Risks Perceived by Frail Male Patients, Family Caregivers and Clinicians in Hospital: Do they Change after Discharge? A Multiple Case Study
References
- Fried, LP, Ferrucci, L, Darer, J, Williamson, JD and Anderson, G. Untangling the concepts of disability, frailty, and comorbidity: Implications for improved targeting and care. The Journals of Gerontology Series A, Biological Sciences and Medical Sciences, 2004; 59(3): 255–63. DOI: 10.1093/gerona/59.3.M255
- Joosten, E, Demuynck, M, Detroyer, E and Milisen, K. Prevalence of frailty and its ability to predict in hospital delirium, falls, and 6-month mortality in hospitalized older patients. BMC Geriatrics, 2014; 14(1). DOI: 10.1186/1471-2318-14-1
- Wiles, JL, Leibing, A, Guberman, N, Reeve, J and Allen, RE. The meaning of “aging in place” to older people. The Gerontologist, 2011; 52(3): 357–66. DOI: 10.1093/geront/gnr098
- Covinsky, KE, Palmer, RM, Fortinsky, RH, Counsell, SR, Stewart, AL, Kresevic, D, et al. Loss of independence in activities of daily living in older adults hospitalized with medical illnesses: Increased vulnerability with age. Journal of the American Geriatrics Society, 2003; 51(4): 451–8. DOI: 10.1046/j.1532-5415.2003.51152.x
- Wu, HY, Sahadevan, S and Ding, YY. Factors associated with functional decline of hospitalised older persons following discharge from an acute geriatric unit. Annals of Academic Medicine Singapore, 2006; 35(1): 17–23.
- Timmer, AJ, Unsworth, CA and Taylor, NF. Rehabilitation interventions with deconditioned older adults following an acute hospital admission: A systematic review. Clinical Rehabilitation, 2014; 28(11): 1078–86. DOI: 10.1177/0269215514530998
- Bowles, KH, Hanlon, A, Holland, D, Potashnik, SL and Topaz, M. Impact of discharge planning decision support on time to readmission among older adult medical patients. Professional Case Management, 2014; 19: 29–38. DOI: 10.1097/01.PCAMA.0000438971.79801.7a
- Greenwald, JL, Denham, CR and Jack, BW. The hospital discharge: A review of a high risk care transition with highlights of a reengineered discharge process. Journal of Patient Safety, 2007; 3(2): 97–106. DOI: 10.1097/01.jps.0000236916.94696.12
- Douglas, A, Letts, L, Eva, K and Richardson, J. Measurement of harm outcomes in older adults after hospital discharge: Reliability and validity. Journal of Aging Research, 2012; 7. DOI: 10.1155/2012/150473
- Meyer, OL, Sisco, SM, Harvey, D, Zahodne, LB, Glymour, MM, Manly, JJ, et al. Neighborhood predictors of cognitive training outcomes and trajectories in ACTIVE. Research on Aging, 2017; 39(3): 443–67. DOI: 10.1177/0164027515618242
- Yeh, C. Fostering a new (more self-empowering) world view on aging. Generations, 2015; 39(1): 10–4.
