Family Caregiving During the Hospitalization of an Older Relative

Glose, Susan

doi:10.3928/00989134-20200129-04

Cited by 2 publications

(1 citation statement)

References 17 publications

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“…Hospitalized older people rely on family support for a multitude of needs including emotional support, physical comfort, and assisting with activities of daily living, and to monitor the care they are receiving. 8 Furthermore, a mutually beneficial partnership can form between the family and healthcare providers, aiding the recovery and outcomes for the patient. [9][10][11][12] Social connections involving family members help hospitalized older people feel supported.…”

Section: Introductionmentioning

confidence: 99%

COVID-19 and Elective Spine Surgery: The Older Persons' Experience of Going It Alone

Strayer

King

2023

Journal of Neuroscience Nursing

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BACKGROUND: Older people with debilitating degenerative spine disease may benefit from surgery. However, recovery is described as a circuitous process. In general, they describe feeling powerless and receiving depersonalized care during hospitalization. Institution of hospital no-visitor policies to reduce COVID-19 spread may have caused additional negative consequences. The purpose of this secondary analysis was to understand experiences of older people who underwent spine surgery during early COVID-19. METHODS: Grounded theory guided this study of people 65 years or older undergoing elective spine surgery. Fourteen individuals were recruited for 2 in-depth interviews at 2 time points: T1 during hospitalization and T2, 1 to 3 months post discharge. All participants were affected by pandemic-imposed restrictions with 4 interviews at T1 with no visitors, 10 with a 1-visitor policy, and 6 interviews at T2 rehabilitation setting with no visitors. Discriminate sampling of data in which participants described their experiences with COVID-19 visitor restrictions was used. Open and axial coding (consistent with grounded theory) was used for data analysis. RESULTS: Three categories, worry and waiting, being alone, and being isolated, emerged from the data. Participants had delays (waiting) in getting their surgery scheduled, which produced worry that they would lose more function, become permanently disabled, have increased pain, and experience more complications such as falls. Participants described being alone during their hospital and rehabilitation recovery, without physical or emotional support from family and limited nursing staff contact. Being isolated often occurred from institution policy, restricting participants to their rooms leading to boredom and, for some, panic. CONCLUSIONS: Restricted access to family after spine surgery and during recovery resulted in emotional and physical burden for participants. Our findings support neuroscience nurses advocating for family/care partner integration into patient care delivery and investigation into the effect of system-level policies on patient care and outcomes.

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Section: Introductionmentioning

confidence: 99%

COVID-19 and Elective Spine Surgery: The Older Persons' Experience of Going It Alone

Strayer

King

2023

Journal of Neuroscience Nursing

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Function-Focused Goal Attainment and Discharge Outcomes in Hospitalized Persons With Dementia

Boltz¹,

Monturo²,

Brockway³

et al. 2021

J Gerontol Nurs

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Hospitalized persons with dementia are at higher risk for functional decline and cognitive loss related to delirium. Family-centered, function-focused care (Fam-FFC) engages the family care partner in education and active participation in function-focused goal setting, implementation, and evaluation to support delirium prevention and abatement and return to baseline physical function. The purpose of the current study was to examine the association of function-focused goal attainment with two discharge outcomes, return to baseline physical function and delirium severity at discharge, in hospitalized persons with dementia. In the ongoing Fam-FFC clinical trial, the majority of goals ( N = 433) developed by 134 care partner/patient dyads and nurses address mobility, cognitive stimulation, and self-care. Regression techniques demonstrated that goal attainment was significantly associated with return to baseline function ( B = 0.826, Wald = 4.17 [1], p = 0.041) and lower delirium severity at discharge ( B = 0.175, t = 2.239, p = 0.027). Results support the contribution of family engagement in promoting functional recovery of hospitalized persons with dementia. [ Journal of Gerontological Nursing, 47 (9), 13–20.]

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Family Caregiving During the Hospitalization of an Older Relative

Cited by 2 publications

References 17 publications

COVID-19 and Elective Spine Surgery: The Older Persons' Experience of Going It Alone

COVID-19 and Elective Spine Surgery: The Older Persons' Experience of Going It Alone

Function-Focused Goal Attainment and Discharge Outcomes in Hospitalized Persons With Dementia

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