{
  "schema_version": "uw.editorial_geo.v1",
  "article_index": "AGE-127",
  "catalog_id": "AGE-127",
  "language": "en",
  "headline": "Returning home after hospital: what still needs to be in place",
  "description": "Travel, entry, necessary care and the next contact: distinguishing discharge from functioning help at home.",
  "master_filename": "ARTICLE_EN.md",
  "master_revision": "staging-r1-20261019",
  "master_sha256": "dece48fbf2b5b431ffd0c9b8abe3152f8cbcc1dcd8521494f8ce4fcca2642fcc",
  "short_answer": "A medical discharge decision, completed recovery and help at home differ. Clarify actual transport and meeting, necessary activities, current instructions, supply, teaching and follow-up with the person. Family promises, applications and assistance received are different outcomes. Report gaps promptly to the appropriate team; do not test them by withholding care or independently changing treatment. New sudden confusion alone requires immediate appropriate local emergency medical help.",
  "claims": [
    {
      "id": "C01",
      "type": "bounded_official_and_author_distinction",
      "text": "Planning the transition with the person and providing further support do not establish restored former independence.",
      "source_ids": [
        "H1"
      ],
      "article_sections": [
        "I. Discharge does not mean the former life is already accessible"
      ],
      "limitations": "England information, no individual readiness decision, worldwide right/duration/charge or family vote."
    },
    {
      "id": "C02",
      "type": "author_practical_reasoning",
      "text": "Arrival, entry, access to necessities and appropriate assistance are different outcomes.",
      "source_ids": [
        "H1"
      ],
      "article_sections": [
        "II. Reaching an address and entering suitable conditions differ",
        "III. Groceries in a refrigerator do not replace necessary assistance"
      ],
      "limitations": "Fictional Boris/Elena; no transfer technique, home trial, compulsory constant supervision or withholding necessities as motivation."
    },
    {
      "id": "C03",
      "type": "bounded_official_and_author_distinction",
      "text": "Instructions, actual supply, device setup and understandable teaching need distinction.",
      "source_ids": [
        "H2"
      ],
      "article_sections": [
        "IV. Instructions, supply and knowing how to use something are distinct"
      ],
      "limitations": "Older page reviewed2023 with next-review date passed; no universal supply/duration, dose, independent substitution/stopping/device alteration."
    },
    {
      "id": "C04",
      "type": "author_coordination_reasoning",
      "text": "Sent information, follow-up, authority and a helper’s actual agreement are not established by one family note.",
      "source_ids": [
        "H1"
      ],
      "article_sections": [
        "V. Handed-over papers do not establish connected follow-up",
        "VI. A relative accepts a particular role, not limitless responsibility"
      ],
      "limitations": "Communication support grants no universal access/representation; no absolute confidentiality or limitless availability assumed."
    },
    {
      "id": "C05",
      "type": "bounded_safety_and_author_reasoning",
      "text": "Report a gap to the appropriate team; a complaint is not current assistance, and new sudden confusion needs immediate emergency medical contact.",
      "source_ids": [
        "H1",
        "H6"
      ],
      "article_sections": [
        "V. Handed-over papers do not establish connected follow-up",
        "VII. Report a preparation gap before waiting for failure",
        "IX. The first days need continuation, not proof of a happy ending"
      ],
      "limitations": "Do not wait for documents/routine call/home test for sudden confusion; local services, no worldwide British number. No unauthorised detention/locking in/forced move."
    },
    {
      "id": "C06",
      "type": "author_ethical_comparison",
      "text": "Promises, conditions for continuing and mutual participation can be considered without quotations becoming care law.",
      "source_ids": [
        "H3",
        "H4",
        "H5"
      ],
      "article_sections": [
        "VIII. Promise, preparation and participation: bounded comparisons"
      ],
      "limitations": "Texts establish no safe discharge, cost-based human worth or duty to renounce property/family or necessary assistance."
