title: Hospital discharge of patients with disabling neurological injury: necessary referrals to rehabilitation.
abstract: The present qualitative study was conducted in the second semester of 2014 via interviews with 12 doctors and 13 nurses working as managers at a large hospital that serves as a reference center for urgent and emergent care in the Zona da Mata region of Minas Gerais State, Brazil. The study sought to identify the criteria that doctors and nurses use to discharge individuals with disabling neurological injury with instructions related to accessing physical rehabilitation programs. Thematic content analysis was used to examine data. The results show that the participating hospital managers still have difficulties providing adequate referrals to specialized rehabilitation services and that their patients' autonomy and independence for self-care are impaired as a result. We concluded that in addition to involving relatives and other caregivers in the discharge of patients with a neurological injury that impairs their self-care abilities, managers should assess the accessibility of the patient's home and make adequate referrals to rehabilitation services in the community in light of the poor dispersal of information about what is available within the Care for People with Disability Network.
authors: Escola de Enfermagem Alfredo Pinto, Centro de Ciências Biológicas e da Saúde, Universidade Federal do Estado do Rio de Janeiro. R. Doutor Xavier Sigaud, Urca. 22290-180 Rio de Janeiro RJ Brasil. wilmachado@uol.com.br.
authors: Wiliam César Alves
authors: WC
authors: Machado
authors: Escola de Enfermagem Alfredo Pinto, Centro de Ciências Biológicas e da Saúde, Universidade Federal do Estado do Rio de Janeiro. R. Doutor Xavier Sigaud, Urca. 22290-180 Rio de Janeiro RJ Brasil. wilmachado@uol.com.br.
authors: Vera Maria da
authors: VM
authors: Silva
authors: Escola de Enfermagem Alfredo Pinto, Centro de Ciências Biológicas e da Saúde, Universidade Federal do Estado do Rio de Janeiro. R. Doutor Xavier Sigaud, Urca. 22290-180 Rio de Janeiro RJ Brasil. wilmachado@uol.com.br.
authors: Rafael André da
authors: RA
authors: Silva
authors: Universidade Estadual de Roraima. Boa Vista RO Brasil.
authors: Ricardo Luiz
authors: RL
authors: Ramos
authors: Escola de Enfermagem Alfredo Pinto, Centro de Ciências Biológicas e da Saúde, Universidade Federal do Estado do Rio de Janeiro. R. Doutor Xavier Sigaud, Urca. 22290-180 Rio de Janeiro RJ Brasil. wilmachado@uol.com.br.
authors: Nébia Maria Almeida de
authors: NM
authors: Figueiredo
authors: Departamento de Enfermagem Fundamental, Escola de Enfermagem Anna Nery, Universidade Federal do Rio de Janeiro. Rio de Janeiro RJ Brasil.
authors: Elen Martins da Silva Castelo
authors: EM
authors: Branco
authors: Escola de Enfermagem Aurora Afonso Costa, Universidade Federal Fluminense. Niterói RJ Brasil.
authors: Luciana Krauss
authors: LK
authors: Rezende
authors: Escola de Enfermagem Alfredo Pinto, Centro de Ciências Biológicas e da Saúde, Universidade Federal do Estado do Rio de Janeiro. R. Doutor Xavier Sigaud, Urca. 22290-180 Rio de Janeiro RJ Brasil. wilmachado@uol.com.br.
authors: Mônica de Almeida
authors: MA
authors: Carreiro
mesh_terms: D000328:Adult; D000368:Aged; D004185:Disability Evaluation; D006233:Persons with Disabilities / Q000534:rehabilitation*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010351:Patient Discharge; D012017:Referral and Consultation; D020196:Trauma, Nervous System / Q000150:complications / Q000534:rehabilitation*