Article

OBJECTIVE: To explore the perceptions of being discharged home following lower
limb orthopaedic surgery in older adults. METHODS: Qualitative interviews with 11
patients over the age of 65 years were conducted between 6 and 12 weeks
afterdischarge home and analysed using interpretative phenomenological analysis
(IPA). RESULTS: Three themes were identified from analysis of the participants'
experiences of rehabilitation during the 6-12 weeks following discharge: (i) lack
of a shared decision on when to go home; (ii) dependent on family to go home and
to feel confident there; and (iii) trial and error rehabilitation.A further
theme: a paternalistic medical model was also identified in participants'
experiences of contact with health professionals. CONCLUSION: Participants had
positive experiences of being discharged home from hospital. However, few
participants played an active role in their discharge, all required the support
of family to go home, and many were left unsure of how and when to return to
usual activities. A paternalistic medical model was apparent. Family support, not
without costs,was integral to discharge and rehabilitation at home.

Langue : ANGLAIS