Search results for ‘Subject term:"older people"’ Sort:
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When it's time to go home
- Author:
- SHEPHERD Eileen
- Journal article citation:
- Nursing Times, 23.8.01, 2001, pp.22-23.
- Publisher:
- Nursing Times
Sending a patient home from hospital without the right support can be costly in human and financial terms. Looks at the importance of proper discharge planning, particularly for older people.
In and out of hospital: a practical guide to discharge and care of older persons
- Author:
- Positive Publications
- Publisher:
- Positive Publications
- Publication year:
- 1997
- Pagination:
- 26p.
- Place of publication:
- London
Guidance on avoiding unnecessary re-admission to hospital of older people. Contains sections on: past problems; developing teamwork; preparing discharge from hospital; preparing the care plan; and returning home from hospital.
Racial differences in discharge planning
- Authors:
- MORROW-HOWELL Nancy, et al
- Journal article citation:
- Health and Social Work, 21(2), May 1996, pp.131-139.
- Publisher:
- Oxford University Press
Given previously reported findings of racial differences in elderly people's use of posthospital care, this article focuses on discharge planning processes as explanations of differential service utilisation. The authors studied the discharge plans for African American and white elderly patients and examined options pursued for posthospital care by social workers, patients, and families for evidence of racial differences. They also looked for racial differences in ruling out nursing home care for reasons of patient and family preference. Implications for practice and future research are discussed.
Discharge planning: a management challenge
- Author:
- LAING Barbara
- Publisher:
- Social Care Association
- Publication year:
- 1995
- Pagination:
- 31p.,bibliog.
- Place of publication:
- Surbiton
Paper exploring the research relating to discharge planning, the components of good practice, and the benefit to patients and hospitals of well managed discharges and service delivery. The organisational implications of effecting discharge planning and afercare are also considered.
Discharge planning: a report by the Working Group on Acute Beds and the Elderly
- Author:
- GREAT BRITAIN. Scottish Office. Health Policy and Public Health Directorate. Working Group on Acute Beds and the Elderly
- Publisher:
- Great Britain. Scottish Office
- Publication year:
- 1995
- Pagination:
- 19p.
- Place of publication:
- Edinburgh
Report stressing the importance of discharge planning for older hospital patients and the need for interagency working.
Patient and family involvement in discharge planning
- Authors:
- KADUSHIN Goldie, KULYS Regina
- Journal article citation:
- Journal of Gerontological Social Work, 22(3/4), 1994, pp.171-199.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Social workers regard patient involvement in discharge planning as desirable both from a value and clinical perspective. The value perspective is based on the principle of patient autonomy and self determination and the clinical perspective suggests an association between a sense of environmental control and enhanced physical and mental health. Discusses the levels of family and patient involvement in discharge planning and the factors which complicate the ability of social workers to implement this ideal in practice.
Time to go home
- Authors:
- BUCK Madeleine, MILLS Ann
- Journal article citation:
- Nursing Times, 12.10.88, 1988, pp.42-43.
- Publisher:
- Nursing Times
Discharge planning begins at admission at an accident emergency ward.
Participation of elderly patients in discharge planning : is self-determination a reality
- Author:
- ABRAMSON Julie S.
- Journal article citation:
- Social Work: A journal of the National Association of Social Workers (NASW), 33(5), 1988, pp.443-448.
- Publisher:
- Oxford University Press
Literature review and report on a case-study.
Stockport: local system review report
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2018
- Pagination:
- 54
- Place of publication:
- London
This report is one of 20 targeted reviews of local authority areas looking specifically at how older people move through the health and social care system, with a focus on how services work together. It reviews how the system functions within and across three key areas: maintaining the wellbeing of a person in their usual place of residence, crisis management and step down, return to usual place of residence and/or admission to a new place of residence. The review found Stockport had a well-defined strategic vision for health and social care, with the five main health and social care organisations in Stockport working in partnership through the ‘Stockport Together programme’. It found examples of good initiatives to meet people’s needs and prevent admission to hospital, such as the Neighbourhood Care Model, a multi-disciplinary approach to case management incorporating GP support. It also found a commitment from all levels of staff to provide person-centred care, reduce isolation and to empower people to make decisions about their care and support needs. However, older people requiring emergency hospital admission could experience waits in A&E and were more likely to remain in hospital longer than required, often due to a shortage of homecare packages or the availability of residential care. There were also significant pressures in recruiting and retaining a sufficient workforce. Recommendations include: that care home and home care providers are better involved in the planning of hospital discharges; that the system should embed the High Impact Change model to reduce the need for people to remain in hospital longer than necessary; and for independent adult social care providers to be included in the development of the workforce strategy, to improve recruitment and retention. (Edited publisher abstract)
Hospital discharge planning: carrying out orders?
- Author:
- MOODY Harry R.
- Journal article citation:
- Journal of Gerontological Social Work, 43(1), 2004, pp.107-117.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Social workers working in hospital discharge planning face recurrent conflicts between patients' rights and the pressures of managed care. What should professionals do when confronted with orders that violate their conscience even where they do not violate the law? Exemptions for hardship or religious identity may or may not provide a basis for case-by-case decision-making. When confronted by ethical conflicts, discharge planners may be tempted to manipulate diagnostic categories in order to prolong a hospital stay. A better approach is to change policy at the institutional level so that professionals are not faced with a choice between sacrificing themselves or following ethical standards as patients prepare to leave the hospital. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580)