The role of the rehabilitation nurse is to manage complex medical conditions, therapeutic interventions, and coordination of care to produce improved patient outcomes, reduced hospital readmission rates, and an easier… Home health nurses serve an invaluable function within health-care systems, acting as intermediary communication channels between health-care providers, such as physicians and therapists, and patients

Home health nurses conduct in-person home visits, which can involve a lot of planning. There are a number of steps nurses should take to prepare for their visit

continuity of care — seamless communication between health-care professionals when a patient is transferring to a new setting. medication regimen — list of all medications the patient is currently taking. adaptive equipment — medical equipment, such as hearing aids or cochlear implants, used to help those with disabilities adapt to full function. ambulatory services — health-care services provided on an outpatient basis, wherein a patient receives care without needing hospital admission for an extended stay.