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Transferring from an acute hospital and settling into a subacute facility: the experience of patients with dementia

Digby, Robin, Moss, Cheryle and Bloomer, Melissa 2012, Transferring from an acute hospital and settling into a subacute facility: the experience of patients with dementia, International journal of older people nursing, vol. 7, no. 1, pp. 57-64, doi: 10.1111/j.1748-3743.2011.00282.x.

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Title Transferring from an acute hospital and settling into a subacute facility: the experience of patients with dementia
Author(s) Digby, Robin
Moss, Cheryle
Bloomer, MelissaORCID iD for Bloomer, Melissa
Journal name International journal of older people nursing
Volume number 7
Issue number 1
Start page 57
End page 64
Total pages 8
Publisher Wiley
Place of publication London, Eng.
Publication date 2012-03
ISSN 1748-3735
Keyword(s) acute hospital
qualitative research
subacute hospital
Summary Background.  In a Melbourne metropolitan health network, patients with dementia can have difficulty settling into a subacute rehabilitation facility after transfer from the acute hospital.

Aims and objectives.  To understand how older patients with mild to moderate dementia experienced the transfer from acute to subacute care and settling-in period.

Design.  A descriptive design was used. Eight patients with mild to moderate dementia were recruited, one to 5 days after transfer.

Method.  A qualitative method using in-depth interviews was used. The data were analysed using content analysis.

Results.  Four main themes were identified: ‘Settling into a new environment’, ‘staff attitudes to people with dementia’, ‘loss of control’ and ‘family support’.

Conclusions.  Person-centred care that comes from the perspective of respect for the individual transcends all these issues. People with dementia require more support to settle after transfer. Family involvement can assist in facilitating a smooth transition.

Implications for practice.  Nurses who understand the specific needs of patients with dementia can develop ways of working with patients to ensure person-centred care. More conversations with people with dementia are needed to investigate how this can be achieved. Orientation procedures should ensure that support for people with dementia is optimized during the settling-in phase.
Language eng
DOI 10.1111/j.1748-3743.2011.00282.x
Field of Research 1110 Nursing
111099 Nursing not elsewhere classified
Socio Economic Objective 920210 Nursing
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2012, Wiley
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Document type: Journal Article
Collection: School of Nursing and Midwifery
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