Sensory Devices for Older Adults With Behavioral Disturbance in the Emergency Department: A Descriptive Study

Area of Science:

• Gerontological Nursing
• Emergency Medicine
• Behavioral Health

Background:

• Nonpharmacological strategies are recommended for managing behavioral disturbances in older adults to avoid risks associated with pharmacological treatments.
• Evidence supporting nonpharmacological interventions in emergency departments (EDs) is limited.
• Behavioral disturbances in older adults present a significant challenge in ED settings.

Purpose of the Study:

• To investigate the utilization of sensory devices for nonpharmacological management of behavioral disturbances in older adults within EDs.
• To explore the perceived impact of these sensory devices on patients and staff.
• To identify potential improvements in the application of sensory devices in ED care.

Main Methods:

• A descriptive study design was employed.
• Data were gathered from a sensory device registry, electronic medical records, and surveys.
• Involved patient-level data (N=33), ED staff surveys (n=22), and patient/caregiver feedback (n=2).

Main Results:

• Sensory devices, including tactile items and music, demonstrated utility in alleviating behavioral disturbances among older adults in EDs.
• ED staff expressed a desire for increased availability of these devices.
• Patients and caregivers suggested earlier implementation of sensory devices during ED care.

Conclusions:

• Sensory devices show promise as a nonpharmacological approach for managing behavioral disturbances in older adults in the ED setting.
• There is staff interest in expanding the use of these devices.
• Earlier integration of sensory devices into ED care pathways is recommended.
• Additional research is necessary to establish robust evidence regarding the impact of sensory devices on patient outcomes.