Inclusion Criteria:  Eligible participants are patients acutely admitted to G-OUH, residents in Odense Municipality, and discharged to own home with the need of home care for personal care. Incapacitated patients, e.g., patients with a diagnosis of dementia or symptoms of cognitive impairment due to delirium, are not excluded a priori, as they represent some of the most vulnerable geriatric patients. (See also point 12 in this document)  Exclusion Criteria:  Excluded from the study are patients discharged to nursing homes or a skilled nursing facility. Terminally ill patients with an anticipated short life expectancy are also excluded.