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Early outcomes after hip fracture among women discharged home and to nursing homes
Author(s) -
Williams Margaret A.,
Oberst Marilyn T.,
Bjorklund Barry C.
Publication year - 1994
Publication title -
research in nursing and health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.836
H-Index - 85
eISSN - 1098-240X
pISSN - 0160-6891
DOI - 10.1002/nur.4770170305
Subject(s) - medicine , hip fracture , mood , nursing homes , distress , hospital discharge , patient discharge , physical therapy , activities of daily living , nursing , medline , psychiatry , clinical psychology , intensive care medicine , osteoporosis , political science , law , endocrinology
In a prospective design, early outcomes after hip fracture were compared in three groups of formerly community‐living women: those discharged home from the hospital ( n = 58), those discharged to a nursing home (NH) and staying there ≤ 1 month ( n = 23), and those staying > 1 month ( n = 39). Data were collected on mobility and mood states prior to hospital discharge and at 2,8, and 14 weeks. Overall recovery ratings were obtained at the latter three times; readiness for discharge from hospital and nursing home also was examined. The short‐stay group did as well in regaining mobility as the home‐discharge group and both rated their overall recovery similarly. Affective mood distress was associated with discharge destination site. The short‐stay NH group had a greater proportionate lack of designated caregivers than either of the other two groups. Research is needed to identify features of nursing homes as well as characteristics of patients that contribute to positive outcomes in the large number of hip fracture patients currently discharged to these institutions.