Which factor contributes to poor outcomes for older adults during transitions of care? (Select all that apply.)

A. Lack of desire to comply with discharge instructions Low motivation or cognitive impairment may result in poor adherence to care plans, increasing rehospitalization risk. B. Inadequate financial resources to purchase medications Cost barriers lead to medication nonadherence, worsening chronic conditions post-discharge. C. High levels of nurse-patient engagement This is beneficial, not a contributing factor to poor outcomes. High engagement improves care transitions. D. Improved medication reconciliation during hospitalization This is a protective factor that helps prevent medication errors during transitions. E. Inability to read and understand discharge instructions Low health literacy results in misunderstanding care plans, which leads to complications or readmission.