Transitional care and empowerment of the older adult

Geriatr Nurs. 2019 Mar-Apr;40(2):148-153. doi: 10.1016/j.gerinurse.2018.07.005. Epub 2018 Aug 31.

Abstract

Older adults with complex comorbidities are at risk for challenges that compromise their post-discharge safety at home. A growing body of evidence suggests that post-hospitalization outcomes for vulnerable elders can be improved by interventions that encourage patient empowerment. The purpose of this pilot project was to determine if an individualized transition intervention would improve patient empowerment 30days after home discharge following an acute illness. Through individualized interaction with an advanced practice nurse, a sample of 25 elder patients was encouraged to acquire the knowledge and confidence to advocate for their needs after discharge from a subacute facility. Pre and post-intervention patient empowerment was measured through the Senior Empowerment and Advocacy in Patient Safety survey. Quantitative data from this study provided evidence to support the benefit of transition care in enhancing patient empowerment. The data generated by this project will add to the existing body of evidence on transitional care.

Keywords: Empowerment; Home discharge; Older adults; Transition care.

MeSH terms

  • Aged
  • Female
  • Home Care Services*
  • Humans
  • Male
  • Patient Discharge*
  • Patient Participation / psychology*
  • Patient Safety
  • Pilot Projects
  • Self Care
  • Surveys and Questionnaires
  • Transitional Care*