The patient's experience of early discharge following total hip replacement

Reay, Penelope A.; Horner, Barbara; Duggan, Ravani

doi:10.1016/j.ijotn.2015.02.003

Cited by 27 publications

(87 citation statements)

References 39 publications

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“…Other patients had a variety of health problems, including diabetes, kidney disease, gastro-intestinal and neurological problems and cancerPerry et al (2011)[11]New ZealandSemi-structured interviews/interpretative phenomenological analysis8 Women3 MenAge range: 66–88Mean age 76.3 yearsAt home approx. 6 weeks after discharge from hospitalOrthopaedic lower limb surgeryReay et al (2015)[39]AustraliaSemi-structured interviews/Giorgi’s phenomenological method6 Women4 MenAge range: not statedMean age: not statedAt home approx. 3 weeks after dischargeTotal hip replacement surgeryRydeman et al (2008)[42]SwedenSemi-structured interviews/grounded theory7 Women10 MenAge range: 65–91Mean age: 79 yearsAt home 4–8 weeks after discharge from hospital4 Infection4 Heart problems1 Rheumatic disease3 Intestinal problems1 Dehydration1 Fracture1 Pneumonia stroke1 IntoxicationSlatyer et al (2013)[37]AustraliaSemi-structured interviews/thematic content analysis6 Women6 MenAge range: 72–91Mean age: 81.6 yearsAt home within 28 days of discharge (after readmission to hospital)Breathing, gastric, renal or cardiovascular problems; falls; or chest pain7…”

Section: Resultsmentioning

confidence: 99%

“…Numerous studies reported that the participants were keen to return home to the security of their own environment, which was associated with recovery, independence and personal control [11, 15, 37–39, 43]. However, adaptation to daily life after discharge from the hospital was seen by many of the participants as a real challenge [5, 13, 15, 30, 38–40, 43], as cooking, dressing, bathing and other daily activities were difficult to manage immediately after discharge [5, 11, 15, 30, 38, 39, 43]. Health problems, such as tiredness, pain and lack of appetite, also caused distress [5, 30, 43].…”

Section: Resultsmentioning

confidence: 99%

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Older persons’ experiences of adapting to daily life at home after hospital discharge: a qualitative metasummary

Hestevik

Molin

Debesay

et al. 2019

BMC Health Serv Res

110

142

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Background Researchers have shown that hospitalisation can decrease older persons’ ability to manage life at home after hospital discharge. Inadequate practices of discharge can be associated with adverse outcomes and an increased risk of readmission. This review systematically summarises qualitative findings portraying older persons’ experiences adapting to daily life at home after hospital discharge. Methods A metasummary of qualitative findings using Sandelowski and Barroso’s method. Data from 13 studies are included, following specific selection criteria, and categorised into four main themes. Results Four main themes emerged from the material: (1) Experiencing an insecure and unsafe transition, (2) settling into a new situation at home, (3) what would I do without my informal caregiver? and (4) experience of a paternalistic medical model. Conclusions The results emphasise the importance of assessment and planning, information and education, preparation of the home environment, the involvement of the older person and caregivers and supporting self-management in the discharge and follow-up care processes at home. Better communication between older persons, hospital providers and home care providers is needed to improve the coordination of care and facilitate recovery at home. The organisational structure may need to be redefined and reorganised to secure continuity of care and the wellbeing of older persons in transitional care situations. Electronic supplementary material The online version of this article (10.1186/s12913-019-4035-z) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Older persons’ experiences of adapting to daily life at home after hospital discharge: a qualitative metasummary

Hestevik

Molin

Debesay

et al. 2019

BMC Health Serv Res

110

142

View full text Add to dashboard Cite

show abstract

“…These included the need to take more notice of patient’s own perception of when they are ready for discharge, the need for increased formal support on discharge especially for the “older old” and those facing deteriorating life-limiting conditions, and improved partnership working between patients, their family and carers, and health and social care professionals. This applied both pre and post discharge [33–36] and views appear to have changed little over time.…”

