Create a detailed scenario in which a patient with frequent re-admissions for Chronic Obstructive Pulmonary Disease (COPD) is successfully integrated into a care plan that exhibits continuity of care from admission to successful discharge to home with follow-up visits and monitoring. You are not allowed to simply agree or disagree in your responses to the initial postings. All responses must have evidence-based reasons why you agree or disagree and must be supported by research. At least one evidence-based article must be referenced.
