[Transitional care--accompanying patients into their home. After discharge problems arise, particularly for the aged, in dealing with activities of daily living].
D000203:Activities of Daily Living; D000368:Aged; D003152:Community Health Nursing / Q000379:methods*; D015577:Geriatric Assessment; D006699:Home Care Services; D006801:Humans; D020380:Needs Assessment; D010351:Patient Discharge