Aid to the elderly person aged 80 and over in the emergency service: perspective of professionals from nursing homes
DOI:
https://doi.org/10.29352/mill0214e.32126Keywords:
elderly; residential facilities for the elderly; emergency department; clinical care in the emergency departmentAbstract
Introduction: The increase in the average life expectancy of the population has been significantly reflected in the accentuated rate of aging and the increase in the prevalence of chronic diseases, leading to an increase in the number of people aged 80 and over attending Emergency Services.
Objective: Identify the reasons for visits to the emergency room by elderly people, taking into account the perspective of professionals in Residential Structures for the Elderly; explore measures to reduce the number of elderly people aged 80 and over sent to the Emergency Department.
Methods: Observational study of a descriptive nature in a cross-sectional cohort in a non-probabilistic sample of 60 representatives of Residential Structures for the Elderly who sent elderly people aged 80 and over to the Emergency Department of a Hospital Center in the Center of Portugal. Data collection was carried out using interviews based on a semi-structured script prepared by the team of researchers.
Results: The most prevalent determinants that lead the elderly person aged 80 and over to the Emergency Department are, according to the professionals of the Residential Structures for the Elderly, falls (73.33%), respiratory difficulty (65%) and cardiovascular disease (30%). Of the suggestions relevant to the reduction in the sending of the elderly aged 80 and over to the ER, the most important are greater accessibility of contact with the health center (25%), the existence of extended opening hours at the health centers (21.67%) and greater monitoring by the institution's own physician (18.33%).
Conclusion: We suggest the replication of this study with a larger sample due to its reduced number and the scarcity of studies focusing only on the visit of institutionalized elderly people aged 80 and older to the Emergency Department
Downloads
References
Almeida, A. S., & Gomes, I. D. (2021). Os motivos que levam as pessoas idosas a recorrer frequentemente ao serviço de urgência. Revista Brasileira Em Promoção Da Saúde, 34. https://doi.org/10.5020/18061230.2021.13428
Coster, J. E., Turner, J. K., Bradbury, D., & Cantrell, A. (2017). Why Do People Choose Emergency and Urgent Care Services? A Rapid Review Utilizing a Systematic Literature Search and Narrative Synthesis. Academic Emergency Medicine, 24(9), 1137-1149. https://doi.org/10.1111/acem.13220
De Brauwer, I., Cornette, P., & D’Hoore, W. (2021). Factors to improve quality for older patients in the emergency department: a qualitative study of patient trajectory. BMC Health Serv Res, 21, 965 https://doi.org/10.1186/s12913-021-06960-w
Dixe, M. A. C. R., Frontini, R., Sousa, P. M. L., Peralta, T. J. A., Teixeira, L. F. C., & Querido, A. I. F. (2019). Dependent person in self-care: analysis of care needs. Scandinavian Journal of Caring Sciences, 34(3), 727-35. https://doi.org/10.1111/scs.12777
Dufour, I., Chouinard, M.-C., Dubuc, N., Beaudin, J., Lafontaine, S., & Hudon, C. (2019). Factors associated with frequent use of emergency-department services in a geriatric population: a systematic review. BMC Geriatrics, 19(1). doi:10.1186/s12877-019-1197-9
Fundação Francisco Manuel dos Santos (2023). Índice de envelhecimento e outros indicadores de envelhecimento. https://www.pordata.pt/portugal/indice+de+envelhecimento+e+outros+indicadores+de+envelhecimento-526
Launay, C.P., Galery, K., Vilcocq, C., Afilalo, M., & Beauchet, O. (2021) Risk for short-term undesirable outcomes in older emergency department users: Results of the ER2 observational cohort study. PLoS ONE, 16(8): e0249882. https://doi.org/ 10.1371/journal.pone.0249882
Legramante, J. M., Morciano, L., Lucaroni, F., Gilardi, F., Caredda, E., Pesaresi, A., Coscia, M., Orlando, S., Brandi, A., Giovagnoli, G., Di Lecce, V. N., Visconti, G., & Palombi, L. (2016). Frequent Use of Emergency Departments by the Elderly Population When Continuing Care Is Not Well Established. PloS one, 11(12), e0165939. https://doi.org/10.1371/journal.pone.0165939
