Patterns of ED use and perceptions of the elderly regarding their emergency care: a synthesis of recent research.

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...

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Publicado en:Journal of Emergency Nursing Vol. 29; no. 2; pp. 122 - 127
Autor principal: Grief CL
Formato: research systematic review tables/charts Journal Article
Publicado: Elsevier B.V. 2003 Apr
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2003 Apr
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      pub: Elsevier B.V.
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        atl: Patterns of ED use and perceptions of the elderly regarding their emergency care: a synthesis of recent research.
      aug:
        au: Grief CL
      sug:
        subj:
          Patient Satisfaction In Old Age
          Quality of Health Care In Old Age
          Emergency Care In Old Age
          Emergency Service Utilization
          Nurse Attitudes
          Physician Attitudes
          Quantitative Studies
          Qualitative Studies
          Treatment Outcomes
          Gerontologic Care
          CINAHL Database
          Medline
          Aged
          Human
          Aged: 65+ years
      ab: 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.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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