Abstract

When elders are unable to participate in discharge planning owing to physical or cognitive impairments, clinicians often work with family members instead. Previous studies on community-dwelling elders and their family members found differences between the elder's and family member's rating of functional status ( Rothman, Hedrick, Bulcroft, Hickman, & Rubinstein, 1991). Magaziner, Simonskck, and Kashner (1988) reported that family members who did not live with the elder tended to rate them as less impaired than what the older persons rated themselves. Yet, little is known about the extent to which elders' and family members' perspectives concur with respect to discharge planning. Identifying both discrepancies and areas of agreement is essential in assisting elders and their families in planning for their future needs and evaluating the options available to them. The purpose of this study was to determine the extent to which family members' expectations regarding postdischarge needs agreed with those of elders hospitalized for an acute episode of a chronic illness.

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