Section: Discussionmentioning

confidence: 99%

Hearing the voices of older adult patients: processes and findings to inform health services research

et al. 2019

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Plain English summary Whilst Patient and Public Involvement and Engagement (PPIE) are widely regarded as critical to developing clinical research, there is a perception that older adults may not be able to contribute and there is less emphasis on gaining a wide range of opinions before developing research questions or projects; for example an organisational change. This PPIE initiative used three PPIE processes including existing panels and wider networking to access older adults in the community who had used the hospital services and been discharged. Older adults expressed a range of views about their experience of discharge planning and this provided an important perspective on patients’ research priorities associated with their personal independence. Efforts were taken to ensure representative views across a cross section of the population. As a result of this initial PPIE, a permanent, co-ordinated ‘elders’ panel has been established to ensure a representation of older adult views for research, service development and evaluation. This panel has permanent, fully supported members who provide reflection and feedback on any projects and programmes relating to older people’s services in the City. Abstract Background Clinical academic research and service improvement is planned using Patient and Public Involvement and Engagement (PPIE) but older PPIE participants are consulted less often due to the perception that they are vulnerable or hard to engage. Objectives To consult frail older adults about a recently adopted service, discharge to assess (D2A), and to prioritise services improvements and research topics associated with the design and delivery of discharge from hospital. To use successive PPIE processes to enable a permanent PPIE panel to be established. Participants Following guidance from an established hospital PPI panel 27 older adult participants were recruited. Participants from Black, Asian and Minority Ethnic (BAME) communities, affluent and non-affluent areas and varied social circumstances were included. Methods Focus groups and individual interviews were conducted in participants own homes or nearby social venues. Results Priorities for discharge included remaining independent despite often feeling lonely at home; to remain in hospital if needed; and for services to ensure effective communication with families. The main research priority identified was facilitating independence, whilst establishing a permanent PPIE panel involving older adults was viewed favourably. Conclusions Taking a structured approach to PPIE enabled varied older peoples’ voices to express their priorities and concerns into early discharge from hospital, as well as enabling the development of health services research into hospital discharge planning and management. Older people as participants identified research...

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“…22 Total kalça protezi uygulanan hastaların taburculuk sonrası deneyimlerinin araştırıldığı bir çalışmada, bireylerin taburculuk sonrası evde bakım gereksinimlerinin yeterince değerlendirilmediği ve bu nedenle hayal kırıklığı, terk edilmişlik, sosyal izolasyon ve yalnızlık duyguları yaşadıkları belirlenmiştir. 10 Yapılan benzer çalışmalarda da total kalça protezi takılan hastaların bağımlı olma nedeniyle rol performansında değişim, evin bakımını sağlamada yetersizlik ve depresyon yaşadığı bildirilmektedir. 21,22 Bu çalışmada da literatürü destekler nitelikte bireyin TKP kaynaklı sosyal izolasyon ve rol performansında değişim, modifiye radikal mastektomi kaynaklı ise beden imajında bozulma yaşadığı belirlendi.…”

Section: Değerlendirmeunclassified

Home Care of Elderly Women with Total Hip Prosthesis

Türk

Gürler

2020

Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi

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Bu çalışmada femur kırığı nedeniyle total kalça protezi takılan yaşlı bir kadının Roper Logan Tierney Günlük Yaşam Aktiviteleri Modeline göre evde bakım gereksinimlerinin değerlendirilmesi ve bu gereksinimlere yönelik uygun girişimlerin planlanması amaçlandı. Bu çalışma bir olgu sunumudur. Total kalça protezi ameliyatı sonrası günlük yaşam aktivitelerinde yarı bağımlı olan birey yalnız yaşamakta ve evde bakım gereksinimlerini karşılayamamaktadır. Yapılan değerlendirmede bireye, günlük yaşam aktivitelerini yerine getirmede yetersizlik, konstipasyon, bilgi eksikliği, akut ağrı, uyku örüntüsünde bozulma, aktivite intoleransı, beden gereksiniminden az beslenme, sosyal izolasyon, beden imajında bozulma, rol performansında değişim, düşme ve venöz tromboemboli riski hemşirelik tanıları konuldu ve bu tanılara yönelik hemşirelik girişimleri uygulandı. Olgudan elde edilen veriler doğrultusunda Roper Logan Tierney Günlük Yaşam Aktiviteleri Modeli'nin günlük yaşam aktivitelerinde zorlanan yaşlı bireyin ameliyat sonrası evde bakım gereksinimlerinin belirlenmesi ve karşılanmasında yararlı bir model olduğu belirlendi.

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The patient's experience of early discharge following total hip replacement

Cited by 27 publications

References 39 publications

Older persons’ experiences of adapting to daily life at home after hospital discharge: a qualitative metasummary

Older persons’ experiences of adapting to daily life at home after hospital discharge: a qualitative metasummary

Hearing the voices of older adult patients: processes and findings to inform health services research

Home Care of Elderly Women with Total Hip Prosthesis

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