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Planning for a Safe Discharge: More Than a Capacity Evaluation.

Publication ,  Journal Article
Wong, SP; Sharda, N; Zietlow, KE; Heflin, MT
Published in: J Am Geriatr Soc
April 2020

Discharge decision making for hospitalized older adults can be a complicated process involving functional assessments, capacity evaluation, and coordination of resources. Providers may feel pressured to recommend that an older adult with complex care needs be discharged to a skilled nursing facility rather than home, potentially contradicting the patient's wishes. This can lead to a professional and ethical dilemma for providers, who value patient autonomy and shared decision making. We describe a discharge decision-making framework focused on interprofessional evaluation and management, longitudinal follow-up, and education and support for patients and families. By gathering and synthesizing information, eliciting goals and preferences, and identifying community resources, the healthcare team can help maximize independence for vulnerable older adults. J Am Geriatr Soc 68:859-866, 2020.

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Published In

J Am Geriatr Soc

DOI

EISSN

1532-5415

Publication Date

April 2020

Volume

68

Issue

4

Start / End Page

859 / 866

Location

United States

Related Subject Headings

  • Patient-Centered Care
  • Patient Preference
  • Patient Discharge
  • Male
  • Humans
  • Geriatrics
  • Geriatric Assessment
  • Female
  • Decision Making
  • Aged, 80 and over
 

Citation

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Wong, S. P., Sharda, N., Zietlow, K. E., & Heflin, M. T. (2020). Planning for a Safe Discharge: More Than a Capacity Evaluation. J Am Geriatr Soc, 68(4), 859–866. https://doi.org/10.1111/jgs.16315
Wong, Serena P., Neema Sharda, Kahli E. Zietlow, and Mitchell T. Heflin. “Planning for a Safe Discharge: More Than a Capacity Evaluation.J Am Geriatr Soc 68, no. 4 (April 2020): 859–66. https://doi.org/10.1111/jgs.16315.
Wong SP, Sharda N, Zietlow KE, Heflin MT. Planning for a Safe Discharge: More Than a Capacity Evaluation. J Am Geriatr Soc. 2020 Apr;68(4):859–66.
Wong, Serena P., et al. “Planning for a Safe Discharge: More Than a Capacity Evaluation.J Am Geriatr Soc, vol. 68, no. 4, Apr. 2020, pp. 859–66. Pubmed, doi:10.1111/jgs.16315.
Wong SP, Sharda N, Zietlow KE, Heflin MT. Planning for a Safe Discharge: More Than a Capacity Evaluation. J Am Geriatr Soc. 2020 Apr;68(4):859–866.
Journal cover image

Published In

J Am Geriatr Soc

DOI

EISSN

1532-5415

Publication Date

April 2020

Volume

68

Issue

4

Start / End Page

859 / 866

Location

United States

Related Subject Headings

  • Patient-Centered Care
  • Patient Preference
  • Patient Discharge
  • Male
  • Humans
  • Geriatrics
  • Geriatric Assessment
  • Female
  • Decision Making
  • Aged, 80 and over