ELDERLY WITH RENAL FAILURE

STRATEGIES FOR BUILDING A NURSING DISCHARGE PLAN

Authors

  • Elionai dos Santos Silva Universidade Federal da Paraíba (UFPB)
  • Andressa Fernanda Silva Universidade de São Paulo (USP)
  • Robson Antão de Medeiros Universidade Federal da Paraíba (UFP) https://orcid.org/0000-0002-8088-9342
  • Rosalina Aparecida Partezani Rodrigues Universidade de São Paulo (USP)
  • Alisseia Guimarães Lemes Universidade Federal de Mato Grosso, Campus Universitário do Araguaia (UFMT/CUA)
  • Maria Lucia do Carmo Cruz Robazzi Universidade de São Paulo (USP)

DOI:

https://doi.org/10.20873/2025_jul_20443

Abstract

Objective: To identify the essential elements for the nursing discharge plan of elderly people with kidney failure in transition from hospital to home. Method: An integrative literature review was carried out, including studies published from 2013 to 2023, which dealt with the discharge from hospital of elderly people with kidney failure. Nine essential elements for the safe transition from hospital discharge were considered. The analyses were based on Transition Theory. Results and Discussion: Nine essential elements were identified for the discharge plan, including patient assessment, patient and caregiver education, medication management, health monitoring, psychosocial support, physical activity plan, nutrition, safe environment and continuity of care. The implementation of a structured discharge plan benefits patients, healthcare providers and hospital institutions, improving continuity of care and reducing hospital readmissions. Final considerations: The implementation of a structured discharge plan improves the quality of care provided to elderly people with kidney failure transitioning home. Future research could focus on developing interventions to improve self-management of chronic kidney disease and on implementing training programs for healthcare professionals.

Author Biographies

Elionai dos Santos Silva, Universidade Federal da Paraíba (UFPB)

Mestre em Gerontologia pelo Programa em Gerontologia. Universidade Federal da Paraíba (UFP)

Andressa Fernanda Silva, Universidade de São Paulo (USP)

Doutora em Ciências da Saúde pelo Programa de Enfermagem da Escola de Enfermagem de Ribeirão Preto. Universidade de São Paulo (USP).

Robson Antão de Medeiros, Universidade Federal da Paraíba (UFP)

Professor Titular da Universidade Federal da Paraíba (UFP)

Rosalina Aparecida Partezani Rodrigues, Universidade de São Paulo (USP)

Professora Titular da Escola de Enfermagem de Ribeirão Preto. Universidade de São Paulo (USP)

Alisseia Guimarães Lemes, Universidade Federal de Mato Grosso, Campus Universitário do Araguaia (UFMT/CUA)

Professora Assistente I. Universidade Federal de Mato Grosso, Campus Universitário do Araguaia (UFMT/CUA)

Maria Lucia do Carmo Cruz Robazzi, Universidade de São Paulo (USP)

Professora Titular Sênior da Escola de Enfermagem de Ribeirão Preto. Universidade de São Paulo (USP). Professora Visitante da Escola de Enfermagem. Universidade Federal de Alfenas (UNIFAL)

Published

2025-07-17

How to Cite

Silva, E. dos S., Silva, A. F., Medeiros, R. A. de, Rodrigues, R. A. P., Lemes, A. G., & Robazzi, M. L. do C. C. (2025). ELDERLY WITH RENAL FAILURE: STRATEGIES FOR BUILDING A NURSING DISCHARGE PLAN. DESAFIOS - Revista Interdisciplinar Da Universidade Federal Do Tocantins, 12(4), 1–24. https://doi.org/10.20873/2025_jul_20443