Learning Objectives:

1. Appreciate the importance of social-environmental factors in self-management of multiple chronic conditions.
2. Recognize enhancing caregiver capacity as an important element in older patients in managing their health
3. Understand the heterogeneity in which caregivers assist with older adults manage medications
4. Understand the role of transitional care nurses in the emergency department
5. Evaluate the impact of TCN care on patient-centered outcomes
6. Identify challenges in implementing and running an ED-based TCN program