Which support system is most helpful after discharge to ensure adherence?

• A. In-home social services assessment only
• B. Home care nursing agency support
• C. No caregiver involvement is needed
• D. Hospital-based services only

Answer: (B)

Continuity of care after discharge and practical support for medication management are essential for adherence. A home care nursing agency can provide skilled nursing visits at home, giving the patient direct help with taking medications correctly, understanding dosing schedules, and recognizing side effects or warning signs that need medical attention. They also monitor vital signs, manage fluid and electrolyte balance, reinforce dietary restrictions relevant to conditions like CKD, and ensure any necessary lab work or follow-up appointments are arranged. This ongoing clinical oversight helps translate discharge instructions into daily routines, reducing the risk of missing doses or mismanaging symptoms.

In-home social services assessments can identify needs, but they don’t typically deliver ongoing nursing care or medication management. Relying on caregiver involvement alone may be insufficient if the patient needs professional monitoring. Hospital-based services are valuable during admission but aren’t available continuously once the patient is back at home. Therefore, home care nursing agency support offers the most comprehensive, practical means to promote adherence after discharge.