Munuve'-Akinnola, Rose2019-04-112019-04-112019-04-12https://hdl.handle.net/10657/3942This project was undertaken with Sonya Wade, DNSc, APRN, FNP-BC and Shainy Varghese, Ph.D., APRN, CPNP.This evidence-based project evaluates the evidence that high-intensity transitional care interventions at home are effective at preventing re-hospitalization, reducing mortality and improving quality of life in geriatric patients with heart failure. The project recommends consistent implementation, at home, of an interdisciplinary team, use of a standardized tool to assess re-hospitalization risk and regular use of the Teach Back method for patient and caregiver education (AHRQ, 2015). These strategies should be part of the standard outpatient intervention.en-USTransitional Care InterventionsTCIGeriatric Patients with Heart FailureHome healthTransitional Care InterventionsTCIGeriatric Patients with Heart FailureHome health careHome Health Transitional Care Interventions (TCI) to Reduce Rehospitalization in Geriatric Patients with Heart FailurePresentation