Nursing Home Resident Symptomatology Triggering Transfer: Avoiding Unnecessary Hospitalizations

Table 1

Medical diagnoses leading to symptoms leading to procedures.

Medical diagnoses prior to transfer	Symptoms prior to transfer	Procedures prior to transfer
Hypertension	Fatigue, lethargy, tiredness, weakness	Vital signs
Coronary artery disease	Shortness of breath	Medication administration
Congestive heart failure	Change in level of consciousness	Oxygen by nasal cannula
Diabetes mellitus	Complaint of muscle or bone pain	X-rays
Hypothyroid	Elevated blood pressure	Electrocardiogram
Dementia	Decreased oxygenation	Oxygen saturation
Gastroesophageal reflux disease	Edema, swollen body part, hematoma	Doppler studies
Chronic obstructive pulmonary disease	Chest pain, pressure, or tightness
Atrial fibrillation	Elevated heart rate
Recovery from open reduction internal fixation of the hip	Nausea or vomiting
	Decreased blood pressure
	Elevated temperature
New medical diagnoses after transfer
Pneumonia
Urinary tract infection
Dehydration
Congestive heart failure
Chronic obstructive pulmonary disease
End-stage renal disease
Atrial fibrillation
Any fracture
Open reduction internal fixation of the hip
Cut, contusion, hematoma