement or continuing care facility and have skilled care needs
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