    }
  ],
  "questions": [
    {
      "question": "Does booking a car establish a supported transition?",
      "answer": "No. Clarify meeting, entry, known needs after travel and actual help. Specialist transport or movement assistance requires competent arrangements, no improvised technique or risky trial.",
      "claim_ids": [
        "C02"
      ],
      "article_sections": [
        "II. Reaching an address and entering suitable conditions differ",
        "III. Groceries in a refrigerator do not replace necessary assistance"
      ]
    },
    {
      "question": "What about an unknown or missing element of help?",
      "answer": "Report the need and gap accurately to the appropriate team, clarifying the present contact and next step. A request or complaint is not assistance received, and missing resources are not recorded as the person’s voluntary choice.",
      "claim_ids": [
        "C04",
        "C05"
      ],
      "article_sections": [
        "V. Handed-over papers do not establish connected follow-up",
        "VI. A relative accepts a particular role, not limitless responsibility",
        "VII. Report a preparation gap before waiting for failure"
      ]
    },
    {
      "question": "Can new sudden confusion wait for papers or a return call?",
      "answer": "No. This symptom alone requires immediate appropriate local emergency medical help, without a household test, family consensus or waiting for an appointment.",
      "claim_ids": [
        "C05"
      ],
      "article_sections": [
        "V. Handed-over papers do not establish connected follow-up"
      ]
    }
  ],
  "sources": [
    {
      "id": "H1",
      "title": "NHS — Planning to leave hospital",
      "url": "https://www.nhs.uk/social-care-and-support/care-after-a-hospital-stay/planning-to-leave-hospital/",
      "edition": "Reviewed2026-04-08,nextreview2029-04-08",
      "read_scope": "Complete main12–75 and version78–79 actually read",
      "role": "England information: person involvement and further arrangements; no worldwide entitlement, six-week/free-care rule or individual readiness decision",
      "rights_status": "UNKNOWN",
      "read_date": "2026-10-19",
      "search_executor": "Codex web.run / branch F author",
      "rights_notes": "Brief original attributed paraphrase/minimal fragment; own RU/TH translations, no full sources, images, forms, checklists or clinical protocols; RESEARCH.md"
    },
    {
      "id": "H2",
      "title": "NHS — Being discharged from hospital",
      "url": "https://www.nhs.uk/nhs-services/hospitals/going-into-hospital/being-discharged-from-hospital/",
      "edition": "Reviewed2023-04-06,nextreview2026-04-06 passed; no2026update established",
      "read_scope": "Complete main12–108 and version111–112 actually read",
      "role": "Limited organisational support for medicines/devices/contact; no worldwide supply duration, discharge-yourself law or personal regimen",
      "rights_status": "UNKNOWN",
      "read_date": "2026-10-19",
      "search_executor": "Codex web.run / branch F author",
      "rights_notes": "Brief original attributed paraphrase/minimal fragment; own RU/TH translations, no full sources, images, forms, checklists or clinical protocols; RESEARCH.md"
    },
    {
      "id": "H3",
      "title": "Laozi — Tao Teh King63–64, James Legge",
      "url": "https://www.gutenberg.org/cache/epub/216/pg216-images.html",
      "edition": "Gutenberg216,release1995-02-01,updated2015-05-11; exactprintbasis unknown",
      "read_scope": "Header/version actually read same sessionAGE-126; forAGE-127 complete63 lines516–518 and64 lines519–522 with displayed context, not wholebook/Chinese research",
      "role": "Promise/small unfinished step, not clinical protocol, guaranteed prevention or withholding professional help",
      "rights_status": "US_PD_LABEL_GLOBAL_JURISDICTIONS_NOT_ASSESSED",
      "read_date": "2026-10-19",
      "search_executor": "Codex web.run / branch F author",
