The future administration of the National Health Service.
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Biomedical subjects
Publications and source records attributed to M Macmillan.
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This paper is based on data collected from 326 elderly patients recruited in the course of a descriptive study of discharge planning in eight acute medical and surgical wards of a large teaching hospital. Evidence suggested various areas with potential for improved documentation: particularly the need for more detailed recording of baseline information about physical and mental abilities; housing; community services used; and involvement of the carers on whom the elderly patients relied. The study highlights the need to obtain, early on, full and accurate information to facilitate timely and effective discharge planning.
The second paper in a series describes the work of the Nursing Research Unit at the University of Edinburgh studying discharge planning for older patients going home from acute hospital care is described. Data were collected on the views and experiences of 326 patients aged 75 years and over and 117 of their carers. Ward sisters also completed questionnaires about ward structures and processes relating to discharge planning. Problems typical of those reported in previous similar studies were found.