International Emergency Nursing
Volume 16, Issue 3 , Pages 152-158 , July 2008

Increasing the profile of the care of the older person in the ED: A contemporary nursing challenge

  • Chris Shanley, RN, RM, MA, EdD ((Research Manager))

      Affiliations

    • Aged Care Research Unit, Liverpool Hospital, Locked Mailbag 7103, Liverpool BC, NSW 1871, Sydney, Australia
    • Corresponding Author InformationCorresponding author. Tel.: +61 2 9612 0646; fax: +61 2 9612 0644.
    • ,
  • Sharon Sutherland, RN, BA Health, Dip Psych Old Age, Cert Gerontology ((ASET Clinical Nurse Consultant))

      Affiliations

    • Liverpool Hospital, Sydney, Australia
    • ,
  • Katrina Stott, B Nursing, BA(Psych) ((ASET Clinical Nurse Consultant))

      Affiliations

    • Fairfield Hospital, Sydney, Australia
    • ,
  • Robyn Tumeth, RN, Cardiac Nursing Cert ((ASET Clinical Nurse Consultant))

      Affiliations

    • Campbelltown Hospital, Sydney, Australia
    • ,
  • Elizabeth Whitmore, BMedSci, MPH ((Research Officer))

      Affiliations

    • Aged Care Research Unit, Liverpool Hospital, Sydney, Australia

Received 29 January 2008 ,Revised 19 April 2008 ,Accepted 15 May 2008.

References 

  1. Adams JG, Gerson LW. A new model for emergency care of geriatric patients [comment]. Academic Emergency Medicine. 2003;10(3):271–274
  2. Aminzadeh F, Dalziel WB. Older adults in the emergency department: a systematic review of patterns of use, adverse outcomes, and effectiveness of interventions. Annals of Emergency Medicine. 2002;39(3):238–247
  3. Basic D, Conforti DA. A prospective, randomised controlled trial of an acute aged care nurse intervention within the emergency department. Australian Health Review. 2005;29(1):51–59
  4. Bentley J, Meyer J. Repeat attendance by older people at accident and emergency departments. Journal of Advanced Nursing. 2004;48(2):149–156
  5. Corbett HM, Lim WK, Davis SJ, Elkins AM. Care coordination in the emergency department: improving outcomes for older patients. Australian Health Review. 2005;29(1):43–50
  6. Criddle LM. Outcome in the injured elderly: where do we go from here?. Journal of Emergency Nursing. 2006;32(3):234–240
  7. Davies-Gray M. Nurse led fast track for the frail aged through the emergency department. Australian Emergency Nursing Journal. 2005;8(3):110
  8. Emergency Nurses Association. Position Statement, 2003. Care of older adults in the emergency setting. <http://www.ena.org/about/position/PDFs/Care-of-OlderAdults.pdf>. Accessed: 16/09/2007.
  9. Fernandes CMB. Geriatric care in the emergency department. Academic Emergency Medicine. 2005;12(2):158–159
  10. Fulmer T, Paveza G, Abraham I, Fairchild S. Elder neglect in the emergency department. Journal of Emergency Nursing. 2000;26(5):436–443
  11. Grief CL. Patterns of ED use and perceptions of the elderly regarding their emergency care: s synthesis of recent research. Journal of Emergency Nursing. 2003;29(2):122–126
  12. Guttman A, Afilalo M, Guttman R, Colacone A, Robitaille C, Lang E, et al. An emergency department-based nurse discharge coordinator for elder patients: does it make a difference?. Academic Emergency Medicine. 2004;11(12):1318–1327
  13. Hastings S, Heflin M. A systematic review of interventions to improve outcomes for elders discharged from the emergency department. Academic Emergency Medicine. 2005;12(10):978–986
  14. Hayes KS. Geriatric assessment in the emergency department. Journal of Emergency Nursing. 2000;26(5):430–4355
  15. Hogstel M. Psychosocial support of older patients in emergency departments. Topics in Emergency Medicine. 1998;20(4):21–29
  16. Howe CA. Current provision of care for older persons in A&E units in the UK. Accident & Emergency Nursing. 1998;6:211–218
  17. Hwang U, Morrison RS. The geriatric emergency department. Journal of the American Geriatrics Society. 2007;55:1873–1876
  18. Kakuma R, Galbaud du Fort G, Arsenault L, Perrault A, Platt RW, Monette J, et al. Delirium in the older emergency department patients discharged home: effect on survival. Journal of the American Geriatrics Society. 2003;51:443–450
  19. Kihlgren AL, Nilsson M, Sorlie V. Caring for older patients at an emergency department- emergency nurses’ reasoning. Journal of Clinical Nursing. 2005;14:601–608
  20. Letvak S, College E. Falls in the elderly: a multifactorial problem. Journal of Emergency Nursing. 2000;26(5):448–451
  21. McCusker J, Verdon J, Tousignant P, Poulin de Courval L, Dendukuri N, Belzile E. Rapid emergency department intervention for older people reduces risk of functional decline: results of a multicenter randomized trial. Journal of the American Geriatrics Society. 2001;49(10):1272–1285
  22. Meldon SW, Mion LC, Palmer RM, Drew BL, Connor JT, Lewicki LJ, et al. A brief risk-stratification tool to predict repeat emergency department visits and hospitalizations in older patients discharged for the emergency department. Academic Emergency Medicine. 2003;10(3):224–232
  23. Mion LC, Palmer RM, Anetzberger GJ, Meldon SW. Establishing a case-finding and referral system for at-risk older individuals in the emergency department setting: the SIGNET model [see comment]. Journal of the American Geriatrics Society. 2001;49(10):1379–1386
  24. Moons P, Arnauts H, Delooz HH. Nursing issues in care for the elderly in the emergency department: an overview of the literature. Accident & Emergency Nursing. 2003;11(2):112–120
  25. Palmer RM, Counsell S, Landefield CS. Clinical intervention trials the ACE unit. Clinic in Geriatric Medicine. 1998;14:831–884
  26. Robinson S, Mercer S. Older adult care in the emergency department: identifying strategies that foster best practice. Journal of Gerontological nursing. 2007;33(7):40–47
  27. Siebens H. The domain management model – a tool for teaching and management of older adults in emergency departments. Academic Emergency Medicine. 2005;12(2):162–168
  28. Taylor DM, Bennett DM, Cameron PA. A paradigm shift in the nature of care provision in emergency departments. Emergency Medicine Journal. 2004;21:681–684
  29. Thurston JG. Management of acute confusion in the elderly. European Journal of Emergency Medicine. 1997;4(2):103–106

PII: S1755-599X(08)00060-8

doi: 10.1016/j.ienj.2008.05.005

International Emergency Nursing
Volume 16, Issue 3 , Pages 152-158 , July 2008

Article Tools