Centre for Policy on Ageing
 

 

Hospital discharge into nursing home care
 — psychological reactions and contributing factors
Author(s)A Espejo, F Goudie, G Turpin
Journal titleAging & Mental Health, vol 3, no 1, February 1999
Pagespp 69-78
Sourcehttp://www.tandfonline.com
KeywordsDischarge [hospitals] ; Admission [nursing homes] ; Morale ; Adjustment ; Independence ; Social surveys ; Sheffield.
AnnotationTwo groups of older people were investigated within a hospital setting in Sheffield, a "care" group of 32 to be discharged into nursing home care, and a "home" group of 20 discharged to their own homes. The groups completed a series of standardised assessments and a semi-structured interview. Factors most significant for predicting going into "care" were lower levels of emotional support, being without a spouse and older, and having a lower level of functional ability. Compared to community norms, both groups demonstrated higher scores on the Hospital Anxiety and Depression Scale, and lower scores on the Philadelphia Geriatric Centre Morale Scale. There was some evidence to suggest that the "care" group was more clinically depressed and had lower morale. Interview data were categorised into six types of acceptance of the decision to go into care, and were associated with whether or not the person actually initiated the idea, and the level of emotional support received. Descriptive data regarding the most frequent concerns associated with discharge into nursing home care were also obtained. Overall, results were discussed with regard to factors relating to the decision to enter care, or how this acceptance might be enabled. (RH).
Accession NumberCPA-990607013 A
ClassmarkLD:QKJ: LHB:QKH: DQ: DR: C3: 3F: 85C

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