Mj. Bull, USE OF FORMAL COMMUNITY-SERVICES BY ELDERS AND THEIR FAMILY CAREGIVERS 2 WEEKS FOLLOWING HOSPITAL DISCHARGE, Journal of advanced nursing, 19(3), 1994, pp. 503-508
Early identification of elders who need care following hospitalization
might enhance their health and the health of family members who help
them with managing their care. The purpose of this study was to: (a) i
dentify pre-discharge predictors of resource use following hospitaliza
tion, (b) describe the formal community services used by elders and th
eir family caregivers during the 2 weeks following hospitalization; an
d (c) determine whether there is a difference in hospital re-admission
s between elders who receive community nursing services compared with
those who do not receive any services. The sample consisted of 185 eld
er/caregiver dyads in which the elders were hospitalized for an acute
episode of a chronic condition. Both patients and family caregivers we
re inter-viewed before discharge and 2 weeks post-discharge. The findi
ngs indicate that pre-discharge functional ability and age are statist
ically significant predictors of home care services used 2 weeks post-
discharge. The findings also suggest that elders who receive visiting
nurse services are less likely to be re-admitted to the hospital.