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. 2020 May-Jun;41(3):345-346.
doi: 10.1016/j.gerinurse.2020.04.011. Epub 2020 Apr 13.

Improving care for older adults in the Emergency Department warrants greater investment in geriatric nursing-Stat!

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Improving care for older adults in the Emergency Department warrants greater investment in geriatric nursing-Stat!

Lauren J Hunt. Geriatr Nurs. 2020 May-Jun.

Abstract

Older adults use the Emergency Department (ED) more than any other age group besides infants. Despite high utilization, both the physical environment and care processes in the traditional ED are poorly suited to address the complex needs of older adults. As a result, older adults often experience poor outcomes in the ED. Geriatric nursing has been at the forefront of efforts to develop Geriatric Emergency Department Interventions (GEDI's) to try to address these deficits and improve care. As frontline providers with frequent patient contact, nursing brings critical viewpoints to these issues. This article provides some resources and other ideas for how frontline nurses can improve care for older adults in the ED. Ultimately, to have meaningful impacts on care of older adults in the ED, there is a dire need for greater financial investment specific to geriatric nursing education, training, and research in the ED.

Keywords: Care delivery; Emergency Department; Geriatrics; Innovations; Nursing.

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References

    1. Rui P, Kang K, Ashman JJ. National hospital ambulatory medical care survey: 2016 emergency department summary tables. 2016. Available from: https://www.cdc.gov/nchs/data/nhamcs/web_tables/2016_ed_web_tables.pdf. Accessed March 12, 2020.
    1. Hunt L.J., Coombs L.A., Stephens C.E. Emergency department use by community-dwelling individuals with dementia in the United States: an integrative review. J Gerontol Nurs. 2018:1–17. doi: 10.3928/00989134-20171206-01. - DOI - PMC - PubMed
    1. Hwang U., Morrison R.S. The geriatric emergency department. J Am Geriatr Soc. 2007;55(11):1873–1876. doi: 10.1111/j.1532-5415.2007.01400.x. - DOI - PubMed
    1. Gruneir A., Silver M.J., Rochon P.A. Emergency department use by older adults: a literature review on trends, appropriateness, and consequences of unmet health care needs. Med Care Res Rev. 2011;68(2):131–155. doi: 10.1177/1077558710379422. - DOI - PubMed
    1. Carpenter C.R., Bromley M., Caterino J.M. Optimal older adult emergency care: introducing multidisciplinary geriatric emergency department guidelines from the American college of emergency physicians, American geriatrics society, emergency nurses association, and society for academic emergency medicine. Acad Emerg Med. 2014;21(7):806–809. doi: 10.1111/acem.12415. - DOI - PubMed

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