Hospital Discharge Of Elderly Patients: Needs And Challenges Of Continuity Of Care [alta Hospitalar De Pacientes Idosos: Necessidades E Desafios Do Cuidado Contínuo]

Hospital discharge of elderly patients: Needs and challenges of continuity of care. In Brazil the growth of longevity has increased the prevalence of chronic diseases, which can cause functional dependency and require repeated hospitalizations. Specifically, this research aimed at understanding and analyzing the perception of the elderly on hospital discharge defined as hospital-domicile transition. Th e sample consisted of 30 elderly patients admitted to a public hospital. Before discharge (hospital) and after (home), the Patient Continuity of Care Questionnaire was applied, translated and adapted. Th ere was a significant correlation among subscales. Th e results reaffirmed the importance of planning and coordinating the hospital discharge to ensure continuity of care and provide comprehensive care in the field of elderly health. It is recommended to validate the instrument adopted in order to facilitate multicenter studies.193227236Araujo, T.C.C.F., Comunicação em saúde: Contribuições do enfoque observacional para pesquisa e atuação (2009) Arquivos Brasileiros de Psicologia, 61 (2), pp. 1-13. , http://pepsic.bvsalud.org/scielophp?script=sci_arttext&pid=S1809-52672009000200008&lng=pt&tlng=ptAraujo, T.C.C.F., A ética do cuidado (2013) 9°. Simpósio de Psicologia Hospitalar em Hematologia, , novembro. H. B. C. Chiattone (Org.), Simpósio realizado durante o Congresso Brasileiro de Hematologia, Hemoterapia e Terapia Celular, Brasília, DFBenzar, E., Hansen, L., Kneitel, A.H., Fromme, E.K., Discharge planning for palliative care patients: A qualitative analysis (2011) Journal of Palliative Medicine, 14 (1), pp. 65-69Born, T., (2008) Cuidar melhor e evitar a violência - Manual do cuidador da pessoa idosa, , Brasília: Secretaria Especial dos Direitos Humanos, Subsecretaria de Promoção e Defesa dos Direitos HumanosCampos, G.W.S., Saúde pública e saúde coletiva: Campo e núcleo de saberes e práticas (2000) Sociedade e Cultura, 3, pp. 51-74Castro, E.A.P., Camargo Junior, K.R., Por uma etnografia dos cuidados de saúde após a alta hospitalar (2008) Ciência & Saúde Coletiva, 13, pp. 2075-2088Cavanaugh, J.C., Blanchard-Fields, F., (2012) Adult development and aging, , Wadsworth: Cengage LearningCoelho, A.R., A saída do sujeito sem alta médica: A discussão sobre a autonomia e a postura do profissional psicólogo (2002) Psicologia: Ciência e Profissão, 22 (3), pp. 38-45Coelho Filho, J.M., Saúde do idoso (2012) Epidemiologia & Saúde, pp. 401-420. , M. Z. Rouquayrol & M. Gurgel (Orgs.), Rio de Janeiro: MedbookColeman, E.A., Boult, C., Improving the quality of transitional care for persons with complex care needs (2003) Journal American Geriatric Society, 51 (4), pp. 556-557Coleman, E.A., Parry, C., Chalmers, S., Min, S.-J., The care transitions intervention: Results of a randomized controlled trial (2006) Archives of Internal Medicine, 166 (25), pp. 1822-1828Conselho Federal de Psicologia (2011) Senhoras e senhores gestores da saú de, Como a Psicologia pode contribuir para o avanç o do SUS, , Brasília: CFPCunliffe, A.L., Gladman, J.R.F., Husbands, S.L., Miller, P., Dewey, M.E., Harwood, R.H., Sooner and healthier: A randomised controlled trial and interview study of an early discharge rehabilitation service for older people (2004) Age and Ageing, 33 (3), pp. 246-252Dantas, R.A.S., Stuchi, R.A.G., Rossi, L.A., A alta hospitalar para