Department of Physiological Nursing, University of California, 2 Koret Way, Box 605N, San Francisco, CA 94143, United States; Global Brain Health Institute, University of California, San Francisco, United States.
Geriatr Nurs. 2020 May-Jun;41(3):345-346. doi: 10.1016/j.gerinurse.2020.04.011. Epub 2020 Apr 13.
Older adults use the Emergency Department (ED) more than any other age group besides infants. Despite high utilization, both the physical environment and care processes in the traditional ED are poorly suited to address the complex needs of older adults. As a result, older adults often experience poor outcomes in the ED. Geriatric nursing has been at the forefront of efforts to develop Geriatric Emergency Department Interventions (GEDI's) to try to address these deficits and improve care. As frontline providers with frequent patient contact, nursing brings critical viewpoints to these issues. This article provides some resources and other ideas for how frontline nurses can improve care for older adults in the ED. Ultimately, to have meaningful impacts on care of older adults in the ED, there is a dire need for greater financial investment specific to geriatric nursing education, training, and research in the ED.
老年人使用急诊部(ED)的频率比任何其他年龄段的人都高,仅次于婴儿。尽管利用率很高,但传统 ED 的物理环境和护理流程都不太适合满足老年人的复杂需求。因此,老年人在 ED 中经常出现不良后果。老年护理一直处于开发老年急诊干预措施(GEDI's)的前沿,以试图解决这些不足并改善护理。作为与患者经常接触的一线提供者,护理为这些问题提供了关键观点。本文提供了一些资源和其他想法,介绍如何提高一线护士在 ED 中对老年人的护理水平。最终,要想对 ED 中老年人的护理产生有意义的影响,就迫切需要对 ED 中的老年护理教育、培训和研究进行特定的、大量的资金投入。