Mr. Smith’s living environment should promote safety. The home environment should be free from clutter and any slippery material that would predispose him to falls. The home should have adequate lighting to minimize the risk of falls. Mr. Smith’s healthcare needs should be prioritized in the discharge process. This includes ensuring that a wound care nurse is involved in his care to provide the required wound cleaning and dressing. The nurse would also ensure that Smith’s medication needs are met. Mr. Smith’s access to mental healthcare after discharge should be maintained. This includes ensuring his close contact with the psychiatrist nurse and providing regular physical and virtual follow-up. Mr. Smith’s financial needs should be incorporated into his discharge plan. Currently, Mr. Smith does not work and lacks a source of financial support (Ghorbani et al., 2021). Therefore, the case manager should implement strategies such as providing transportation services to Mr. Smith to ease the challenges experienced in accessing his care. |