familiares de pacientes com doença arterial coronariana (2002) Revista da Escola de Enfermagem da USP, 36 (4), pp. 345-350Field, A., (2009) Descobrindo a estatística usando o SPSS, , Porto Alegre: ArtmedGanzella, M., Zago, M.M.F., The hospital discharge as evaluated by patients and their caregivers: An integrative literature review (2008) Acta Paulista de Enfermagem, 21 (2), pp. 351-355García-Perez, L., Linertová, R., Lorenzo-Riera, A., Vázquez-Díaz, J.R., Duque-González, B., Sarría-Santamera, A., Risk factors for hospital readmissions in elderly patients: A systematic review (2011) QJM: An International Journal of Medicine, 104 (11), pp. 639-651Golden, A.G., Tewary, S., Dang, S., Ross, B.A., Care management's challenges and opportunities to reduce the rapid rehospitalization of frail community-dwelling older adults (2010) Gerontologist, 50 (4), pp. 451-458Grimmer, K., Moss, J., Falco, J., Experiences of elderly patients regarding independent community living after discharge from hospital: A longitudinal study (2004) International Journal for Quality in Health Care, 16 (6), pp. 465-472Gurung, R.A.R., (2010) Health psychology: A cultural approach, , (2a. ed.). Wadsworth: Cengage LearningHadjistavropoulos, H., Biem, H., Sharpe, D., Bourgault-Fagnou, M., Jazen, J., Patient perceptions of hospital discharge: Reliability and validity of a patient continuity of care questionnaire international (2008) Journal for Quality in Health Care, 20 (5), pp. 314-323Ho, S.C., Chan, A., Woo, J., Chong, P., Sham, P., Impact of caregiving on health and quality of life: A comparative population-based study of caregivers for elderly persons and noncaregivers (2009) Journal of Gerontology, 64 (8), pp. 873-879Huber, D.L., McClelland, E., Patient preferences and discharge planning transitions (2003) Journal of Professional Nursing, 19 (3), pp. 204-210(2008) Projeção da população do Brasil por sexo e idade: 1980-2050, , Rio de Janeiro: IBGE(2012) Indicadores sociodemográficos e de saúde no Brasil, , Rio de Janeiro: IBGEJack, B.W., Chetty, V.K., Anthony, D., Greenwald, J.L., Sanchez, G.M., Johnson, A.E., Culpepper, L., A Reengineered hospital discharge program to decrease hospital utilization: A randomized controlled trial (2009) Annals of Internal Medicine, 150 (3), pp. 178-187Koerner, S.S., Shirai, Y., Kenyon, D.B., Sociocontextual circumstances in daily stress reactivity among caregivers for elder relatives (2010) Journal of Gerontology: Psychological Sciences, 65 B (5), pp. 561-572Kripalani, S., Jackson, A.T., Schnipper, J.L., Coleman, E.A., Promoting effective transitions of care at hospital discharge: A review of key issues for hospitalists (2007) Journal of Hospital Medicine, 2, pp. 314-323Lannin, N.A., Clemson, L., McCluskey, A., Lin, C.-W., Cameron, I.D., Barras, S., Feasibility and results of a randomised pilot-study of pre-discharge occupational therapy home visits (2007) BioMed Central Health Services Research, 7 (42)Lebrão, M.L., Duarte, Y.A.O., Saúde e independência: Aspirações centrais para os idosos. Como estão sendo satisfeitas? (2007) Idosos no Brasil: Vivências, desafios e expectativas, pp. 191-208. , A. L. Neri (Org.), São Paulo: Fundação Perseu Abramo, Edições SESCMarin, M.J.S., Angerami, E.L.S., Avaliação da satisfação de um grupo de idosas e cuidadores com o planejamento de alta (2000) Revista Brasileira de Enfermagem, 53 (2), pp. 265-273McLeod, E., Bywaters, P., Tanner, D., Hirsch, M., For the sake of their health: Older service users' requirements for social care to facilitate access