Not Quite Seamless: Transitions between Home and Inpatient Hospice
| Autor: | Mary Ersek, Neville E. Strumpf, Frances K. Barg, Susan Lysaght Hurley |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Adult
Male Patient Transfer Health Knowledge Attitudes Practice medicine.medical_specialty Nursing Staff Hospital Care setting New england Nursing New England Humans Medicine Patient transfer General Nursing Hospice care Aged Aged 80 and over Inpatients business.industry Family caregivers digestive oral and skin physiology Original Articles General Medicine Continuity of Patient Care Middle Aged Home Care Services Hospice Care Anesthesiology and Pain Medicine Caregivers Socioeconomic Factors Family medicine Female business Attitude to Health |
| Zdroj: | Journal of Palliative Medicine. 17:428-434 |
| ISSN: | 1557-7740 1096-6218 |
| DOI: | 10.1089/jpm.2013.0359 |
| Popis: | Background: Although most hospice care occurs in the home, a growing number of patients utilize inpatient hospice settings. An inpatient hospice stay requires one or more transitions in care settings, although little is known about these transitions. Objective/Design: Using ethnographic methods, this study examined the beliefs and practices of older adults, their caregivers, and hospice interdisciplinary team (IDT) members surrounding transitions between home and inpatient hospice. Setting/Subjects: Data collection took place over 11 months in a large not-for-profit hospice agency in the northeast. Data were collected through 18 observations and 38 semistructured interviews with patients, family caregivers, and hospice IDT members. Results: Transitions from home to inpatient hospice centered on three processes: developing a plan for future needs, identifying triggers that signaled increased needs for care, and navigating through phases of increased care. Patients, family caregivers, or IDT members identified triggers for more care, and actions were taken to respond in the home care setting. Challenges to these actions occurred in many phases of care and when needs were ultimately unable to be addressed at home, patients were transferred to inpatient hospice. Conclusions: Understanding how care planning, increased needs, and phases of care influence decisions about transitioning patients to inpatient hospice can guide IDT members in minimizing transitions and providing a more seamless continuum of hospice care. |
| Databáze: | OpenAIRE |
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