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Geriatr Nurs. 2018 Jan - Feb;39(1):103-111. doi: 10.1016/j.gerinurse.2017.07.005. Epub 2017 Aug 12.

Post-hospitalization experiences of older adults diagnosed with diabetes: "It was daunting!"

Author information

1
University of Central Florida, College of Nursing, 12201 Research Parkway, Orlando, FL, 32826, USA. Electronic address: jacqueline.lamanna@ucf.edu.
2
University of Central Florida, College of Nursing, 1200 Speedway Blvd, Daytona Beach, FL, 32114, USA. Electronic address: angeline.bushy@ucf.edu.
3
University of Central Florida, School of Social Work, 12805 Pegasus Drive, Orlando, FL, 32816-3358, USA. Electronic address: denise.gammonley@ucf.edu.

Abstract

Multimorbidity combined with geriatric syndromes in older adults with diabetes exacerbate their risks for poor post-discharge outcomes. The purpose of this study was to examine self-described hospital-to-home transition challenges encountered by older adults with a diagnosis of diabetes within the first 30 days following discharge. The qualitative responses for this paper emerged from a larger mixed methods study (n = 96) in which participants provided free responses specifying transition challenges during follow-up telephone interviews on the 7th day (n = 67) and 30th day (n = 55) post-discharge. Using inductive content analysis techniques four major themes emerged: a) "The daily stuff is difficult"; b) engineering care at home is complex; c) "life is very difficult"; and d) managing complex health problems is difficult. Findings suggest existing system-level metrics such as readmission rates fail to capture the complex and dynamic interplay of personal, family and social factors which complicate hospital-to-home transitions of older adults with pre-existing diabetes.

KEYWORDS:

Care transition; Diabetes; Multimorbidity; Older adults; Post-discharge coping

PMID:
28807456
DOI:
10.1016/j.gerinurse.2017.07.005
[Indexed for MEDLINE]

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