On the threshold: older people's concerns about needs after discharge from hospital.
Discharge from hospital is often strenuous for older people and requires adjustments from living an independent life to being in need of care and support. This study aims to explore older people's concerns about their needs after discharge. Twenty-seven observations recorded at hospital discharge planning meetings were analysed with content analysis. An overarching theme emerged: being in a life transition, which reflected the older person's vulnerable and ambiguous situation in the discharge process. The theme was developed from three categories: obtaining a secure life situation, need of continuous care and support, and influencing and regaining independence. The findings highlight that older patients want to influence their care after discharge. They strive to regain independence and express their concerns about how to obtain a secure life situation through care organised to fit their individual needs. Knowledge about older people's concerns is important for healthcare providers and social workers involved in planning and individualised care and services.
Institute of Gerontology, School of Health Sciences, Jönköping University, Jönköping, Sweden.
Felicia
F
Gabrielsson-Järhult
Division of Community Medicine, Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.
Per
P
Nilsen
D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D003266:Continuity of Patient Care; D005260:Female; D006301:Health Services Needs and Demand; D006779:Hospitals, Public; D006801:Humans; D008297:Male; D010351:Patient Discharge; D013548:Sweden
care pathways; clinical decision-making; communication; discharge planning; elder care; patient participation