Geriatric emergency nurses: addressing the needs of an aging population.

INTRODUCTION

Older adults account for up to 14.5% of ED visits. Presentation of older adults can differ from younger adults. Emergency visits by older adults that are characterized by comorbidity, cognitive and functional impairment, and complex social issues. In addition, older adults present with subtle, atypical symptoms making diagnosis and discharge more challenging. The purpose of this study was to describe an innovative geriatric emergency nurse role that has been implemented to address the unique needs of older adults in the emergency department.

METHODS

This was an exploratory, descriptive study. The study sample was comprised of two groups: Geriatric Emergency Nurses (N=5) and key informants (N=15). The study was based at a tertiary hospital in Vancouver, Canada. Data was collected using semi-structured interviews. Data were analyzed using thematic analysis.

RESULTS

The findings are organized into three sections: defining the role and its functions; a collaborative relationship: fitting in to the larger emergency department; and recommendations for future role development.

CONCLUSION

Findings from the study have led to further considerations about the role in relation to communication about older patients both within the emergency department and with community stakeholders. We also discuss the importance of this role in relation to the continuum of care and recognizing the central role of the emergency department as a place for intervention. Lastly, we consider the need for further integration of gerontological knowledge and expertise within the emergency department beyond a specialized role.