Geriatric Nursing Assessment and Intervention in an Emergency Department – a Pilot Study

Bidragets oversatte titel: Geriatrisk sygeplejefaglig vurdering og intevention i Akut Meodtagafdeling - et pilot studie

Elizabeth Emilie Rosted, Lis Wagner, Carsten Henriksen, Poulsen Ingrid

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

    Abstrakt

    Aim
    To describe and test a model for structured nursing assessment and intervention to older people discharged from Emergency Department (ED).
    Background
    Older people recently discharged from hospital are at high risk of readmission. This risk may increase when they are discharged straight home from an ED as time pressure requires staff to focus on the presenting problem although many have complex, unresolved, care needs.
    Method
    A prospective descriptive study was conducted. Older people aged 70 and over and at risk of adverse health and functional outcome were included. Intervention: At discharge, and at 1 and 6 month follow-up, a brief standardised nursing assessment (ISAR 2) developed by McCusker et al. was carried out. The focus was on unresolved problems that required medical or nursing intervention, new or different home care services or comprehensive geriatric assessment. After assessment the nurse made relevant referrals to the geriatric outpatient clinic, community health centre, general practitioner or made arrangements with next-of-kin.
    Results
    One hundred and fifty people participated, mean age was 81.7. At discharge they had a mean of 1.9 unresolved problems, after 1 month 0.8, and after 6 months 0.4. Older people receiving home care services increased from 79% at discharge to 89% at 1 month and 90% at 6 month follow-up.
    Conclusion
    ISAR 2 works well in a Danish ED setting and intercepts older peoples’ problems. It seems that unresolved problems decrease when a nurse assesses and intervenes at discharge from ED, and at follow-up. However a randomized controlled test should be carried out to confirm this.
    Relevance to clinical practice
    Nursing assessment and intervention should be implemented in the ED to reduce older peoples’ unrevealed problems.

    Bidragets oversatte titelGeriatrisk sygeplejefaglig vurdering og intevention i Akut Meodtagafdeling - et pilot studie
    OriginalsprogEngelsk
    TidsskriftInternational Journal of Older People Nursing
    Vol/bind7
    Udgave nummer2
    Sider (fra-til)141-151
    Antal sider10
    ISSN1748-3735
    StatusUdgivet - 2012

    Emneord

    • geriatrisk vurdering
    • sygeplejefaglig vurdering
    • geriatrisk sygepleje

    Citationsformater