Background: Older persons with lived or living experience of homelessness (PWLEs) often live with complex physical and/or mental health conditions which are challenged by poor access to health services, especially primary care. To fill the gap in the continuum of care following hospital discharge for PWLEs, medical respite provides health and shelter support for PWLEs who do not have acute care needs that qualify for a stay in a hospital bed, yet are too sick or frail to recover on the streets or in a traditional shelter.
Objective: This study examines how a medical respite could be designed for older PWLEs in Metro Vancouver, BC.
Research Design: Using a community-based participatory research approach, in-depth interviews and focus groups were conducted with PWLE (n=15) and service provider (n=11) participants.
Results: Participants offered rich suggestions about (a) the culture of the medical respite, (b) the physical design of a medical respite, (c) individuals who should be involved in medical respite delivery, (d) services a medical respite should provide, and (e) who the medical respite should serve.
Conclusions: When designing a medical respite for older PWLEs, considerations include providing an environment where patients can rest, but also feel safe and be surrounded by persons who they trust and who care for them. Developing a medical respite that adheres to the tenets of trauma-informed and patient-centered care acknowledges the mistrust and traumatization that often accompanies homeless patients presenting to health care.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1097/MLR.0000000000001335 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
The interactivity and independence of Recovery challenges and coping strategies for ICU survivors and their caregivers: a systematic review and Meta-synthesis.
BMC Nurs
December 2024
Department of Surgical Intensive Care Unit, Shandong Provincial Hospital Affiliated to Shandong First Medical University, #246 JingWu Road, Jinan, 250021, China.
Background: The post-ICU home recovery period requires patients and caregivers to confront recovery challenges and adopt coping strategies as a family dyad, necessitating effective dyadic interaction patterns. Existing qualitative research shows that the dyads face interactive or independent challenges and employs varying coping strategies, which may include strong communication or, conversely, avoidance. However, a single qualitative study alone might offer limited generalizability, and there is a lack of broader, more nuanced understanding about the recovery challenge and copings among ICU survivors and caregivers.
View Article and Find Full Text PDFImpact of short-term aircraft noise on cardiovascular disease risk in the area surrounding London Heathrow airport: the RISTANCO epidemiological study.
Public Health Res (Southampt)
December 2024
Centre for Environmental Health and Sustainability, University of Leicester, Leicester, UK.
Background: Long-term exposure to aircraft noise has been associated with small increases in cardiovascular disease risk, but there are almost no short-term exposure studies.
Objectives: Research questions were: Is there an association between short-term changes in exposure to aircraft noise and cardiovascular morbidity and mortality? What are the key effect modifiers? Is there variability in risk estimates between areas with consistent versus changing patterns of noise exposure? Do risk estimates differ when using different noise metrics?
Design: Descriptive analyses of noise levels and variability at different times of day, analyses of inequalities in noise exposure and case-crossover analyses of cardiovascular events in relation to aircraft noise exposure.
Setting: Area surrounding London Heathrow airport.
Quality of life and caregiving burden associated with parenting a person with Duchenne/Becker muscular dystrophy in Poland.
Orphanet J Rare Dis
November 2024
Department of Organization and Management in Health Care, Poznan University of Medical Sciences, Poznań, Poland.
Background: Duchenne and Becker muscular dystrophies (DBMD) are rare progressive, X-linked diseases of muscle wasting characterised by the early onset and prognosis of premature death. The aim of this study was to evaluate the impact of providing care for a person with DBMD on caregivers' quality of life, perceived burden and financial well-being.
Results: 202 Polish caregivers of a person with DBMD were included and completed a self-administered, computer-assisted online survey.
The purpose of this study was to understand the meaning physically impaired wheelchair sport athletes attributed to wheelchair basketball participation as well as potential physical, psychological, and social health-related quality of life (HRQOL) benefits. Specifically, the experiences of wheelchair sport athletes from low- and middle-income countries (LMIC) affected by ongoing or recent conflict were examined. Focus group participants for this study included 108 wheelchair basketball athletes (77 men and 31 women) from seven men's and three women's national teams at an international wheelchair basketball tournament held in India.
View Article and Find Full Text PDFRehabilitation and care after hip fracture: a cost-utility analysis of stepped-wedge cluster randomized trial.
J Rehabil Med
November 2024
Danish Centre for Health Economics, Department of Public Health, University of Southern Denmark, Odense, Denmark.
Objective: To estimate the effectiveness and costs of Rehabilitation for Life (RFL) compared with usual rehabilitation and care after hip fracture to determine which course offered the most value for money.
Design: Cost-utility analysis.
Patient: Community-dwelling patients aged 65+ after hip fracture.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!