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Area of Science:

  • Gerontology
  • Health Management
  • Sociology of Health

Background:

  • Limited understanding of older adults' self-management processes post-hospitalization.
  • Few studies explore this transition from the older individual's perspective.

Purpose of the Study:

  • To explore self-management processes in older individuals during the first 30 days post-hospital discharge.
  • To understand the meaning-making and actions of older adults in managing their health after hospitalization, guided by symbolic interactionism.

Main Methods:

  • Employed a collective, instrumental case study approach.
  • Utilized data from interviews, participant diaries, and researcher field notes.
  • Developed a composite case (Mrs. C) representing the phenomenon.

Main Results:

  • The study focused on three women aged 75+, hospitalized for at least 24 hours.
  • Mrs. C's experience revealed management of autonomy, activity, attitude, health, and relationships.
  • Identified three phases: returning home, adjusting, and the evolved normal within 30 days post-discharge.

Conclusions:

  • Returning home post-hospitalization is a process taking approximately one month to establish new routines.
  • Findings offer insights into the experiences of older adults during the critical 30-day post-discharge period.
  • Supports existing research on hospitalization and chronic health problem self-management.