Encyclopedia of Geropsychology

Living Edition
| Editors: Nancy A. Pachana

Older Adults in the Emergency Health Care Setting

  • Judy LowthianEmail author
Living reference work entry
DOI: https://doi.org/10.1007/978-981-287-080-3_253-1

Synonyms

Definition

Older people are increasingly seeking health care from ambulance services and hospital emergency departments. The terms “emergency medical services” and “ambulance services” and “emergency rooms,” “emergency departments,” and “accident and emergency rooms” are often used interchangeably in the literature. All provide immediate health care for people who perceive the need for immediate treatment or care, which is generally provided for a short period of time. Modern emergency rooms are not designed for frail older patients who typically have special needs compared with other age groups, requiring a different approach from clinical staff.

Increasing Emergency Demand by an Aging Population

Aging of populations across developing and developed countries necessitates review of how emergency services are provided to ensure that the health and social care needs of older people...

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References

  1. Aminzadeh, F., & Dalziel, W. B. (2002). Older adults in the emergency department: A systematic review of patterns of use, adverse outcomes, and effectiveness of interventions. Annals of Emergency Medicine, 39(3), 238–247.CrossRefGoogle Scholar
  2. Han, J. H., Wilson, A., & Ely, E. W. (2010). Delirium in the older emergency department patient: A quiet epidemic. Emergency Medicine Clinics of North America, 28(3), 611–631.CrossRefGoogle Scholar
  3. Hastings, S. N., Schmader, K. E., Sloane, R. J., et al. (2007). Adverse health outcomes after discharge from the emergency department – Incidence and risk factors in a veteran population. Journal of General Internal Medicine, 22(11), 1527–1531.CrossRefGoogle Scholar
  4. Hawton, A., Green, C., Dickens, A. P., et al. (2010). The impact of social isolation on the health status and health-related quality of life of older people. Quality of Life Research, 20(1), 57–67.CrossRefGoogle Scholar
  5. Institute of Medicine Committee on Health Literacy (2004). What is Health Literacy? In: Health Literacy - a precription to end confusion. Nielsen-Bohlman L, Panzer AM, Kindig DA, editors. Washington DC: Institute of Medicine of the National Academies.Google Scholar
  6. Lowthian, J. A., Cameron, P. A., Stoelwinder, J. U., et al. (2010). Increasing utilisation of emergency ambulances. Australian Health Review, 35(1), 63–69.CrossRefGoogle Scholar
  7. Lowthian, J. A., Curtis, A. J., Cameron, P. A., et al. (2011a). Systematic review of trends in emergency department attendances: An Australian perspective. Emergency Medicine Journal, 28(5), 373–377.CrossRefGoogle Scholar
  8. Lowthian, J. A., Jolley, D. J., Curtis, A. J., et al. (2011b). The challenges of population ageing: Accelerating demand for emergency ambulance services by older patients, 1995–2015. The Medical Journal of Australia, 194(11), 574–578.Google Scholar
  9. Lowthian, J. A., Curtis, A. J., Jolley, D. J., et al. (2012). Demand at the emergency department front door: Ten-year trends in Emergency Department presentations. The Medical Journal of Australia, 196(2), 128–132.CrossRefGoogle Scholar
  10. Lowthian, J. A., Smith, C., Stoelwinder, J. U., et al. (2013). Why older patients of lower clinical urgency choose to attend the Emergency Department. Internal Medicine Journal, 43(1), 59–65.CrossRefGoogle Scholar
  11. Lowthian J. A., McGinnes R, Brand C. A., Barker A. L, Cameron P. A. (2015). Discharging older patients from the Emergency Department effectively – a systematic review and meta-analysis. Age and Ageing, 44 (5):761–70Google Scholar
  12. Lowthian J. A., Straney L. D., Brand C.A., Barker A. L., Smit PdeV, Newnham H, Hunter P, Smith C, Cameron P. A. (2016). Unplanned early return to the Emergency Department by older patients- The Safe Elderly Emergency Department Discharge (SEED) Project. Age and Ageing, 45(2):255–261Google Scholar
  13. McCusker, J., Healey, E., Bellavance, F., et al. (1997). Predictors of repeat emergency department visits by elders. Academic Emergency Medicine, 4(6), 581–588.CrossRefGoogle Scholar
  14. Meldon, S. W., Emerman, C. L., & Schubert, D. S. (1997). Recognition of depression in geriatric ED patients by emergency physicians. Annals of Emergency Medicine, 30(4), 442–447.CrossRefGoogle Scholar
  15. Mistry, R., Rosansky, J., McGuire, J., et al. (2001). Social isolation predicts re-hospitalization in a group of older American veterans enrolled in the UPBEAT Program. Unified psychogeriatric biopsychosocial evaluation and treatment. International Journal of Geriatric Psychiatry, 16(10), 950–959.CrossRefGoogle Scholar
  16. Rottenberg, Y., Jacobs, J. M., & Stessman, J. (2013). Depression and health service utilization from age 70 to 85: The Jerusalem Longitudinal Study. Journal of the American Medical Directors Association, 14(9), 711 e1–711 e6.CrossRefGoogle Scholar
  17. Schnitker, L. M., Martin-Khan, M., Burkett, E., et al. (2015a). Process quality indicators targeting cognitive impairment to support quality of care for older people with cognitive impairment in emergency departments. Academic Emergency Medicine, 22(3), 285–298.CrossRefGoogle Scholar
  18. Schnitker, L. M., Martin-Khan, M., Burkett, E., et al. (2015b). Structural quality indicators to support quality of care for older people with cognitive impairment in emergency departments. Academic Emergency Medicine, 22(3), 273–284.CrossRefGoogle Scholar
  19. Schumacher, J. G., Deimling, G. T., Meldon, S., et al. (2006). Older adults in the Emergency Department: Predicting physicians’ burden levels. The Journal of Emergency Medicine, 30(4), 455–460.CrossRefGoogle Scholar
  20. Steinmiller, J., Routasalo, P., & Suominen, T. (2015). Older people in the emergency department: A literature review. International Journal of Older People Nursing, 10(4), 284–305.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media Singapore 2016

Authors and Affiliations

  1. 1.School of Public Health and Preventive MedicineMonash UniversityMelbourneAustralia