'What should I do when I get home?' treatment plan discussion at discharge between specialist physicians and older in-patients: mixed method study

Autor: Tahreem Ghazal Siddiqui, Socheat Cheng, Marte Mellingsæter, Ramune Grambaite, Pål Gulbrandsen, Christofer Lundqvist, Jennifer Gerwing
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: BMC Health Services Research, Vol 20, Iss 1, Pp 1-11 (2020)
Druh dokumentu: article
ISSN: 1472-6963
DOI: 10.1186/s12913-020-05860-9
Popis: Abstract Background During discharge from hospital, older patients and physicians discuss the plan for managing patients’ health at home. If not followed at home, it can result in poor medication management, readmissions, or other adverse events. Comorbidities, polypharmacy and cognitive impairment may create challenges for older patients. We assessed discharge conversations between older in-patients and physicians for treatment plan activities and medication information, with emphasis on the role of cognitive function in the ongoing conversation. Methods We collected 11 videos of discharge consultations, medication lists, and self-reported demographic information from hospitalised patients ≥65 years at the Geriatric department in a general hospital. Mini Mental State Examination score
Databáze: Directory of Open Access Journals
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