Experiences of elderly patients concerning discharge from hospital

Abstract

Summary • Problems surrounding the discharge of patients from hospital have been well-documented in the research literature and highlighted in recent Audit Commission reports. • The need for effective discharge planning and post-discharge support is increasing as lengths of stay in hospital continue to fall. • Elderly patients are in particular need of well-planned discharge. • This paper reports the findings of an exploratory study in which elderly patients were interviewed before and after discharge from hospital. • Three main problem areas which were identified are discussed: — lack of preparation for discharge; — difficulties in managing at home after discharge; — limited provision of health and social services in the post-discharge period. • It is suggested that nurses are in a key position to improve discharge planning and procedures for patients (particularly the elderly) returning home from hospital.