Before hospitalization, Mabel had been in charge of her own medications. But after discharge, her escalating confusion concerned her family, so they concentrated the coaching session on medication reconciliation. In that process, Mabel’s daughter realized that she had many duplicate prescriptions issued by her primary care physician before and after her hospital stay. Narine, Mabel’s transitions coach, showed the family how to make medication notes on Mabel’s Personal Health Record, and draft questions for the follow-up appointment with the doctor.
