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Related Experiment Videos

Discharge planning for elderly patients

M A Rosswurm1, D M Lanham

  • 1Center for Nursing Research, Camcare Health Education and Research Institute, Charleston, WV 25304, USA.

Journal of Gerontological Nursing
|September 15, 1998
PubMed
Summary
This summary is machine-generated.

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Elderly patients often need help with daily tasks after hospitalization. A specialized discharge plan improved identification of home care needs for older adults, reducing readmissions.

Area of Science:

  • Gerontology
  • Health Services Research
  • Nursing

Background:

  • Elderly patients face complex health issues and functional limitations.
  • These factors increase risks during hospitalization and complicate discharge planning.
  • Effective identification of home care needs is crucial for this population.

Purpose of the Study:

  • To evaluate a discharge planning protocol's effectiveness in identifying home care needs for elderly patients.
  • To compare a nurse/social worker team-led protocol with usual discharge planning.

Main Methods:

  • Quasi-experimental study with 507 hospitalized patients aged 65+.
  • Experimental group used an adapted Discharge Planning Questionnaire (DPQ) by nurse/social worker teams.
  • Control group received standard discharge planning.

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  • Telephone surveys assessed post-discharge health problems and resource use at 30 days.

    • Main Results:

    • Most elderly patients exhibited functional dependencies requiring assistance with daily activities, especially ambulation.
    • Functionally dependent patients received home care referrals only about 50% of the time.
    • Increased functional dependency and post-discharge problems correlated with higher rehospitalization and emergency department use.

    Conclusions:

    • Comprehensive functional assessment is vital in discharge planning for elderly patients.
    • Nurse/social worker teams can effectively screen and coordinate home care during discharge.
    • Physician involvement and robust communication networks are essential for optimal outcomes.