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Updated: May 28, 2026

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
Promoting readiness for discharge for long-term state hospital residents
Kelley Gamble1, Stephenie Abate, Michael Seibold
1Alternatives, Whitinsville, MA 01588, USA. Kelley.Gamble@alternativesnet.org
Objective:
This project was designed to increase readiness for change for long-stay state hospital residents who were unwilling to move to the community.
Methods:
Project staff designed customized strategies to build relationships, increase awareness of personal and environmental influences on deciding if, when, and where to relocate, and increase commitment to making a change.
Results:
Of 10 participants, eight successfully relocated to the community in less than two years.
Conclusion And Implications For Practice:
Readiness development strategies designed specifically for individuals can be effective in facilitating change. Staff expertise in readiness assessment and creativity in designing interventions, as well as staff commitment to this program, were critical to success.
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