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Found 11 studies with search of: ("older adults" OR elderly OR aged OR geriatric OR senior) AND "transitional care"
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Rank Status Study
1 Enrolling by invitation Improving Posthospital Medication Management of Older Adults Through Health IT
Condition: Adverse Outcomes Post-Hospital Discharge
Intervention: Other: Electronic delivery of enhanced discharge information to the ambulatory physician
2 Recruiting Telephone Call From Acute Care Physicians to Long Term Care Physicians: Impact on Transitional Care of Elderly Patients
Conditions: Alzheimer Disease;   Parkinson Disease;   Dysphagia
Intervention: Procedure: TELEPHONE CALL
3 Not yet recruiting Using Health Information Technology (HIT) to Improve Transitions of Complex Elderly Patients From Skilled Nursing Facility (SNF) to Home
Condition: Adverse Outcomes
Interventions: Other: Intervention 1: Electronic medical record (EMR)-based medication reconciliation system;   Other: Intervention 2: Electronic medical record (EMR)-based medication reconciliation system;   Other: Control Group
4 Recruiting Effects of a Teaching Intervention With an Advanced Practice Nurse on Quality of Life and Psychosocial and Symptom Distress in Patients With Ovarian Cancer
Conditions: Ovarian Cancer;   Transitional Care Planning
Interventions: Behavioral: telephone-based intervention;   Other: counseling intervention;   Other: educational intervention;   Other: medical chart review;   Other: questionnaire administration;   Procedure: psychosocial assessment and care;   Procedure: quality-of-life assessment
5 Active, not recruiting Enhancing Care Coordination: Hospital to Home for Cognitively Impaired Older Adults and Their Caregivers
Conditions: Dementia;   Dementia, Vascular;   Alzheimer Disease;   Delirium, Dementia, Amnestic, Cognitive Disorders;   Lewy Body Disease;   Mild Cognitive Impairment
Interventions: Procedure: Augmented Standard Care;   Procedure: Resource Nurse Care;   Procedure: Advanced Practice Nurse Care
6 Recruiting PEU in Elderly TCU Residents
Condition: Aging
Intervention:
7 Active, not recruiting Conventional Care With or Without Specialized Cancer Care in Treating Patients Receiving Chemotherapy
Conditions: Breast Cancer;   Colorectal Cancer;   Endometrial Cancer;   Lung Cancer;   Lymphoma;   Ovarian Cancer;   Pancreatic Cancer;   Psychosocial Effects of Cancer and Its Treatment;   Transitional Care Planning
Interventions: Procedure: management of therapy complications;   Procedure: psychosocial assessment and care;   Procedure: quality-of-life assessment
8 Completed Assessment of a Medication Reconciliation Program on Transitional Care
Condition: Hospitalization
Intervention: Behavioral: Treatment
9 Recruiting Advanced Care Planning Using the Five Wishes Document in Young Patients With Metastatic, Recurrent, or Progressive Cancer or HIV Disease
Conditions: Psychosocial Effects of Cancer and Its Treatment;   Transitional Care Planning;   Unspecified Adult Solid Tumor, Protocol Specific;   Unspecified Childhood Solid Tumor, Protocol Specific
Interventions: Other: counseling intervention;   Procedure: end-of-life treatment/management;   Procedure: psychosocial assessment and care
10 Active, not recruiting Standard Follow-up Compared With Extended Follow-up in Treating Patients Who Have Undergone Stem Cell Transplantation for Cancer
Condition: Cancer
Interventions: Procedure: fatigue assessment and management;   Procedure: management of therapy complications;   Procedure: psychosocial assessment and care
11 Active, not recruiting Early Intervention Palliative Care or a Standard Palliative Care Program in Improving End-of-Life Care in Patients With Advanced Lung, Gastrointestinal, Genitourinary, or Breast Cancer
Condition: Cancer
Interventions: Other: counseling intervention;   Other: educational intervention;   Procedure: psychosocial assessment and care;   Procedure: quality-of-life assessment

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