| |
Centre for Policy on Ageing | |
 | |
|
| Mediators of marginalisation in discharge planning with older adults | | Author(s) | Evelyne Durocher, Barbara E Gibson, Susan Rappolt |
| Journal title | Ageing and Society, vol 37, no 9, October 2017 |
| Publisher | Cambridge University Press, October 2017 |
| Pages | pp 1747-1769 |
| Source | http://www.cambridge.org/aso |
| Keywords | Discharge [hospitals] ; Planning [admin] ; Rehabilitation ; Qualitative Studies ; Canada. |
| Annotation | Returning home or moving to a more supportive setting on discharge from inpatient health-care services can have a tremendous impact on the lives of older adults and their families. Institutional concerns with patient safety and expedience can overshadow health-care professionals' commitments to collaborative discharge planning. In light of many competing demands and agendas, it can be unclear what is driving discharge planning processes and outcomes. This paper presents the results of a study examining discharge planning in an older adult rehabilitation unit in a Canadian urban setting. Using micro-ethnographic case studies, the authors explored the perspectives of older adults, family members and health-care professionals. Drawing on concepts of relational autonomy to guide the analysis, they found that discourses of ageing-as-decline, beliefs privileging health-care professionals' expertise and conventions guiding discharge planning intersected to marginalise older patients in discharge planning decision making. Discharge planning in the research setting was driven by norms of `protecting physical safety' at the expense of older adults' self-declared interests and values. Such practices resulted in frequent recommendations of 24-hour care, which have significant personal, social and financial implications for older adults and their families, and ultimately might undermine clients' or health-care systems' aims. The analysis revealed social, political and institutional biases that diminish older people's rights and autonomy. (RH). |
| Accession Number | CPA-171017001 A |
| Classmark | LD:QKJ: QA6: LM: 3DP: 7S |
Data © Centre for Policy on Ageing |
|
| ...from the Ageinfo database published by Centre for Policy on Ageing. |
| |
|