C Lynne Grief1. 1. College of Nursing, University of South Florida, and Emergency Care Center, Sarasota Memorial Healthcare System, Sarasota, FL, USA. lynnegrief@cs.com
Abstract
INTRODUCTION: The research literature reveals that the emergency care rendered to elderly patients may be of poor quality. Research examining elderly patients' ED use and their perceptions of their ED experiences was analyzed and synthesized, revealing gaps in the research and identifying areas for future research. METHODS: A computerized search was made of 3 databases (medline, HealthSTAR, and CINAHL). Each of the studies was systematically evaluated with use of the Nursing Practice Research Analysis Tool. RESULTS: Despite increased length of stay, more diagnostic tests, and higher expenses, the elderly have a higher rate of recidivism and are dissatisfied with their outcomes upon leaving the emergency department. Several areas that need to be explored further include quality of services rendered from the elderly ED patient's perspective; whether ageism exists within the emergency department; and the consequences of that ageism on the quality of care provided. DISCUSSION: The elderly are being cared for by ED personnel who have limited geriatric education within an environment that is antithetical to their needs. Research and endeavors that concentrate on improving the care of the elderly ED patient must be given top priority.
INTRODUCTION: The research literature reveals that the emergency care rendered to elderly patients may be of poor quality. Research examining elderly patients' ED use and their perceptions of their ED experiences was analyzed and synthesized, revealing gaps in the research and identifying areas for future research. METHODS: A computerized search was made of 3 databases (medline, HealthSTAR, and CINAHL). Each of the studies was systematically evaluated with use of the Nursing Practice Research Analysis Tool. RESULTS: Despite increased length of stay, more diagnostic tests, and higher expenses, the elderly have a higher rate of recidivism and are dissatisfied with their outcomes upon leaving the emergency department. Several areas that need to be explored further include quality of services rendered from the elderly ED patient's perspective; whether ageism exists within the emergency department; and the consequences of that ageism on the quality of care provided. DISCUSSION: The elderly are being cared for by ED personnel who have limited geriatric education within an environment that is antithetical to their needs. Research and endeavors that concentrate on improving the care of the elderly ED patient must be given top priority.
Authors: Jaime M Hughes; Caroline E Freiermuth; Megan Shepherd-Banigan; Luna Ragsdale; Stephanie A Eucker; Karen Goldstein; S Nicole Hastings; Rachel L Rodriguez; Jessica Fulton; Katherine Ramos; Amir Alishahi Tabriz; Adelaide M Gordon; Jennifer M Gierisch; Andrzej Kosinski; John W Williams Journal: J Am Geriatr Soc Date: 2019-03-15 Impact factor: 5.562
Authors: S Gentile; O Lacroix; A C Durand; E Cretel; M Alazia; R Sambuc; S Bonin-Guillaume Journal: J Nutr Health Aging Date: 2013-04 Impact factor: 4.075