부산대학교 도서관

Based on practical application, this study assists senior adults to successfully be transferred to other care environments after medical treatment in order to ensure that they receive continuous and positive health care service after discharge from hospital. Thus, their families' caregiver burden can be reduced. Regarding the construction of senior adults' discharge planning, based on the principles and service content of literature, this study develops the primary process for tracking care and outcome evaluation after discharge as follows: 1) improve discharge planning; 2) reinforce discharge support; and 3) reinforce post-discharge transfer. Senior adults' discharge planning constructed by this study can effectively lower their internal obstacles (low compliance rate and high hospitalization rate, helpless families and senior adults, or lack of knowledge of care and negative family relationships) and external obstacles (lack of medical information and psychological support for the families). The constructed process can be integrated into the current discharge service and is effective for improving senior adults' mobility.