{"id":1742,"date":"2026-10-26T18:12:24","date_gmt":"2026-10-26T18:12:24","guid":{"rendered":"https:\/\/www.comforcare.com\/naperville-downers-grove\/?p=1742"},"modified":"2026-10-26T18:12:25","modified_gmt":"2026-10-26T18:12:25","slug":"how-to-arrange-post-hospital-care-at-home-after-discharge-from-edward-hospital","status":"publish","type":"post","link":"https:\/\/www.comforcare.com\/naperville-downers-grove\/resources\/blog\/how-to-arrange-post-hospital-care-at-home-after-discharge-from-edward-hospital\/","title":{"rendered":"How to Arrange Post-Hospital Care at Home After Discharge From Edward Hospital"},"content":{"rendered":"

To arrange in-home care after discharge from Edward Hospital, tell the nurse, case manager, or social worker before discharge<\/strong> that the patient is returning home and needs help. Ask for the written discharge plan, any needed home-health referral or therapy order, equipment arrangements, medication instructions, and follow-up appointments. Then arrange non-medical caregiving separately if the person will need help with bathing, meals, mobility, toileting, transportation, or supervision between clinical visits.<\/p>\n

Edward Hospital is at 801 S. Washington St. in Naperville and is part of Endeavor Health. Endeavor Health says its hospital care teams include social workers and case managers who help coordinate discharge planning and needed resources. The nurse reviews personalized discharge instructions before the patient leaves. (Endeavor Health: Hospital Medicine<\/a>; Edward Hospital location<\/a>; Endeavor Health: About<\/a>)<\/p>\n

1. Start before the patient leaves Edward Hospital<\/h2>\n

Do not wait until the patient is home to discover that no one can help with stairs, meals, bathing, prescriptions, equipment, or transportation to follow-up appointments.<\/p>\n

You can say:<\/p>\n

\n

\u201cWe plan for my mother to recover at home. Please help us confirm what skilled services, equipment, and follow-up care are ordered, and what help they will need with daily activities when they first get home.\u201d<\/p>\n<\/blockquote>\n

Ask the nurse, case manager, social worker, or hospitalist for:<\/p>\n

    \n
  1. A copy of the discharge instructions and current medication list.<\/li>\n
  2. The name and contact information for the clinician or office to call with post-discharge questions.<\/li>\n
  3. A home-health referral if a clinician recommends skilled nursing, physical therapy, occupational therapy, speech therapy, or a home health aide.<\/li>\n
  4. Orders and delivery details for necessary equipment.<\/li>\n
  5. Follow-up appointments and information about transportation.<\/li>\n
  6. Written activity restrictions and instructions for family members and caregivers.<\/li>\n<\/ol>\n

    The Agency for Healthcare Research and Quality\u2019s Be Prepared To Go Home Checklist<\/em><\/a> encourages families to ask what help is needed at home, whether someone should be present, whether nursing or therapy is needed, what equipment is required, which medicines have changed, and who to call with concerns.<\/p>\n

    2. Choose the right type of post-hospital care at home<\/h2>\n

    \u201cHome care\u201d can mean different services. A two-track plan can make it easier to determine what the patient needs.<\/p>\n

    Skilled home health is clinical care ordered by a health professional.<\/strong> The Illinois Department of Public Health describes home health agencies as organizations that provide skilled nursing and at least one additional home-health service under a treatment plan prescribed by a physician, podiatrist, or other health professional. Endeavor Health lists skilled nursing, physical therapy, occupational therapy, speech therapy, home-health aide services, and medical social services among its home-health offerings. (Illinois Department of Public Health: Home Health Agencies<\/a>; Endeavor Health: Home Health<\/a>)<\/p>\n

    Ask about skilled home health when the discharge plan calls for services such as wound care, injections, IV therapy, health monitoring, or physical, occupational, or speech therapy.<\/p>\n

    Non-medical home care provides daily-living support.<\/strong> Illinois describes home services as non-medical assistance with activities of daily living, housekeeping, laundry, and companionship in a person\u2019s residence. This may include help with bathing, dressing, toileting, meal preparation, light housekeeping, errands, reminders, mobility assistance within the care plan, companionship, or transportation. (Illinois Department of Public Health: Home Services Agencies<\/a>)<\/p>\n

    A patient may need both<\/strong>. For example, a home-health clinician may make ordered clinical visits while a separate non-medical caregiver helps with meals, personal care, and daily routines between visits. The hours and services should be based on the discharge instructions, the person\u2019s needs, and the provider\u2019s assessment.<\/p>\n

    3. How to arrange care after a fall at home in Naperville<\/h2>\n

    For an older adult recovering at home after a fall, start by asking the discharge team whether skilled nursing, physical therapy, or occupational therapy is ordered. Then consider non-medical home care for personal care, meals, mobility support, and supervision during the hours when family cannot be there.<\/p>\n

    The service match may look like this:<\/p>\n