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Related Concept Videos

Current Trends in Nursing I01:28

Current Trends in Nursing I

Current trends in nursing include:
Methods of Documentation VII: EMR01:30

Methods of Documentation VII: EMR

Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare settings,...
Ethical Issues01:27

Ethical Issues

Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Drug Dosing: Geriatric Patients01:15

Drug Dosing: Geriatric Patients

Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Excretion01:18

Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Excretion

In geriatric patients, renal physiology undergoes significant changes, including diminished renal blood flow and a lower glomerular filtration rate (GFR), leading to alterations in medication clearance. Drugs such as aminoglycoside antibiotics, lithium, and digoxin, which rely on glomerular filtration for removal from the body, particularly impact pharmacokinetics. These drugs tend to have slower clearance rates in older adults, necessitating careful dosage considerations.Evaluation of renal...
Pharmacodynamics in Geriatric Patients: Effects of Age01:27

Pharmacodynamics in Geriatric Patients: Effects of Age

Age-related pharmacokinetic changes are extensively documented, but understanding age-related pharmacodynamic alterations is relatively limited. This knowledge gap can be partly attributed to the complexity of developing appropriate measures of drug responses compared to bioanalytical methods for determining drug concentrations.Most information regarding age-related differences in human pharmacodynamics originates from cross-sectional studies. However, these studies assume that observed mean...

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Related Experiment Videos

Emergency Nurses' Perception of Geriatric Readiness in the ED Setting: A Mixed-Methods Study.

Lisa A Wolf, Altair M Delao, Aaron J Malsch

    Journal of Emergency Nursing
    |April 2, 2019
    PubMed
    Summary

    Emergency nurses often lack resources and training for geriatric care, impacting patient safety. Integrated systems and improved education are crucial for enhancing care for older adults in emergency departments.

    Keywords:
    Emergency departmentEmergency nursingGeriatric careGeriatric readinessMixed methods

    Related Experiment Videos

    Area of Science:

    • Geriatric Emergency Care
    • Nursing Research
    • Public Health

    Background:

    • The aging US population is increasing, with over 21 million individuals aged 65+ visiting emergency departments (EDs) annually.
    • This demographic is projected to more than double in the next 40 years, highlighting the growing need for specialized geriatric care.
    • Emergency nurses are pivotal in developing and delivering effective care for geriatric patients.

    Purpose of the Study:

    • To investigate emergency nurses' perceptions of their competence in managing geriatric patients within the emergency setting.
    • To identify challenges and facilitators influencing the quality of emergency care for older adults.

    Main Methods:

    • A mixed-methods sequential design was employed, integrating quantitative survey data (N=1,610) with qualitative focus group data (N=23).
    • Quantitative and qualitative data were analyzed separately, with equal weight given during the interpretation phase.

    Main Results:

    • Less than half of surveyed nurses reported consistent availability of geriatric-specific screenings, accommodations, and external communication.
    • Qualitative findings revealed key themes: Triage/Assessment, Emergency Environment Care, Discharge Planning, and Facilitators/Barriers.
    • A primary concern identified was ensuring patient safety within the ED and community settings.

    Conclusions:

    • Emergency departments require integrated systems to optimize care for older patients.
    • Barriers to improved geriatric care include fragmented emergency-community care integration, insufficient geriatric education, inconsistent frailty screening, and resource limitations.