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Hospital discharge for frail older people: a literature review with practice case studies
Author(s)Patricia Taraborrelli, Fiona Wood, Michael Bloor
Corporate AuthorSocial Research Unit, School of Social and Administrative Studies, University of Wales Cardiff; Central Research Unit, Scottish Office
PublisherThe Stationery Office, Edinburgh, 1998
Pages79 pp
SourceThe Stationery Office Bookshop, 71 Lothian Road, Edinburgh EH3 9AZ.
KeywordsDischarge [hospitals] ; Literature reviews ; Case studies ; Scotland.
AnnotationThis report, commissioned by the Social Work Research Branch, Central Research Unit, Scottish Office, assesses the actual and potential contribution of current UK and European research to approaches to discharge of frail older people (including those with dementia) from acute, geriatric and psychogeriatric wards. The literature is discussed under four headings: pre-admission; following admission; preparing for the return home; and future research. These sections reflect the chronology of discharge planning which should begin prior to admission. While broad agreement was found within the literature on many aspects of discharge practice, weaknesses identified in methodology lead to suggestions for further research. Case studies of four Scottish NHS Trusts indicate diversity in discharge arrangements, reflecting both local diversity in the needs of frail older users, and local differences in the pace of development of discharge policies. A number of innovative local discharge arrangements were in place in some trusts working with other agencies; but problems with funding, and lack of communication or involvement with other key personnel were also identified. (RH).
Accession NumberCPA-980903251 P
ClassmarkLD:QKJ: 64A: 69P: 9A

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