Older patients in the emergency department: What are the risks?

Journal of Gerontological Nursing

Volumn 35, Issue 12, 2009, Pages 14-18

  Nolan, Margaret R ^a  

^a New York Presbyterian Morgan Stanley Children's Hospital   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AGED; EMERGENCY HEALTH SERVICE; EMERGENCY NURSING; FRAIL ELDERLY; GERIATRIC ASSESSMENT; GERIATRIC NURSING; HOSPITAL ADMISSION; HOSPITAL DISCHARGE; HUMAN; MOTIVATION; NURSING ASSESSMENT; ORGANIZATION AND MANAGEMENT; PATIENT ATTITUDE; PSYCHOLOGY; RISK ASSESSMENT; SAFETY; STATISTICS AND NUMERICAL DATA; UNITED STATES;

AGED; EMERGENCY NURSING; EMERGENCY SERVICE, HOSPITAL; FRAIL ELDERLY; GERIATRIC ASSESSMENT; GERIATRIC NURSING; HUMANS; MOTIVATION; NURSING ASSESSMENT; PATIENT ACCEPTANCE OF HEALTH CARE; PATIENT ADMISSION; PATIENT DISCHARGE; RISK ASSESSMENT; SAFETY MANAGEMENT; UNITED STATES;

EID: 77957308415     PISSN: 00989134     EISSN: None     Source Type: Journal    
DOI: 10.3928/00989134-20091103-01     Document Type: Article

References (33)

