TY - BOOK AU - Carpenito,Lynda Juall TI - Nursing care plans: transitional patient and family centered care SN - 9781496349262 PY - 2017///] CY - Philadelphia PB - Wolters Kluwer Health KW - Patient Care Planning KW - Nursing Process KW - Family Nursing KW - Transitional Care KW - Nursing Records N1 - Includes bibliographical references and indexes; The bifocal clinical practice model -- Communication : the critical key to preventing adverse events -- Early identification of high-risk individuals and/or families -- Preparation of individual/family for care at home -- Eleven steps to care planning (or What is the most important care needed for an individual /family at this time?) -- Barriers to providing concerned, compassionate professional care ER -