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Why older adults may decline offers of post-acute care services / Sefcik, Justine S. in Geriatric Nursing, Vol.38 No.3 (May-Jun) 2017 ([07/31/2017])
[article]
Title : Why older adults may decline offers of post-acute care services : A qualitative descriptive study Material Type: printed text Authors: Sefcik, Justine S., Author ; Nock, Rebacca H., Author ; Chase, Jo-Ana D., Author Publication Date: 2017 Article on page: p.238-243 Languages : English (eng) Original Language : English (eng)
in Geriatric Nursing > Vol.38 No.3 (May-Jun) 2017 [07/31/2017] . - p.238-243Keywords: Post-acute care service.Older adults.Qualitative research. Abstract: The most common post-acute care (PAC) services available to patients after hospital discharge include home care, skilled nursing facilities, nursing homes, inpatient rehabilitation, and hospice. Patients who need PAC and receive services have better outcomes, however almost one-third of those offered services decline. Little research exists on PAC decision-making and why patients may decline services. This qualitative descriptive study explored the responses of thirty older adults to the question: “Can you, from the patient point of view, tell me why someone would not want post hospital care?” Three themes emerged. Participants may decline due to 1) previous negative experiences with PAC, or 2) a preference to be home. Some participants stated, “I'd be there” and would not decline services. Participants also discussed 3) why other patients might decline PAC which included patients' past experiences, lack of understanding/preconceived ideas, and preferences. Clinical implications include assessing patients' knowledge and experience before providing recommendations. Link for e-copy: http://www.gnjournal.com/ Record link: http://libsearch.siu.ac.th/siu/opac_css/index.php?lvl=notice_display&id=27102 [article] Why older adults may decline offers of post-acute care services : A qualitative descriptive study [printed text] / Sefcik, Justine S., Author ; Nock, Rebacca H., Author ; Chase, Jo-Ana D., Author . - 2017 . - p.238-243.
Languages : English (eng) Original Language : English (eng)
in Geriatric Nursing > Vol.38 No.3 (May-Jun) 2017 [07/31/2017] . - p.238-243Keywords: Post-acute care service.Older adults.Qualitative research. Abstract: The most common post-acute care (PAC) services available to patients after hospital discharge include home care, skilled nursing facilities, nursing homes, inpatient rehabilitation, and hospice. Patients who need PAC and receive services have better outcomes, however almost one-third of those offered services decline. Little research exists on PAC decision-making and why patients may decline services. This qualitative descriptive study explored the responses of thirty older adults to the question: “Can you, from the patient point of view, tell me why someone would not want post hospital care?” Three themes emerged. Participants may decline due to 1) previous negative experiences with PAC, or 2) a preference to be home. Some participants stated, “I'd be there” and would not decline services. Participants also discussed 3) why other patients might decline PAC which included patients' past experiences, lack of understanding/preconceived ideas, and preferences. Clinical implications include assessing patients' knowledge and experience before providing recommendations. Link for e-copy: http://www.gnjournal.com/ Record link: http://libsearch.siu.ac.th/siu/opac_css/index.php?lvl=notice_display&id=27102