1. American Geriatrics Society. (n.d.). Aging in the know: Your gateway to health and aging resources on the web. Retrieved from http://www.healthinaging.org/agingintheknow/
2. Ballabio, C., Bergamaschini, L., Mauri, S., Baroni, E., Ferretti, M., Bilotta, C., et al. (2008). A comprehensive evaluation of elderly people discharged from an emergency department. Internal and Emergency Medicine, 3, 245-249.
3. Baumgarten, M., Margolis, D.J., Localio, A.R., Kagan, S.H., Lowe, R.A., Kinosian, B., et al. (2006). Pressure ulcers among elderly patients early in the hospital stay. Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 61, 749-754.
4. Belknap, S.M. (2009). A ward-based pharmacist intervention reduced emergency department visits and drug-related readmissions in elderly patients. Annals of Internal Medicine, 151, JC3-JC14.
5. Chen, Y.C., Hwang, S.J., Lai, H.Y., Chen, T.J., Lin, M.H., Chen, L.K., et al. (2009). Potentially inappropriate medication for emergency department visits by elderly patients in Taiwan. Pharmacoepidemiology and Drug Safety, 18, 53-61.
6. Cohen, V., Jellinek, S.P., Likourezos, A., Nemeth, I., Paul, T., & Murphy, D. (2008). Variation in medication information for elderly patients during initial interventions by emergency department physicians. American Journal of Health-System Pharmacy, 65, 60-64.
7. Gilligan, P., Winder, S., Singh, I., Gupta, V., Kelly, P.O., & Hegarty, D. (2008). The Boarders in the Emergency Department (BED) study. Emergency Medicine Journal, 25, 265-269.
8. Hare, M., Wynaden, D., McGowan, S., & Speed, G. (2008). Assessing cognition in elderly patients presenting to the emergency department. International Emergency Nursing, 16, 73-79.
9. Hastings, S.N., Purser, J.L., Johnson, K.S., Sloane, R.J, & Whitson, H.E. (2008). Frailty predicts some but not all adverse outcomes in older adults discharged from the emergency department. Journal of the American Geriatrics Society, 56, 1651-1657.
10. Helfin, M. (2009). Geriatric health maintenance. Geriatric Medicine. Retrieved from the UpToDate® website: http://www.uptodate.com
11. Hwang, U., & Morrison, R.S. (2007). The geriatric emergency department. Journal of the American Geriatrics Society, 55, 1873-1876.
12. Kirchhoff, M., Bregnbak, M.J., Backe, H., Hendriksen, C., & Obel, K. (2008). [Elderly's emergency department contacts following falls.] Ugeskrift for Laeger, 170, 3667-3670.
13. Lazarovici, C., Somme, D., Chatellier, G., Saint-Jean, O., & Espinoza, P. (2008). [Initial pattern of elderly patients and effect on their orientation after their visit in the emergency departments: Results from a national study.] La Revue de Médecine Interne, 29, 618-625.
14. Lloyd, J. (2007). Elderly visits to emergency departments accelerating forecasts for emergency department crowding catastrophic. Retrieved from the American College of Emergency Physicians website: http://www.acep.org/pressroom.aspx?id=34346
15. Maaravi, Y., & Stessman, J. (2008). The geriatric emergency department. Journal of the American Geriatrics Society, 56, 1579.
16. Mussi, C., Ungar, A., Salvioli, G., Menozzi, C., Bartoletti, A., Giada, F., et al. (2009). Orthostatic hypotension as cause of syncope in patients older than 65 years admitted to emergency departments for transient loss of consciousness. Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 64, 801-806.
17. Orwig, D., Brandt, N., & Gruber-Baldini, A.L. (2006). Medication management assessment for older adults in the community. The Gerontologist, 46, 661-668.
18. Peppe, E.M., Mays, J.W., Chang, H.C., Becker, E., & DiJulio, B. (2007). Characteristics of frequent emergency department users. Retrieved from The Henry J. Kaiser Family Foundation website: http://www.kff.org/insurance/upload/7696.pdf
19. Press, Y., Margulin, T., Grinshpun, Y., Kagan, E., Snir, Y., Berzak, A., et al. (2009). The diagnosis of delirium among elderly patients presenting to the emergency department of an acute hospital. Archives of Gerontology and Geriatrics, 48, 201-204.
20. Prückner, S., Luiz, T., Steinbach-Nordmann, S., Nehmer, J., Danner, K., & Maddler, C. (2008). [Emergency medicine-Medicine for an ageing society. A contribution to the context of emergency missions for elderly people.] Der Anaesthesist, 57, 391-396.
21. Roberts, D.C., McKay, M.P., & Shaffer, A. (2008). Increasing rates of emergency department visits for elderly patients in the United States, 1993 to 2003. Annals of Emergency Medicine, 51, 769-774.
22. Robinson, S., & Mercer, S. (2007). Older adult care in the emergency department: Identifying strategies that foster best practice. Journal of Gerontological Nursing, 33(7), 40-47.
23. Rossille, D., Cuggia, M., Arnault, A., Bouget, J., & Le Beux, P. (2008). Managing an emergency department by analysing HIS medical data: A focus on elderly patient clinical pathways. Health Care Management Science, 11, 139-146.
24. Rutschmann, O.T., Chevalley, T., Zumwald, C., Luthy, C., Vermeulen, B., & Sarasin, F.P. (2005). Pitfalls in the emergency department triage of frail elderly patients without specific complaints. Swiss Medical Weekly, 135, 145-150.
25. Salvi, F., Morichi, V., Grilli, A., Giorgi, R., De Tommaso, G., & Dessi-Flugheri, P. (2007). The elderly in the emergency department: A critical review of problems and solutions. Internal and Emergency Medicine, 2, 292-301.
26. Shapiro, J. (2009, February 19). An emergency room built specially for seniors. Retrieved from the NPR website: http://www.npr.org/
27. Shoham, Y., Peled, R., Atar, D., Jaqim, Y., Shcleffer, P., & Reuveni, H. (2005). [Emergency room consultation policy prevents surgery delay in elderly patients with hip fractures.] Harefuah, 144, 700-702, 751.
28. Stern, M.E., & Flomenbaum, N. (2008). Geriatric emergency medicine. Journal of the American Geriatrics Society, 56, 2368.
29. Takun, K., Der Sahakian, G., Bloch, F., Kansao, J., & Dhainaut, J.F. (2006). Health network to improve elderly patients' flow in emergency department. European Journal of Emergency Medicine, 13, 260-263.
30. Veillette, N., Demers, L., Dutil, E., & McCusker, J. (2009). Item analysis of the functional status assessment of seniors in the emergency department. Disability and Rehabilitation, 31, 565-572.
31. Voyer, P., & Sych-Norrena, L. (2003). Gerontology. Challenges in emergency room care for the elderly. Canadian Nurse, 99(1), 22-24.
32. Wilber, S.T., Blanda, M., & Gerson, L.W. (2006). Does functional decline prompt emergency department visits and admission in older patients? Academic Emergency Medicine, 13, 680-682.
33. Yee, J.L., Hasson, N.K., & Schreiber, D.H. (2005). Drug-related emergency department visits in an elderly veteran population. Annals of Pharmacotherapy, 39, 1990-1995.