- Hunter, T, Nelson, JR and Birmingham, J. Preventing readmissions through comprehensive discharge planning. Professional Case Management, 2013; 18(2): 56–63. DOI: 10.1097/NCM.0b013e31827de1ce
- Sheridan, E, Thompson, C, Pinheiro, T, Robinson, N, Davies, K and Whitmore, N. Optimizing transitions of care – hospital to community. Healthcare Quality, 2017; 20(1): 45–9. DOI: 10.12927/hcq.2017.25135
- Shepperd, S, Parkes, J, McClaran, J and Phillips, C. Discharge planning from hospital to home (Review). Cochrane Database of Systematic Reviews, 2004; 1. DOI: 10.1002/14651858.CD000313.pub2
- Provencher, V, Demers, L, Gagnon, L and Gelinas, I. Impact of familiar and unfamiliar settings on cooking task assessments in frail older adults with poor and preserved executive functions. International Psychogeriatrics, 2012; 24(5): 775–83. DOI: 10.1017/S104161021100216X
- Ramsdell, J, Jackson, J, Guy, H and Renvall, M. Comparison of clinic-based home assessment to a home visit in demented elderly patients. Alzheimer Disease & Associated Disorders, 2004; 18(3): 145–53. DOI: 10.1097/01.wad.0000137863.90007.ec
- Campbell, AJ and Buchner, DM. Unstable disability and the fluctuations of frailty. Age and Ageing, 1997; 26(4): 315–18. DOI: 10.1093/ageing/26.4.315
- Inouye, SK, Zhang, Y, Han, L, Leo-Summers, L, Jones, R and Marcantonio, E. Recoverable cognitive dysfunction at hospital admission in older persons during acute illness. Journal of General Internal Medicine, 2006; 21(12): 1276–81. DOI: 10.1111/j.1525-1497.2006.00613.x
- Andreasen, J, Lund, H, Aadahl, M and Sorensen, EE. The experience of daily life of acutely admitted frail elderly patients one week after discharge from the hospital. International Journal of Qualitative Studies on Health and Well-being, 2015; 10: 1. DOI: 10.3402/Fqhw.v10.27370
- Bauer, M, Fitzgerald, L and Koch, S. Hospital discharge as experienced by family carers of people with dementia: A case for quality improvement. Journal for Healthcare Quality, 2011; 33(6): 9–16. DOI: 10.1111/j.1945-1474.2011.00122.x
- Depalma, G, Xu, H, Covinsky, KE, Craig, BA, Stallard, E, Thomas, J, et al. Hospital readmission among older adults who return home with unmet need for ADL disability. Gerontologist, 2013; 53(3): 454–61. DOI: 10.1093/geront/gns103
- Boockvar, KS, Litke, A, Penrod, JD, Halm, EA, Morrison, RS, Silberzweig, SB, et al. Patient relocation in the 6 months after hip fracture: Risk factors for fragmented care. Journal of the American Geriatrics Society, 2004; 52(11): 1826–31. DOI: 10.1111/j.1532-5415.2004.52512.x
- He, S, Craig, BA, Xu, H, Covinsky, KE, Stallard, E, Thomas, J, et al. Unmet need for ADL assistance is associated with mortality among older adults with mild disability. The Journals of Gerontology Series A, Biological Sciences and Medical Sciences, 2015; 70(9): 1128–32. DOI: 10.1093/gerona/glv028
- Proot, IM, Crebolder, HF, Abu-Saad, HH, Macor, TH and Ter Meulen, RH. Stroke patients’ needs and experiences regarding autonomy at discharge from nursing home. Patient Education and Counseling, 2000; 41(3): 275–83. DOI: 10.1016/S0738-3991(99)00113-5
- Nygard, N, Grahn, U and Rudenhammer, A. Reflecting on practice: Are home visits prior to discharge worthwhile? Scandinavian Journal of Caring Sciences, 2000; 18: 183–203.
- Tardif, I and Fleury, FC.
Activités liées au congé dans la trajectoire de services pour les aînés en soins postaigus – Recension des écrits. [Activities related to discharge in the service trajectory for seniors in post-acute care – A literature review] . Longueuil: Agence de santé et des services sociaux de la Montérégie; 2013. [in French]. - Raymond, MH, Demers, L and Feldman, DE. Waiting list management practices for home-care occupational therapy in the province of Quebec, Canada. Health and Social Care in the Community, 2016; 24(2): 154–64. DOI: 10.1111/hsc.12195
- Cain, CH, Neuwirth, E, Bellows, J, Zuber, C and Green, J. Patient experiences of transitioning from hospital to home: An ethnographic quality improvement project. Journal of Hospital Medicine, 2012; 7(5): 382–87. DOI: 10.1002/jhm.1918
- Kangovi, S, Grand, D, Meehan, P, Mitra, N, Shannon, R and Long, JA. Perceptions of readmitted patients on the transition from hospital to home. Journal of Hospital Medicine, 2012; 7(9): 709–12. DOI: 10.1002/jhm.1966
- Giroux, D, Tétreault, S and Langlois, L.
