Emergencies in older patients

2016 ◽  
Keyword(s):  
Emergency Care ◽  
Older Patients ◽  
Significant Proportion ◽  
Care Staff ◽  
Older Person ◽  
Older Population ◽  
Nursing Assessment ◽  
Care Services ◽  
Clinical Problems ◽  
Emergency Care Services

The increasingly older population has seen a change in the demographics of patients attending urgent and emergency care services over the last 10 to 20 years. It is not unusual for a significant proportion of patients to be over 80 years of age during the course of a shift. It is essential that emergency care staff have an understanding of the specific clinical problems that can present in old age. This chapter covers the nursing assessment of the older person and describes common presentations associated with the older population.

scholarly journals Structure and processes of emergency observation units with a geriatric focus: a scoping review

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Pieter Heeren ◽  
Annabelle Hendrikx ◽  
Janne Ceyssens ◽  
Els Devriendt ◽  
Mieke Deschodt ◽  
...  
Keyword(s):  
Scoping Review ◽  
Emergency Care ◽  
Older Patients ◽  
Clinical Care ◽  
Care Needs ◽  
Post Discharge ◽  
Care Services ◽  
Observation Units ◽  
Primary Care Services ◽  
Healthcare Professions

Abstract Background Combining observation principles and geriatric care concepts is considered a promising strategy for risk-stratification of older patients with emergency care needs. We aimed to map the structure and processes of emergency observation units (EOUs) with a geriatric focus and explore to what extent the comprehensive geriatric assessment (CGA) approach was implemented in EOUs. Methods The revised scoping methodology framework of Arksey and O’Malley was applied. Manuscripts reporting on dedicated areas within hospitals for observation of older patients with emergency care needs were eligible for inclusion. Electronic database searches were performed in MEDLINE, EMBASE and CINAHL in combination with backward snowballing. Two researchers conducted data charting independently. Data-charting forms were developed and iteratively refined. Data inconsistencies were judged by a third researcher or discussed in the research team. Quality assessment was conducted with the Methodological Index for Non-Randomized Studies. Results Sixteen quantitative studies were included reporting on fifteen EOUs in seven countries across three continents. These units were located in the ED, immediately next to the ED or remote from the ED (i.e. hospital-based). All studies reported that staffing consisted of at least three healthcare professions. Observation duration varied between 4 and 72 h. Most studies focused on medical and functional assessment. Four studies reported to assess a patients’ medical, functional, cognitive and social capabilities. If deemed necessary, post-discharge follow-up (e.g. community/primary care services and/or outpatient clinics) was provided in eleven studies. Conclusion This scoping review documented that the structure and processes of EOUs with a geriatric focus are very heterogeneous and rarely cover all elements of CGA. Further research is necessary to determine how complex care principles of ‘observation medicine’ and ‘CGA’ can ideally be merged and successfully implemented in clinical care.

scholarly journals Patients' satisfaction with emergency care services in a University Teaching Hospital in South-West, Nigeria

2021 ◽  
Vol 11 (2) ◽  
pp. 321-324
Author(s):  
Olabisi Olamide Deji-Dada ◽  
Samuel Ayokunle Dada ◽  
Johnson Dare Ogunlusi ◽  
Olusoji Abidemi Solomon
Keyword(s):  
Teaching Hospital ◽  
Emergency Care ◽  
University Teaching ◽  
Patients Satisfaction ◽  
Care Services ◽  
South West ◽  
Emergency Care Services

scholarly journals A busca de assistência à saúde em serviços de pronto atendimento por mulheres adultas Health care search by adult women in emergency care services

2017 ◽  
Vol 9 (1) ◽  
pp. 1
Author(s):  
Aline Gabriela Bega ◽  
Hellen Emília Peruzzo ◽  
Ana P Araújo T Lopes ◽  
Amanda Carvalho Dutra ◽  
Maria Das Neves Decesaro ◽  
...  
Keyword(s):  
Health Care ◽  
Emergency Care ◽  
Adult Women ◽  
Care Services ◽  
Emergency Care Services

Objetivo: Conhecer o comportamento de saúde de mulheres e os motivos para buscar assistência em um pronto atendimento. Método: Estudo descritiva e exploratória, de natureza qualitativa com 18 mulheres atendidas em um pronto atendimento municipal no noroeste do Paraná. Os dados foram coletados em novembro de 2015 por entrevista semiestruturada e submetidos à análise de conteúdo, modalidade temática. Resultados: Foram identificadas duas categorias empíricas: “Comportamentos de mulheres diante de intercorrências na saúde”, mostra que as condutas iniciais das mulheres, em situações de adoecimento, são automedicação e protelamento em procurar serviços de saúde; e “Motivos para procurar o serviço de pronto atendimento”, onde identificou-se que a procura deste nível de atendimento é motivada pela percepção de maior resolutividade, eficácia e agilidade, além de proximidade do lar. Conclusão: É comum às mulheres retardarem a procura por atendimento em virtude das responsabilidades inerentes ao gênero, e quando o fazem, preferem serviços mais resolutivos.Descritores: Serviços de Saúde; Assistência Ambulatorial; Saúde da Mulher.

Access to emergency care services: a transversal ecological study about Brazilian emergency health care network

Public Health ◽  
2017 ◽  
Vol 153 ◽  
pp. 9-15 ◽  
Author(s):  
T.A.H. Rocha ◽  
N.C. da Silva ◽  
P.V. Amaral ◽  
A.C.Q. Barbosa ◽  
J.V.M. Rocha ◽  
...  
Keyword(s):  
Health Care ◽  
Emergency Care ◽  
Ecological Study ◽  
Care Network ◽  
Emergency Health Care ◽  
Care Services ◽  
Health Care Network ◽  
Emergency Care Services

COVID-19 insight: winter pressures on urgent and emergency care

2021 ◽  
Vol 23 (4) ◽  
pp. 1-4
Author(s):  
Amanda Halliwell
Keyword(s):  
Emergency Care ◽  
Care Quality ◽  
Care Services ◽  
The Face ◽  
Emergency Care Services

The Care Quality Commission's eighth COVID-19 insight report continues to highlight how providers are coping in the face of the pandemic. This time, the focus is on emergency care services. Amanda Halliwell investigates.

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