This story is told from a friend's perspective: an elderly couple with chronic illnesses is grappling with hospitalization and living at home without the appropriate support and effective communication between caregivers, social workers and health care providers.
What we learned:
1. The names and activities of car givers, involved neighbours, social workers should be recorded and available to all in a diary in the home of the elderly patient
2. The privacy considerations should not inhibit effective communication that helps the patient
3. The criteria should be “what is best for the patients well-being”, not just “we cannot give out that information”