Discharge of Hospitalized Elderly

Naylor (1990, p. 156) adequately described the situation characterizing the discharge of many hospitalized elderly as a process that leads to undesirably high levels of rehospitalization, intensified physical and emotional stress for both patients and caregivers, and increased care costs. Naylor (1990, p. 156) cited quantitative data to support the assertions made in the review of literature.

Naylor (1990, p. 156) also presented information in the review of literature suggesting that a major cause of the undesirable outcomes associated with the discharge of so many of the hospitalized elderly lies in the low priority placed on discharge planning by most health care professionals. Data were presented indicating that such discharge planning is often absent even in the case of highrisk patients who clearly meet hospital guidelines indicating that such planning should occur.

The literature review develops a logical argument for the existence of a situation that supports to the stated purpose of the pilot study reported in the article. The stated purpose of the article was to "examine the effects of a comprehensive discharge planning protocol implemented by a gerontological nurse specialist as compared to the hospital's general discharge planning procedure" (Naylor, 1990, p. 156).

. . .
rch results in the article indicated that rehospitalization was, if not a primary basis for the assessment of postdischarge morbidity, at least an intervening variable, affecting the assessment of postdischarge morbidity within the contexts of mental status and functional status. Design Naylor's (1990, p. 157) research design included a sample of 40 hospitalized elderly persons (70 years old or older) who otherwise met the study criteria and were both alert and oriented at the time of admission. These 40 persons were placed (by random assignment) into control and experimental groups, each consisting of 20 subjects. Both the control and the experimental groups received all of the components of the hospital's general discharge planning procedure. Additionally, the experimental groups also received "the comprehensive discharge planning protocol developed specifically for the elderly and implemented by a gerontological nurse specialist" (Naylor, 1990, p. 57). The two groups were then compared within the contexts of the variables under study. ReferenceNaylor, Mary D. (1990). Comprehensive discharge planning for hospitalized elderly: A pilot study. Nursing Research, 39(3), 156161. DISCHARGE PLANNING FOR HOSPITALIZED ELDER
. . .

Some common words found in the essay are:
Questions Neither, Collection Methods, Sample Precise, Literature Naylor, Terms Definitions, Framework Naylor, Scale Naylor, Design Naylor's, Analysis Data, Questionnaire Naylor, naylor 1990, discharge planning, 1990 157, naylor 1990 157, 1990 158, naylor 1990 158, postdischarge morbidity, nurse specialist, hospital's discharge planning, implemented gerontological, planning procedure, discharge planning procedure, gerontological nurse, hospital's discharge, implemented gerontological nurse,
Approximate Word count = 2152
Approximate Pages = 9 (250 words per page)