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Elderly patients in the emergency department.

T Fulmer, L C Degutis

    AACN Clinical Issues in Critical Care Nursing
    |February 1, 1992
    PubMed
    Summary

    Emergency department nurses need specialized knowledge for optimal care of older adults. This includes understanding age-related changes versus disease symptoms and managing health-care resources for elderly patients.

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    Area of Science:

    • Gerontology
    • Emergency Medicine
    • Nursing Science

    Background:

    • Elderly patients present unique challenges in emergency departments.
    • Optimal care requires specialized nursing knowledge.
    • Understanding age-related changes is crucial for accurate diagnosis.

    Purpose of the Study:

    • To outline essential knowledge for emergency department (ED) nurses caring for older individuals.
    • To describe health-care resource utilization for elderly patients in the ED.
    • To differentiate normal aging from disease manifestations in older adults.

    Main Methods:

    • Review of current literature on geriatric emergency care.
    • Analysis of common health problems in older adults presenting to the ED.
    • Explanation of age-related physiological changes versus pathological signs.

    Main Results:

    • Elderly patients have distinct health-care needs in the ED.
    • Common conditions like falls, confusion, and cardiovascular issues require specific approaches.
    • Distinguishing normal aging from disease is key to appropriate interventions.

    Conclusions:

    • Specialized nursing knowledge enhances emergency care for older adults.
    • Effective resource management is vital for geriatric ED patients.
    • Accurate assessment differentiating age-related changes from illness improves patient outcomes.

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