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Go to the hospital or stay at home? A qualitative study of expected hospital decision making among older African Americans with advanced heart failure

TitleGo to the hospital or stay at home? A qualitative study of expected hospital decision making among older African Americans with advanced heart failure
Publication TypeJournal Article
Year of Publication2014
AuthorsHopp, FPratt, Marsack, C, Camp, JK, Thomas, S
JournalJournal of Gerontological Social WorkJournal of Gerontological Social Work
Volume57
Pagination4-23
Date PublishedJan
ISBN Number0163-4372<br/>1540-4048
Accession NumberPeer Reviewed Journal: 2014-03255-002
Keywords*Caregivers, *Decision Making, *Heart Disorders, *Home Care, *Hospitalization, Blacks, Family Members, Family Relations, Geriatric Patients, Health & Mental Health Services [3370], hospitalization, decision making, advanced heart failure, family caregivers, African Americans, geriatric patients, Human Male Female Adulthood (18 yrs & older) Aged (65 yrs & older), us
AbstractTo address the need for more information concerning hospital decision making, we conducted in-depth interviews among African Americans with heart failure and their family caregivers (n = 11 dyads). Using a case scenario, we asked participants about their anticipated hospitalization decisions. Most patients indicated that they would seek care to avoid further deterioration or death from their worsening condition. Many family caregivers anticipated having an active influence on hospitalization decisions. Findings suggest that social workers should encourage the development of adequate home-based services, recognize diverse communication styles, and use this information to facilitate medical decision making by these patients and their caregivers. (PsycINFO Database Record (c) 2014 APA, all rights reserved) (journal abstract).
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