In:
Journal of Gerontological Nursing, SLACK, Inc., Vol. 49, No. 1 ( 2023-01), p. 35-41
Abstract:
Acute and chronic disease management continues to shift toward a health care in the home model, yet literature discussing continuity of home-based care services during public health emergencies, such as infectious disease pandemics, is scant. In the current study, we used semi-structured telephone interviews with 27 home-based care providers (HBCPs) from Medicare-certified home health care agencies located in eight U.S. counties to explore older adults' decision making around home-based care service continuation during the coronavirus disease 2019 (COVID-19) pandemic. Four themes emerged, including two related to older adults' decision making around refusal of in-home care and two related to HBCPs' responses to care refusals. Fear of COVID-19 infection motivated older adults to make care-related decisions that were incongruent with their health needs, including refusal of care in the home, despite receiving education from HBCPs. These data highlight a need for tools to help HBCPs better support patients through decision-making processes about care continuation during COVID-19 and future infectious disease pandemics. [ Journal of Gerontological Nursing, 49 (1), 35–41.]
Type of Medium:
Online Resource
ISSN:
0098-9134
,
1938-243X
DOI:
10.3928/00989134-20221206-02
Language:
English
Publisher:
SLACK, Inc.
Publication Date:
2023
detail.hit.zdb_id:
2224875-4
detail.hit.zdb_id:
603140-7