      "rights_notes": "Brief original attributed paraphrase/minimal fragment; own RU/TH translations, no full sources, images, forms, checklists or clinical protocols; RESEARCH.md"
    },
    {
      "id": "H4",
      "title": "Luke14:28–33, KJV",
      "url": "https://ebible.org/kjv/LUK14.htm",
      "edition": "KJV at eBible; exactupdatedate not established,accessed2026-10-19",
      "read_scope": "Entire chapter1–35 read including discipleship context25–33; footer26–28PD label",
      "role": "Building/cost comparison only, not medical budget, human-worth calculation, abandonment, coercion or compulsory renunciation",
      "rights_status": "SITE_PD_LABEL_GLOBAL_JURISDICTIONS_NOT_ASSESSED",
      "read_date": "2026-10-19",
      "search_executor": "Codex web.run / branch F author",
      "rights_notes": "Brief original attributed paraphrase/minimal fragment; own RU/TH translations, no full sources, images, forms, checklists or clinical protocols; RESEARCH.md"
    },
    {
      "id": "H5",
      "title": "Galatians6:1–5, KJV",
      "url": "https://ebible.org/kjv/GAL06.htm",
      "edition": "KJV at eBible; update date not established,accessed2026-10-19",
      "read_scope": "Entire chapter1–18 read, argument2–5; footer20–22 PublicDomain label",
      "role": "Religious mutual participation/personal responsibility, not illness as wrongdoing, endless caregiver resources or care denial",
      "rights_status": "SITE_PD_LABEL_GLOBAL_JURISDICTIONS_NOT_ASSESSED",
      "read_date": "2026-10-19",
      "search_executor": "Codex web.run / branch F author",
      "rights_notes": "Brief original attributed paraphrase/minimal quotation; RU/TH own English-based renderings, no full source, images, forms, scales or algorithms; RESEARCH.md",
      "read_reuse": "Actually read same session, precise inherited scope retained; no new full-source read claimed"
    },
    {
      "id": "H6",
      "title": "NHS — Sudden confusion (delirium)",
      "url": "https://www.nhs.uk/symptoms/confusion/",
      "edition": "Reviewed2024-05-28,nextreview2027-05-28",
      "read_scope": "Entire main13–74/date75–76 read",
      "role": "New sudden confusion alone needs immediate medical contact; no home test gate/diagnosis or worldwide UK number",
      "rights_status": "UNKNOWN",
      "read_date": "2026-10-19",
      "search_executor": "Codex web.run / branch F author",
      "rights_notes": "Short original attributed paraphrase/minimal quotation, own RU/TH translations; no complete source/clinical framework/form/images/logos; RESEARCH.md",
      "read_reuse": "Actually read same session, precise inherited scope retained; no new full-source read claimed"
    }
  ],
  "retrieval_limits": [
    "Fictional scene, no decision about a particular discharge, diagnosis, capacity/authority assessment or personal treatment.",
    "English pages establish no worldwide discharge/detention law, services, duration, medicine supply or charges.",
    "No unauthorised detention in hospital/home, physical control, forced move or universal family-consensus condition.",
    "No independent dosing/treatment changes, home testing, transfer technique or device alteration.",
    "Do not remove food, essential care, treatment or pain relief for motivation, obedience or evidence.",
    "Assistance, access, representation, consent and helper availability differ; no absolute secrecy promised.",
    "New sudden confusion waits for no papers/complaint/call/test; appropriate local emergency medical help immediately.",
    "Religious/philosophical comparisons provide no clinical protocol or reason for care denial based on cost/belief."
  ],
  "schema_org": {
    "@context": "https://schema.org",
    "@type": "Article",
    "identifier": "UW:AGE-127:en",
    "headline": "Returning home after hospital: what still needs to be in place",
    "inLanguage": "en",
    "author": [
      {
        "@type": "Person",
        "name": "Andrey Zarinsh"
      },
      {
        "@type": "Person",
        "name": "Maria Evilkut"
      }
    ]
  },
  "production_acceptance": "NOT_RUN",
  "production_machine_publisher_compatibility": "NOT_RUN"
}