Vol. 2, Issue 2, Part A (2025)

Hospital readmissions among elderly patients remain a major global healthcare challenge, often resulting from inadequate discharge teaching, poor self-management understanding, and fragmented continuity of care. Evidence shows that comprehensive nurse-led discharge education significantly improves adherence to treatment regimens, medication management, and recognition of early symptom exacerbation. This research examines the effectiveness of structured discharge teaching provided by nurses in reducing 30-day readmission rates among elderly patients with chronic illnesses. The research evaluates the content, clarity, and delivery method of discharge instructions and measures patient comprehension through validated assessment tools. A quasi-experimental approach was used to compare outcomes between patients receiving standard discharge instructions and those receiving enhanced nurse-led teaching supported by individualized reinforcement strategies. Findings indicate that patients exposed to structured discharge teaching demonstrated markedly better medication adherence, improved follow-up compliance, and lower incidence of complication-driven readmissions. The research highlights the critical role nurses play in creating a safe transition from hospital to home, emphasizing the value of communication, patient engagement, and health-literacy-based teaching strategies. Strengthening discharge education frameworks within hospitals can substantially reduce avoidable readmissions, enhance patient safety, and support better long-term health outcomes for elderly populations.