Health Care Navigation
Paul and Jennifer’s Story: Finding Their Way Through the System
Paul, 78, has just returned home from the hospital after a bout of pneumonia. He’s tired, unsteady on his feet, and adjusting to several new medications and follow-up appointments. Jennifer is doing her best to help—but she feels overwhelmed, unsure about available services, and how to coordinate everything.
What we can do
When a senior like Paul comes home from the hospital and their caregiver feels overwhelmed by appointments, medications, and paperwork, our Occupational Therapists can step in to help.
We review Paul’s needs, explain options clearly, and guide the family through the next steps. This might include arranging home care, applying for support programs, or coordinating follow-ups with healthcare providers.
We also assist with completing forms, connecting to community resources, and ensuring no critical details are overlooked during the transition.
The result? A smoother, less stressful recovery for Paul—and clear, confident support for Jennifer.
Our Occupational Therapists are key members of the post-discharge planning team. They provide comprehensive assessments that address a patient’s physical, cognitive, and functional needs, as well as their social support system.
By collaborating closely with patients, families, hospital staff, and community services, Occupational Therapists help coordinate care plans that promote safe recovery and independence at home. Their guidance reduces the risk of complications and readmissions, supports medication management, and eases caregiver burden.
This holistic, client-centered approach ensures a seamless transition from hospital to home—empowering seniors like Paul and their families to navigate the healthcare system with confidence and peace of mind.