Présentation d’un modèle décisionnel concernant l’aptitude d’une personne âgée atteinte de déficits cognitifs à gérer sa personne et ses biens. [Presentation of a decision-making model concerning the ability of an elderly person with cognitive deficits to manage his person and his property.] . La Revue francophone de gériatrie et de gérontologie, 2012; XIX(186): 224–36 Tome. [in French]. - Giosa, JL, Stolee, P, Dupuis, SL, Mock, SE and Santi, SM. An examination of family caregiver experiences during care transitions of older adults. Canadian Journal on Aging, 2014; 33(2): 137–53. DOI: 10.1017/S0714980814000026
- Mockford, C. A review of family carers’ experiences of hospital discharge for people with dementia, and the rationale for involving service users in health research. Journal of Healthcare Leadership, 2015; 7: 21–8. DOI: 10.2147/JHL.S70020
- Naylor, M, Stephens, C, Bowles, KH and Bixby, MB. Cognitively impaired older adults: From hospital to home. American Journal of Nursing, 2005; 105(2): 52–61. DOI: 10.1097/00000446-200502000-00028
- Shyu, YI. The needs of family caregivers of frail elders during the transition from hospital to home: A Taiwanese sample. Journal of Advanced Nursing, 2000; 32(3): 619–25. DOI: 10.1046/j.1365-2648.2000.01519.x
- Yin, RK.
Case study research design and methods (5th ed.) Thousand Oaks, CA: Sage; 2014. - Dubuc, N, Hébert, R, Desrosiers, J, Buteau, M and Trottier, L. Disability-based classification system for older people in integrated long-term care services: The Iso-SMAF profiles. Archives of Gerontology and Geriatrics, 2006; 42: 191–206. DOI: 10.1016/j.archger.2005.07.001
- Hébert, R, Carrier, R and Bilodeau, A. The functional autonomy measurement system (SMAF): Description and validation of an instrument for the measurement of handicaps. Age and Ageing, 1988; 17(5): 293–302. DOI: 10.1093/ageing/17.5.293
- Hébert, R, Guilbeault, J, Desrosiers, J and Dubuc, N. The functional autonomy measurement system (SMAF): A clinical-based instrument for measuring disabilities and handicaps in older people. Geriatrics Today: Journal of Canadian Geriatrics Society, 2001; 4: 141–47.
- Desrosiers, J, Bravo, G, Hébert, R and Dubuc, N. Reliability of the revised functional autonomy measurement system (SMAF) for epidemiological research. Age and Ageing, 1995; 24: 402–06. DOI: 10.1093/ageing/24.5.402
- Rockwood, K, Song, X, MacKnight, C, Bergman, H, Hogan, DB, McDowell, I, et al. A global clinical measure of fitness and frailty in elderly people. Canadian Medical Association Journal, 2005; 173(5): 489–95. DOI: 10.1503/cmaj.050051
- Kohlbacher, F. The use of qualitative content analysis in case study research. Forum: Qualitative Social Research, 2006; 7(1):
Art. 21 . - MacLeod, H and Stadnyk, R. Risk: ‘I know it when I see it’: How health and social practitioners defined and evaluated living at risk among community-dwelling older adults. Health, Risk & Society, 2015; 17: 46–63. DOI: 10.1080/13698575.2014.999749
- Allen, J, Hutchinson, AM, Brown, R and Livingston, PM. Discharge planning of stroke patients: The relatives’ perceptions of participation. Journal of Clinical Nursing, 2009; 18(6): 857–65. DOI: 10.1111/j.1365-2702.2008.02600.x
- Bauer, M, Fitzgerald, L, Haesler, E and Manfrin, M. Hospital discharge planning for frail older people and their family. Are we delivering best practice? A review of the evidence. Journal of Clinical Nursing, 2009; 18(18): 2539–46. DOI: 10.1111/j.1365-2702.2008.02685.x
- Fitzgerald, L, Bauer, M, Koch, S and King, S. Hospital discharge: Recommendations for performance improvement for family carers of people with dementia. Australian Health Review, 2011; 35(3): 364–70. DOI: 10.1071/AH09811
- Ohta, B, Mola, A, Rosenfeld, P and Ford, S. Early discharge planning and improved care transitions: Pre-admission assessment for readmission risk in an elective orthopedic and cardiovascular surgical population. International Journal of Integrated Care, 2016; 16(2): 10. DOI: 10.5334/Fijic.2260
- Chappell, NL, Dujela, C and Smith, A. Spouse and adult child differences in caregiving burden. Canadian Journal on Aging, 2014; 33(4): 462–72. DOI: 10.1017/S0714980814000336
- Bonin-Guillaume, S, Durand, AC, Yahi, F, Curiel-Berruyer, M, Lacroix, O, Cretel, E, et al. Predictive factors for early unplanned rehospitalization of older adults after an ED visit: Role of the caregiver burden. Aging Clinical and Experimental Research, 2015; 27(6): 883–91. DOI: 10.1007/s40520-015-0347-y
- Toye, C, Parsons, R, Slatyer, S, Aoun, SM, Moorin, R, Osseiran-Moisson, R, et al. Outcomes for family carers of a nurse-delivered hospital discharge intervention for older people (the Further Enabling Care at Home Program): Single blind randomised controlled trial. International Journal of Nursing Studies, 2016; 64: 32–41. DOI: 10.1016/j.ijnurstu.2016.09.012
- Pinkart, M and Sorensen, S. Helping caregiver s of persons with dementia: Which interventions work and how large are their effects? International Psychogeriatrics, 2006; 18(4): 577–95. DOI: 10.1017/S1041610206003462
- Culo, S. Risk assessment and intervention for vulnerable older adults. BC Medical Journal, 2011; 53(8): 421–25.
