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Patient length of stay is shorter and the nurse has less time to establish report with the patient and his or her support system. It is critical for the nurse to address issues of support person involvement at the beginning of care, as discharge planning begins on admission. If the nurse is to assure a smooth transition form acute care to home or another level of care, he or she needs to understand the dynamics of the patient’s family system...

If the nurse is to assure a smooth transition form acute care to home or another level of care, he or she needs to understand the dynamics of the patient’s family system. For the purpose of this paper, this writer will use the term “family” to mean whomever the patient defines as family.

Whether or not the patient has family, or has a supportive family can play an important role in how the patient will be cared for in the hospital...

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