Nurses play a pivotal role in reducing readmissions through: - Comprehensive Discharge Planning: Ensuring that patients have a clear understanding of their care instructions, medications, and follow-up appointments before they leave the hospital. - Patient Education: Providing education on disease management, lifestyle changes, and recognizing symptoms that require medical attention. - Coordination of Care: Facilitating communication between different healthcare providers and ensuring continuity of care. - Home Health Services: Organizing home visits or telehealth consultations to monitor patient progress and intervene if necessary. - Support Systems: Connecting patients with community resources, support groups, and social services to address non-medical factors.