Which statement describes transitions of care as difficult for older adults?

• A. They are always well prepared
• B. They have unlimited family support
• C. They have excessive patient education
• D. May not be prepared for the next setting

Answer: (D)

Transitions of care involve moving from one care setting to another, and for older adults this is a particularly vulnerable time because medical needs, medications, and daily supports often change. A central challenge is that they may not be prepared for the next setting—discharge plans frequently don’t fully align with what will be required at home or in a new facility, such as medication changes, wound or device care, needed equipment, home health services, transportation, and caregiver support. When preparation is missing, important tasks may be left incomplete, leading to medication errors, missed follow-up, safety gaps, and higher chances of readmission. While some patients do have good planning, and family support is not guaranteed, and education is essential rather than excessive, the statement that they may not be prepared for the next setting accurately captures the common difficulty in transitions of care.