The transition of care from hospital to home for patients with hypertension

Franklin, Marilyn; McCoy, Mary A

doi:10.1097/01.npr.0000511701.94615.4f

Cited by 9 publications

(6 citation statements)

References 25 publications

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“…In addition, participants reported they did not read the discharge instructions at home, had poor follow-through with healthcare providers, and did not completely understand their medication regimens. Again, similar ideas were found in prior studies but with no link to possible underlying causes (Costantino, Frey, Hall, & Painter, 2013;Eaton, 2018;Franklin, & McCoy, 2017).…”

Section: A Novel Sub-theme: Attention-distractionsupporting

confidence: 85%

Older Adults’ Implementation of Discharge Instructions Following an Acute Care Hospital Stay

Miller¹

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Section: A Novel Sub-theme: Attention-distractionsupporting

confidence: 85%

Older Adults’ Implementation of Discharge Instructions Following an Acute Care Hospital Stay

Miller¹

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“…Confirm that discharge summaries have complete information about a patient [ 87 ] and are sent to the team [ 75 ]. Ensure that follow-up appointments and services have been scheduled [ 65 , 75 , 78 , 88 ]. Confirm that patients and caregivers and families understand discharge instructions and that logistics are in place in preparation for discharge [ 75 ].…”

Section: Resultsmentioning

confidence: 99%

“…Have a comprehensive knowledge of the patients’ care needs (eg, “patient’s medical, functional, cognitive, affective, psychosocial, nutritional, and environmental status” [ 76 , 99 ]) and goals to inform care and discharge plan through assessment findings [ 58 , 63 , 100 ]. Assess patients’ needs for home care and community support and resources, and identify and address potential medication adherence issues to prevent readmission [ 63 , 67 , 76 , 78 , 83 , 95 , 101 , 102 ]…”

Section: Resultsmentioning

confidence: 99%

Recommendations for the Design and Delivery of Transitions-Focused Digital Health Interventions: Rapid Review

Singh¹,

Tang²,

Gray³

et al. 2022

JMIR Aging

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Background Older adults experience a high risk of adverse events during hospital-to-home transitions. Implementation barriers have prevented widespread clinical uptake of the various digital health technologies that aim to support hospital-to-home transitions. Objective To guide the development of a digital health intervention to support transitions from hospital to home (the Digital Bridge intervention), the specific objectives of this review were to describe the various roles and functions of health care providers supporting hospital-to-home transitions for older adults, allowing future technologies to be more targeted to support their work; describe the types of digital health interventions used to facilitate the transition from hospital to home for older adults and elucidate how these interventions support the roles and functions of providers; describe the lessons learned from the design and implementation of these interventions; and identify opportunities to improve the fit between technology and provider functions within the Digital Bridge intervention and other transition-focused digital health interventions. Methods This 2-phase rapid review involved a selective review of providers’ roles and their functions during hospital-to-home transitions (phase 1) and a structured literature review on digital health interventions used to support older adults’ hospital-to-home transitions (phase 2). During the analysis, the technology functions identified in phase 2 were linked to the provider roles and functions identified in phase 1. Results In phase 1, various provider roles were identified that facilitated hospital-to-home transitions, including navigation-specific roles and the roles of nurses and physicians. The key transition functions performed by providers were related to the 3 categories of continuity of care (ie, informational, management, and relational continuity). Phase 2, included articles (n=142) that reported digital health interventions targeting various medical conditions or groups. Most digital health interventions supported management continuity (eg, follow-up, assessment, and monitoring of patients’ status after hospital discharge), whereas informational and relational continuity were the least supported. The lessons learned from the interventions were categorized into technology- and research-related challenges and opportunities and informed several recommendations to guide the design of transition-focused digital health interventions. Conclusions This review highlights the need for Digital Bridge and other digital health interventions to align the design and delivery of digital health interventions with provider functions, design and test interventions with older adults, and examine multilevel outcomes. International Registered Report Identifier (IRRID) RR2-10.1136/bmjopen-2020-045596

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“…Patient education and family discussions about BP and antihypertensive medications may help ensure that all necessary follow-up appointments with the primary care clinicians or pharmacist are scheduled before discharge. 49…”

Section: Optimizing Transitions Of Carementioning

confidence: 99%

The Management of Elevated Blood Pressure in the Acute Care Setting: A Scientific Statement From the American Heart Association

Bress,

Anderson,

Flack

et al. 2024

Hypertension

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Over the past 3 decades, a substantial body of high-quality evidence has guided the diagnosis and management of elevated blood pressure (BP) in the outpatient setting. In contrast, there is a lack of comparable evidence for guiding the management of elevated BP in the acute care setting, resulting in significant practice variation. Throughout this scientific statement, we use the terms acute care and inpatient to refer to care received in the emergency department and after admission to the hospital. Elevated inpatient BP is common and can manifest either as asymptomatic or with signs of new or worsening target-organ damage, a condition referred to as hypertensive emergency. Hypertensive emergency involves acute target-organ damage and should be treated swiftly, usually with intravenous antihypertensive medications, in a closely monitored setting. However, the risk-benefit ratio of initiating or intensifying antihypertensive medications for asymptomatic elevated inpatient BP is less clear. Despite this ambiguity, clinicians prescribe oral or intravenous antihypertensive medications in approximately one-third of cases of asymptomatic elevated inpatient BP. Recent observational studies have suggested potential harms associated with treating asymptomatic elevated inpatient BP, which brings current practice into question. Despite the ubiquity of elevated inpatient BPs, few position papers, guidelines, or consensus statements have focused on improving BP management in the acute care setting. Therefore, this scientific statement aims to synthesize the available evidence, provide suggestions for best practice based on the available evidence, identify evidence-based gaps in managing elevated inpatient BP (asymptomatic and hypertensive emergency), and highlight areas requiring further research.

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The transition of care from hospital to home for patients with hypertension

Cited by 9 publications

References 25 publications

Older Adults’ Implementation of Discharge Instructions Following an Acute Care Hospital Stay

Older Adults’ Implementation of Discharge Instructions Following an Acute Care Hospital Stay

Recommendations for the Design and Delivery of Transitions-Focused Digital Health Interventions: Rapid Review

The Management of Elevated Blood Pressure in the Acute Care Setting: A Scientific Statement From the American Heart Association

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