Maresova, P., Javanmardi, E., Barakovic, S., Husic, J. B., Tomsone, S., Krejcar, O., & Kuca, K. (2019). Consequences of chronic diseases and other limitations associated with old age – a scoping review. BMC Public Health, 19(1431). https://doi.org/10.1186/s12889-019-7762-5
McGowan, H., Gopeesingh, K., O’Kelly, P., & Gilligan, P. (2018). Emergency Department Overcrowding And The Full Capacity Protocol Cross Over Study: What Patients Who Have Experienced Both Think About Being An Extra Patient In The Emergency Department Or On A Ward. Irish Medical Journal, 111(7), 788. https://pubmed.ncbi.nlm.nih.gov/30520615/
Moraes, G.O.S., Godoi, G.S.; & Silva, E.R. (2021). Principais causas do atendimento de urgência e emergência a população idosa, realizado pelo serviço de atendimento móvel de urgência (samu), na região de bragança paulista – SP. Atena Editora. https://www.atenaeditora.com.br/catalogo/post/principais-causas-do-atendimento-de-urgencia-e-emergencia-a-populacao-idosa-realizado-pelo-servico-de-atendimento-movel-de-urgencia-samu-na-regiao-de-braganca-paulista-sp
Mwakilasa, M. T., Foley, C., O’Carroll, T., Flynn, R., & Rohde, D. (2021). Care Experiences of Older People in the Emergency Department: A Concurrent Mixed-Methods Study. Journal of Patient Experience, 8, 23743735211065267. https://doi.org/10.1177/23743735211065267
Neves, H.M.F. (2012). “Causas e Consequências da Institucionalização de Idosos” Estudo tipo série de casos [dissertação de mestrado]. Universidade da Beira Interior. https://ubibliorum.ubi.pt/bitstream/10400.6/1209/1/CAUSAS_CONSEQUENCIAS_INSTITUCIONALIZA%C3%87AO_IDOSOS.pdf
Okabe, T., Abe, Y., Tomita, Y., Mizukami, S., Kanagae, M., Arima, K., Nishimura, T., Tsujimoto, R., Tanaka, N., Goto, H., Horiguchi, I., & Aoyagi, K. (2016). Age-specific risk factors for incident disability in activities of daily living among middle-aged and elderly communitydwelling Japanese women during an 8-9-year follow up: The Hizen-Oshima study. Geriatrics Gerontology International, 17(7), 1096-101. https://doi.org/10.1111/ggi.12834
Organização para a Cooperação e Desenvolvimento Económico (2021). Portugal: Perfil de Saúde do País 2021, Estado da Saúde na EU. Organização para a Cooperação e Desenvolvimento Económico/Observatório Europeu dos Sistemas e Políticas de Saúde. https://health.ec.europa.eu/system/files/2021-12/2021_chp_pt_portuguese.pdf
Spasova, S., Baeten, R., & Vanhercke, B. (2018). Challenges in long-term care in Europe. Eurohealth Observer, 24(4), 7-12. https://apps.who.int/iris/bitstream/handle/10665/332533/Eurohealth-24-4-7-12-eng.pdf.
United Nations (2019). World Population Ageing 2019: Highlights (ST/ESA/SER.A/430). United Nations: Department of Economic and Social Affairs, Population Division. https://www.un.org/en/development/desa/population/publications/pdf/ageing/WorldPopulationAgeing2019-Highlights.pdf
World Health Organization (2022). Ageing and health. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/ageing-and-health
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Millenium - Journal of Education, Technologies, and Health
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who submit proposals for this journal agree to the following terms:
a) Articles are published under the Licença Creative Commons (CC BY 4.0), in full open-access, without any cost or fees of any kind to the author or the reader;
b) The authors retain copyright and grant the journal right of first publication, allowing the free sharing of work, provided it is correctly attributed the authorship and initial publication in this journal;
c) The authors are permitted to take on additional contracts separately for non-exclusive distribution of the version of the work published in this journal (eg, post it to an institutional repository or as a book), with an acknowledgment of its initial publication in this journal;
d) Authors are permitted and encouraged to publish and distribute their work online (eg, in institutional repositories or on their website) as it can lead to productive exchanges, as well as increase the impact and citation of published work
Documents required for submission
Article template (Editable format)