to social networks following hospital discharge (2008) British Journal of Social Work, 38, pp. 73-90(2006) Portaria n° 2.528, de 19 de outubro de 2006, , http://portal.saude.gov.br/portal/arquivos(2013) Portaria n°963 de 27 de maio de, 2013. , http://bvsms.saude.gov.br/bvs/saudelegis/gm/2013/prt0963_27_05_2013.htmlMoreira, J.O., Mudanças na percepção sobre o processo de envelhecimento: Reflexões preliminares (2012) Psicologia: Teoria e Pesquisa, 28 (4), pp. 451-456Odgen, J., (2004) Psicologia da Saúde, , Lisboa: Climepsi EditoresPearson, P., Procter, S., Wilcockson, J., Allgar, V., The process of hospital discharge for medical patients: A model (2004) Journal of Advanced Nursing, 46 (5), pp. 496-505Preen, D.B., Bailey, B.E.S., Wright, A., Kendall, P., Phillips, M., Hung, J., Williams, E., Effects of a multidisciplinary, post-discharge continuance of care intervention on quality of life, discharge satisfaction, and hospital length of stay: A randomized controlled (2005) International Journal for Quality in Health Care, 17 (1), pp. 43-51. , http://intqhc.oxfordjournals.org/content/17/1/43.fullQueiroz, E., Araujo, T.C.C.F., Trabalho em equipe: Um estudo multimetodológico em instituição hospitalar de reabilitação (2007) Interamerican Journal of Psychology, 41, pp. 221-230. , http://www.redalycorg/pdf/284/28441213.pdfQueiroz, E., Araujo, T.C.C.F., Trabalho de equipe em reabilitação: Um estudo sobre a percepção individual e grupal dos profissionais de saúde (2009) Paidéia, 19, pp. 177-183Robben, S., Kempen, J., Heinen, M., Zuidema, S., Rikkert, M.O., Schers, H., Melis, R., Preferences for receiving information among frail older adults and their informal caregivers: A qualitative study (2012) Family Practice, 29 (6), pp. 742-747Shu, C.-C., Hsu, N.-C., Lin, Y.-F., Wang, J.-Y., Lin, J.-W., Ko, W.-J., Integrated postdischarge transitional care in a hospitalist system to improve discharge outcome: An experimental study (2011) BioMed Central Medicine, 96 (9). , http://www.biomedcentral.com/1741-7015/9/96Shyu, Y.L., The needs of family caregivers of frail elders during the transition from hospital to home: A Taiwanese sample (2000) Journal of Advanced Nursing, 32 (3), pp. 619-625Silva, E.B.N., Neri, A.L., Bem estar e estresse em familiares que cuidam de idosos fragilizados e de alta dependência (2009) Qualidade de vida e idade madura, pp. 237-285. , A. L. Neri (Org.), Campinas: PapirusStaliano, P., Araujo, T.C.C.F., Coêlho, A.E.L., Práticas emergentes em psicologia: Atuação com agentes comunitários de saúde (2009) Psico, 40, pp. 473-477Steeman, E., Moons, P., Milisen, K., Bal, N., Geest, S., Froidmont, C., Abraham, I., Implementation of discharge management for geriatric patients at risk of readmission or institutionalization (2006) International Journal for Quality in Health Care, 18 (5), pp. 352-358. , http://intqhcoxfordjournals.org/content/18/5/352.fullStraub, R.O., (2014) Psicologia da Saúde, , Uma abordagem psicossocial (3a ed.). Porto Alegre: ArtmedTomura, H., Yamamoto-Mitani, N., Nagata, S., Murashima, S., Suzuki, S., Creating an agreed discharge: Discharge planning for clients with high care needs (2011) Journal of Clinical Nursing, 20, pp. 444-453van Walraven, C., Mamdani, M., Fang, J., Austin, P.C., Continuity of care and patient outcomes after hospital discharge (2004) Journal of General Internal Medicine, 19, pp. 624-631Vianna, L.G., Vianna, C., Bezerra, A.J.C., Relação médico-paciente idoso: Desafios e perspectivas (2010) Revista Brasileira de Educação Médica, 34 (1), pp. 150-15