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Coming home from hospital is a vulnerable time for older people. Planning ahead - even while they are still on the ward - makes it far more likely that the return home goes well.
Questions to ask the ward
- What is the expected discharge date, and who is coordinating it?
- What medication is being sent home, and has anything changed?
- Will equipment be needed - a commode, frame, raised toilet seat or hospital bed?
- Will community nurses, physiotherapists or a reablement team visit?
- Who do we call if something goes wrong in the first few days?
Short-term help after discharge
In England, intermediate care such as reablement - short-term help to regain skills and confidence at home - is free for up to six weeks if assessed as needed. Ask the ward or discharge team what has been arranged, and when it will start.
Getting the home ready
- Heating on, fridge stocked and a simple meal ready
- A bed downstairs if stairs will be difficult for a while
- Clear paths to the toilet and good night lighting
- Keys, phone charger and emergency numbers easy to reach
The first weeks back
The days after discharge carry a high risk of falls, confusion, missed medication and readmission. Someone being there - especially overnight - makes a real difference.
A live-in carer can start on the day of discharge, follow exercises set by the physiotherapist, manage medication and help with washing and dressing until strength returns. Some families keep the carer on for a few weeks; others find it becomes the long-term answer.
If you're worried about the discharge
Families have a right to be involved in discharge planning. If you don't think it's safe for your relative to come home with the support offered, say so clearly to the ward and ask what the plan is.