4. Practice Recommendations: Discharge/Transfer of Care Arrangements

Recommendation	Level of Evidence
4.1 Advance notice should be given when transferring a client between settings (e.g., hospital to home/long-term care facility/hospice/residential care) if pressure reducing/relieving equipment is required to be in place at time of transfer (e.g., pressure relieving mattresses, seating, special transfer equipment). Transfer to another setting may require a site visit, client/family conference, and/or assessment for funding of resources to prevent the development of pressure ulcers.	IV
4.2 Clients moving between care settings should have the following information provided: Risk factors identified; Details of pressure points and skin condition prior to discharge; Type of bed/mattress the client requires; Type of seating the client requires; Details of healed ulcers; Stage, site and size of existing ulcers; History of ulcers, previous treatments and products used; Type of dressing currently used and frequency of change; Adverse reactions to wound care products; Summary of relevant laboratory results; and Need for on-going nutritional support.	IV

Recommendation

Level of Evidence

4.1 Advance notice should be given when transferring a client between settings (e.g., hospital to home/long-term care facility/hospice/residential care) if pressure reducing/relieving equipment is required to be in place at time of transfer (e.g., pressure relieving mattresses, seating, special transfer equipment). Transfer to another setting may require a site visit, client/family conference, and/or assessment for funding of resources to prevent the development of pressure ulcers.

4.2 Clients moving between care settings should have the following information provided:

Risk factors identified;
Details of pressure points and skin condition prior to discharge;
Type of bed/mattress the client requires;
Type of seating the client requires;
Details of healed ulcers;
Stage, site and size of existing ulcers;
History of ulcers, previous treatments and products used;
Type of dressing currently used and frequency of change;
Adverse reactions to wound care products;
Summary of relevant laboratory results; and
Need for on-going nutritional support.

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