Age-related differences in perception of quality of discharge teaching and readiness for hospital discharge. Geriatr Nurs 2010;31(3):178-87
Date
06/08/2010Pubmed ID
20525522DOI
10.1016/j.gerinurse.2010.03.005Scopus ID
2-s2.0-77953537312 (requires institutional sign-in at Scopus site) 75 CitationsAbstract
Adults aged 65 and older account for one third of all hospitalizations in the United States.(1) Almost one fifth (19.6%) of Medicare beneficiaries discharged from an acute care hospital are readmitted within 30 days.(2) High readmission rates have been attributed to inadequate discharge preparation, lack of patient and family caregiver readiness, poor discharge transition coordination, and unsuccessful coping with the demands of daily living.(3-9) Discharge needs may be different for older adults than for the general population because of the increased likelihood of multiple comorbidities, illness-induced limitations, impaired mobility, fatigue, anxiety, cognitive impairment, hearing impairments, health literacy deficits, and living alone.(7,8,10-12) The purpose of this study was to investigate differences in perceptions of the quality of discharge teaching and readiness for hospital discharge and their relationship to postdischarge utilization of emergency department (ED) visits and readmissions across the older adult age spectrum. Of particular interest is the applicability of quality of discharge teaching and discharge readiness assessment tools for the older adult population.
Author List
Bobay KL, Jerofke TA, Weiss ME, Yakusheva OAuthors
Kathleen Bobay PhD Associate Professor in the Nursing department at Marquette UniversityMarianne Weiss DNSc Associate Professor in the College of Nursing department at Marquette University
MESH terms used to index this publication - Major topics in bold
Age FactorsAged, 80 and over
Clinical Competence
Female
Hospitalization
Humans
Male
Middle Aged
Patient Discharge
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