The patient's experience of early discharge following total hip replacement

Background: Strategies within the public health system to curtail costs, increase efficiency and service utilisation have resulted in reduced hospital stays following elective orthopaedic procedures. Although there are advantages that support the concept of early discharge from hospital, very little...

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Main Authors: Reay, P., Horner, B., Duggan, Ravani
Format: Journal Article
Published: Elsevier Ltd 2015
Online Access:http://hdl.handle.net/20.500.11937/54546
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author Reay, P.
Horner, B.
Duggan, Ravani
author_facet Reay, P.
Horner, B.
Duggan, Ravani
author_sort Reay, P.
building Curtin Institutional Repository
collection Online Access
description Background: Strategies within the public health system to curtail costs, increase efficiency and service utilisation have resulted in reduced hospital stays following elective orthopaedic procedures. Although there are advantages that support the concept of early discharge from hospital, very little is known about how patients manage the transition from hospital to home. Aim: The aim of this qualitative study was to describe the post-discharge experience of elderly patients following primary total hip replacement (THR). Methods: Ten patients, six women and four men, provided descriptions of their experience. Data were collected by face-to-face interviews and the analysis process was based on Giorgi's phenomenological scientific methodology (Giorgi, 1994, 1997, 2000). Results: The analysis of the data resulted in four themes, namely; an inadequate assessment of suitable adaptive aids and personal needs; personal frustration; coping with the physical and mobility and limited social interaction. Conclusion: Findings from this study demonstrated a need to review the discharge process and implement strategies to prepare patients for the stressors that the participants in this study encountered as a result of their early discharge.
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spelling curtin-20.500.11937-545462017-11-16T07:13:07Z The patient's experience of early discharge following total hip replacement Reay, P. Horner, B. Duggan, Ravani Background: Strategies within the public health system to curtail costs, increase efficiency and service utilisation have resulted in reduced hospital stays following elective orthopaedic procedures. Although there are advantages that support the concept of early discharge from hospital, very little is known about how patients manage the transition from hospital to home. Aim: The aim of this qualitative study was to describe the post-discharge experience of elderly patients following primary total hip replacement (THR). Methods: Ten patients, six women and four men, provided descriptions of their experience. Data were collected by face-to-face interviews and the analysis process was based on Giorgi's phenomenological scientific methodology (Giorgi, 1994, 1997, 2000). Results: The analysis of the data resulted in four themes, namely; an inadequate assessment of suitable adaptive aids and personal needs; personal frustration; coping with the physical and mobility and limited social interaction. Conclusion: Findings from this study demonstrated a need to review the discharge process and implement strategies to prepare patients for the stressors that the participants in this study encountered as a result of their early discharge. 2015 Journal Article http://hdl.handle.net/20.500.11937/54546 10.1016/j.ijotn.2015.02.003 Elsevier Ltd restricted
spellingShingle Reay, P.
Horner, B.
Duggan, Ravani
The patient's experience of early discharge following total hip replacement
title The patient's experience of early discharge following total hip replacement
title_full The patient's experience of early discharge following total hip replacement
title_fullStr The patient's experience of early discharge following total hip replacement
title_full_unstemmed The patient's experience of early discharge following total hip replacement
title_short The patient's experience of early discharge following total hip replacement
title_sort patient's experience of early discharge following total hip replacement
url http://hdl.handle.net/20.500.11937/54546