It should be understood that patients prescribed warfarin are at high risk of bleeding. According to Sanderson et al. (2009) “many patients were unable to link known risk factors contributing” to DVT to their therapist (p. 25). Although patients are admitted for major lower extremity surgeries, some of them also suffer from chronic illnesses, such as stroke, coronary heart disease, diabetes, heart disease, kidney disease and obesity and may follow a complex medication regimen. Therefore, these patients need a thorough understanding of detailed discharge education on medication regimen, side effects, and interactions to prevent them from suffering complications. Additionally, Campbell and Selton (2010) stated that patients generally misunderstand the interactions of certain vitamin K-rich foods with warfarin (p. 373). Most are unaware of the awareness and complications that vitamin K-rich foods bring to their current health status. Clients are also unaware of the need to adjust their warfarin dosage and monitor the international normalization ratio (INR) level. Although nurses provide prompt verbal instructions, such as informing patients to report immediately to the provider if they observe bruising on the skin, excessive bleeding from the gums, or blood in the urine, patients do not fully understand the danger of taking anticoagulant medications. Campbell and Selton (2010) explain that the education given to patients at discharge about the complications of warfarin is inadequate and that "non-compliance with prescribed medications and a simple lack of understanding of Coumadin treatment often results in early rehospitalization." time after release” (p. 374). The research further confirmed that since “the hemorrhagic transition... middle of article ......ing transition of geriatric patients from hospital to home: a prospective observational study. BMC Health Services Research, 10(1), 1.Nosbusch, JM, Weiss, ME, & Bobay, KL (2011). An integrated review of the literature on the challenges faced by acute care nurses in discharge planning. Journal of Clinical Nursing, 20(5‐6), 754–774.Reynolds, MAH (2009). Discharge teaching of postoperative pain management in a rural population. Pain Management Nursing, 10(2), 76-84.Is “relearning” associated with knowledge retention and hospital readmission among patients hospitalized for heart failure?White M. Garbez R. Carroll M . Brinker E. Howie-Esquivel J. Journal of Cardiovascular Nursing. 28(2):137-46, March-April 2013.[Journal article]UI: 22580624Authors' full name White, Matthew; Garbez, Roxanne; Carroll, Maureen; Brinker, Eileen; Howie-Esquivel, Jill.