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Weekly home visits by an RN or MSW ensure continuity of care and ongoing support. The nurse serves as a case
manager by assessing needs, providing nursing interventions, educating each patient and those involved in their
care. Patients will also have access to a 24 hour on-call nurse who will provide assistance by phone or direction
for more acute care needs that may arise.
The MSW will assess psychosocial needs, provide support, and facilitate referrals to community resources.
Addressing advance directives and developing a long-term care plan is another service provided by the Sparrow
Transitions MSW.
Goals
- Optimal quality of life through pain and symptom management
- Avoidance of hospitalizations through home management of symptoms as appropriate
- Psychosocial support for patient, caregivers, and family
- Empowerment of patients and their families through understanding their end of life care options in order to make informed decisions
- Timely, appropriate referrals to community resources or other services
Who Qualifies for Sparrow Transitions?
- Individuals with a life-limiting illness who are still actively receiving treatment
- A life expectancy of a year or less
- Patient whose physician maintains supervision and is willing to work with Sparrow Transitions
- Individual does not qualify for home health or hospice
When a patient and their family reach their palliative care goals or become eligible for another service, they
may be discharged from the Sparrow Transitions Service.
Sparrow Transitions
St. Lawrence Campus
1210 W. Saginaw
Lansing, MI 48915
Phone: 517.364.7200 or
888.636.8236
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