Building Relationships, Integrating Discharge Guidance, Ensuring Support
Transitional Care Assessments & Care Planning
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Comprehensive assessments for patients with advanced or chronic illness.
Personalized care goals aligned with patient and family wishes.
Coordination with your PCP, home health, or specialist teams.
Guidance to help families understand care options and next steps
Symptom Management & Supportive Care
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Management of pain, shortness of breath, anxiety, or fatigue
Emotional and spiritual support for patients and caregivers
Nurse and physician check-ins to ensure comfort and stability
Focus on improving quality of life during serious illness
Continuity, Guidance & Family Support
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Application of skin substitutes and advanced allografts
Treatment for complex, non-healing, or surgical wounds
Collaboration with vascular, podiatry, and surgical teams
Multi-week plan of care
Grafts billed through Medicare Pt B
"When my mom came home from the hospital, we didn’t realize how overwhelming everything would feel. The BRIDGES team stepped in with guidance, education, and reassurance. They helped us understand what to watch for and coordinated care with her doctors. It made all the difference in her recovery."
Mrs. Emily B. (Peoria, AZ)
"My grandmother lives alone, and we were all worried after her last hospitalization. BRIDGES provided education, regular check-ins, and resources that kept her stable and confident. Our whole family is so grateful for the support."
– Sarah M, Granddaughter.
"My husband needed so much more support than I realized when he came home from rehab. The BRIDGES nurses and social workers helped me understand his condition and connected us with community resources we didn’t know existed. They made a confusing time feel manageable."
-Maria T. (wife) Tempe, AZ
"As a physician, I understand how complicated chronic illnesses can be—but being the son of a patient is a different experience entirely. The BRIDGES team supported my father with guidance, coordination, and clear communication. They helped our family navigate decisions and eased so much of the stress. I’m deeply grateful for their role in his recovery."
– Dr. Jonathan S., Mesa, AZ
"I felt lost after being discharged, but BRIDGES helped me understand my medications and eased my worries about symptoms I was having. Their kindness and patience made me feel safe at home again. I finally felt like someone was walking this journey with me."
– Linda M.
BRIDGES participant
"After several hospital stays, I felt like I was falling behind on my own care. BRIDGES helped me understand what was happening with my health and kept me on track with my follow-ups. Their team gave me confidence and direction when I needed it most."
Margaret F. (Scottsdale)