Expectations of care and services
hip fracture, fracture, ill
Both informal caregivers and people with hip fracture suggested that rather than being personalised, goals were set by health professionals on a ‘standard’ patient recovery trajectory and therefore these were not viewed as achievable, nor realistic. They also had insufficient information to understand what a typical recovery trajectory looks like. It appears that most people did not feel empowered and found goal setting and developing realistic recovery goals difficult, based on imperfect information.‘I had no expectations because I have never been in hospital before. Ever.I have never been ill before,so this is completely new to me and obviously new to(caregiver)–he’s never had to care for me before.’(Person with Hip Fracture,Female,Intervention Group)‘Not quite enough available to you about kind of next steps and what’s going to happen in the future.’(Caregiver,Male,Control Group)In contrast, again for informal caregivers and people with hip fracture, receiving knowledge on recovery expectations with realistic goal-setting and joint decision-making, as seen in our HIP HELPER intervention, appeared to be empowering.‘If you get somebody who doesn’t have sufficiently stimulating support, that is a problem because in a sense,it encourages them to stay dependent,whereas what it should be doing is encourage them to become independent.’(Caregiver,Male,Intervention Group)