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Low-Income Senior Housing Residents' Emergency Department Use and Care Transition Problems.

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  • 11 University of Michigan College of Pharmacy, Ann Arbor, MI, USA.

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|October 10, 2017
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Older adults face risks after emergency department (ED) visits due to poor care transitions. Improving medication education and timely access to prescriptions can enhance patient safety and outcomes.

Keywords:
care transitionsdischarge medicationemergency department useolder adultssenior housing

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Area of Science:

  • Gerontology
  • Health Services Research
  • Emergency Medicine

Background:

  • Older adults are vulnerable to adverse events following emergency department (ED) visits.
  • Ineffective transitions of care from the ED back to the home environment contribute to poor outcomes.
  • Understanding the specific challenges faced by older adults is crucial for improving post-ED care.

Purpose of the Study:

  • To identify and categorize reasons for emergency department utilization among older adults.
  • To explore problems encountered during the transition of care from the ED to home for this population.
  • To inform interventions aimed at improving care transitions for older adults.

Main Methods:

  • Qualitative study utilizing semi-structured interviews with 14 residents of low-income senior housing.
  • Thematic and descriptive analyses were employed to analyze interview data.
  • Focused on reasons for ED visits and challenges during post-ED transitions.

Main Results:

  • Emergent themes included ambulance use, ED visit timing (timely vs. wait-and-see), and pre-ED healthcare provider contact.
  • Identified issues included delayed medication receipt, lack of updated medication lists, and medication knowledge deficits.
  • Transition problems comprised lack of personal health records, inadequate follow-up care instructions, and insufficient education on symptom worsening.

Conclusions:

  • Significant education opportunities exist post-ED visit regarding primary care for non-urgent issues, follow-up, medications, and symptom management.
  • Ensuring timely receipt of discharge medications and comprehensive medication education is vital.
  • Improving medication-related aspects of care transitions can mitigate adverse outcomes for older adults.