title: Older adults' experiences regarding discharge from hospital following orthopaedic intervention: a metasynthesis.
abstract: OBJECTIVE
  To identify and synthesise qualitative literature on the older adults' perspectives of being discharged from hospital following orthopaedic intervention.
  
  
  METHODS
  A systematic search of nine databases, for qualitative research published between 1950 and December 2010, exploring the lived experience of older adults being discharged from hospital following orthopaedic surgery was undertaken. Included papers were evaluated using the Critical Appraisal Skills Programme (CASP) quality guidelines. Data were extracted and themes synthesised, using an EXCEL spreadsheet to assist with organisation of data.
  
  
  RESULTS
  From the 16 papers included in the review, four themes were identified: 1) mental outlook; 2) loss of independence; 3) function and activity limitations; and 4) coping with pain. Mental outlook was central to the other three themes.
  
  
  CONCLUSIONS
  Older adults' experiences around hospital discharge, collected through qualitative research, provide health authorities with valuable information that could be used in care pathway planning. Health professionals involved in in-patient and community care should be aware that a perceived loss of independence, function and activity limitations, and the ability to cope with pain can influence mental outlook and consequently rehabilitation.
authors: Centre for Physiotherapy Research, University of Otago, New Zealand. meredith.perry@otago.ac.nz
authors: Meredith A
authors: MA
authors: Perry
authors: H Sheena
authors: HS
authors: Hudson
authors: Shane
authors: S
authors: Meys
authors: Olivia
authors: O
authors: Norrie
authors: Thomas
authors: T
authors: Ralph
authors: Shane
authors: S
authors: Warner
mesh_terms: D000203:Activities of Daily Living; D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D006761:Hospitals; D006801:Humans; D019637:Orthopedic Procedures / Q000534:rehabilitation*; D010351:Patient Discharge; D010465:Perception; D011788:Quality of Life