Discharge planning nurses achieve this by collecting and organizing patient data from various healthcare professionals who treated the patient before and during the hospital stay . This data is used to determine the patient's personal “baseline” or average level of health and what services are needed after discharge to bring the patient back to this level (Holand, 2016). This could be a transition into a nursing home or rehabilitation facility, the creation of home care or outreach services, or physiotherapy, social work, dietetic and occupational therapy professionals through