Optimal Emergency Department Care Practices for Persons Living With Dementia: A Scoping Review
Rattachement africain : us. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
OBJECTIVES: To summarize research on optimal emergency department (ED) care practices for persons living with dementia (PLWDs) and develop research priorities. DESIGN: Systematic scoping review. SETTINGS AND PARTICIPANTS: PLWDs in the ED. METHODS: The following Patient-Intervention-Comparison-Outcome (PICO) questions were developed: PICO 1, What components of emergency department care improve patient-centered outcomes for persons with dementia? PICO 2, How do emergency care needs for persons with dementia differ from other patients in the emergency department? A scoping review was conducted following PRISMA-ScR guidelines and presented to the Geriatric Emergency care Applied Research 2.0 Advancing Dementia Care network to inform research priorities. RESULTS: From the 6348 publications identified, 23 were abstracted for PICO 1 and 26 were abstracted for PICO 2. Emergency care considerations for PLWDs included functional dependence, behavioral and psychological symptoms of dementia, and identification of and management of pain. Concerns regarding ED care processes, the ED environment, and meeting a PWLD's basic needs were described. A comprehensive geriatric assessment and dedicated ED unit, a home hospital program, and a low-stimulation bed shade and contact-free monitor all showed improvement in patient-centered or health care use outcomes. However, all were single-site studies evaluating different outcomes. These results informed the following research priorities: (1) training and dementia care competencies; (2) patient-centric and care partner-centric evaluation interventions; (3) the impact of community- and identity-based factors on ED care for PLWDs; (4) economic or other implementation science measures to address viability; and (5) environmental, operational, personnel, system, or policy changes to improve ED care for PLWDs. CONCLUSIONS AND IMPLICATIONS: A wide range of components of both ED care practices and ED care needs for PLWDs have been studied. Although many interventions show positive results, the lack of depth and reproducible results prevent specific recommendations on best practices in ED care for PLWDs.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Optimal Emergency Department Care Practices for Persons Living With Dementia: A Scoping Review
- Date Crossref
- 01/08/2022
- Éditeur
- Elsevier BV
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Northwestern University Department of Emergency Medicine pays non établi dans la noticeUniversité ou école supérieure
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Harvard University pays non établi dans la noticeUniversité ou école supérieure
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University of Chicago Department of Medicine pays non établi dans la noticeUniversité ou école supérieure
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University of Wisconsin–Madison pays non établi dans la noticeUniversité ou école supérieure
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Yale University pays non établi dans la noticeUniversité ou école supérieure
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Geriatric Research Education and Clinical Center Geriatric Research pays non établi dans la noticeÉtablissement de santé
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James J. Peters VA Medical Center pays non établi dans la noticeÉtablissement de santé
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Department of Emergency Medicine pays non établi dans la noticeInstitution
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University of Wisconsin-Madison BerbeeWalsh Department of Emergency Medicine pays non établi dans la noticeUniversité ou école supérieure
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Yale School of Medicine Department of Emergency Medicine pays non établi dans la noticeUniversité ou école supérieure
Department of Emergency Medicine — Northwestern University, Harvard University et Department of Medicine — University of Chicago, avec 7 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.