- Egan, MY, Laliberte Rudman, D, Ceci, C, Kessler, D, McGrath, C, Gardner, P, et al. Seniors, risk and rehabilitation: Broadening our thinking. Disability and Rehabilitation, 2017; 39(13): 1348–55. DOI: 10.1080/09638288.2016.1192227
- Wallace, A, Papke, T, Davisson, E, Spooner, K and Gassman, L. Provider opinions and experiences regarding development of a social support assessment to inform hospital discharge: The going home toolkit. Professional Case Management, 2017; 22(5): 214–27. DOI: 10.1097/NCM.0000000000000234
- Almborg, AH, Ulander, K, Thulin, A, Berg, S and Baker, GR. Enhancing the continuum of care. Report of the Avoidable Hospitalization Advisory Panel. Submitted to the Ministry of Health and Long-Term Care; 2011.
- Hesselink, G, Flink, M, Olsson, M, Barach, P, Dudzik-Urbaniak, E, Orrego, C, et al. Are patients discharged with care? A qualitative study of perceptions and experiences of patients, family members and care providers. BMJ Quality & Safety, 2012; 21(Suppl 1): i39–49. DOI: 10.1136/bmjqs-2012-001165
- Durocher, E and Gibson, BE. Navigating ethical discharge planning: A case study in older adult rehabilitation. Australian Occupational Therapy Journal, 2010; 57: 2–7. DOI: 10.1111/j.1440-1630.2009.00826.x
- Werner, P, Goldstein, D, Karpas, DS, Chan, L and Lai, C. Help-seeking for dementia: A systematic review of the literature. Alzheimer Disease & Associated Disorders, 2014; 28(4): 299–310. DOI: 10.1097/WAD.0000000000000065
- Levine, C and Lee, T. “I Can Take Care of Myself!” Patients’ Refusals of Home Health Care Services. A report from a roundtable sponsored by United Hospital Fund and the Alliance for Home Health Quality and Innovation; 2017.
- Topaz, M, Kang, Y, Holland, D, Ohta, B, Rickar, K and Bowles, KH. Higher 30-day and 60-day readmission among patients who refuse post-acute care services. American Journal of Managed Care, 2015; 21(5): 424–33.
- Mukherjee, D. Discharge decisions and the dignity of risk. Hastings Center Report, 2015; 45(3): 7–8. DOI: 10.1002/hast.441
- Zainal, Z. Case study as a research method. Jurnal Kemanusiaan, 2007; 9: 6.
- Lang, A, Macdonald, MT, Storch, J, Stevenson, L, Mitchell, L, Barber, T, et al. Researching triads in home care: Perceptions of safety from home care clients, their caregivers, and providers. Home Health Care Management Practice, 2014; 26: 59–71. DOI: 10.1177/1084822313501077
DOI: https://doi.org/10.5334/ijic.4166 | Journal eISSN: 1568-4156
Language: English
Submitted on: Mar 29, 2018
Accepted on: Feb 6, 2019
Published on: Feb 18, 2019
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year
Keywords:
© 2019 Véronique Provencher, Monia D'Amours, Chantal Viscogliosi, Manon Guay, Dominique Giroux, Véronique Dubé, Nathalie Delli-Colli, Hélène Corriveau, Mary Egan, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.