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Care transfer communication — DGM MCQ

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ModerateComprehensive geriatric assessmentCare transfer communicationDGM

An 85-year-old woman is discharged to a care home after delirium and hip fracture rehabilitation. The care home asks for mobility status, swallowing plan and medication changes. The hospital letter is incomplete. Current medicines include multiple medicines. What is the most appropriate management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Provide clear transfer summary with functional, cognitive and medication information

Transfers of care need clear communication about function, cognition, swallowing, falls risk and medication changes. Diagnosis-only lists, relying on the patient, omitting delirium and delayed medication information create safety risks. For older adults, the functional story is often as important as the medical diagnosis.

Reference: NICE transition guidance; BGS CGA toolkit