Evaluation of elderly care dynamics in an emergency care unit

Abstract

Objective: understand elderly care dynamics of an emergency care unit. Method: this is a case study evaluation, using a qualitative approach and the theoretical-methodological reference of a fourth generation evaluation. Data collection was conducted between February and September 2017, through 460 hours of participant observation, interviews with 33 social actors among health professionals, elderly people and their relatives of an emergency care unit located in a municipality in the northwest of Paraná, as well as negotiation meetings with participants. Results: the evaluation showed the elderly care dynamics is mainly influenced by nursing actions that articulate care practices based on priority, frailty, autonomy, independence and family context of the elderly patients. Final considerations: an evaluation of how the emergency care unit operates helps improve elderly care in urgent and emergency services.

Construção e validação de protocolo assistencial a idosos em Unidades de Pronto Atendimento

“…Além de que, recentemente, a priorização do idoso foi reestruturada a fim de que as pessoas com 80 anos ou mais se sobreponham àqueles entre 60 e 79 anos. (19) Após a entrada do idoso na emergência e definido qual tipo de atendimento obterá, se urgente ou não, este percorrerá o itinerário da UPA, em que foram minuciosamente criados (13) itens que compõem o complexo de 'Assistência' do presente protocolo. Tais itens instruem os profissionais tanto para o idoso que procura o serviço devido a uma condição aguda quanto para aqueles indivíduos que serão acomodados na enfermaria e, possivelmente, transferidos a serviços hospitalares, correspondentes aos pontos da RAS de alta complexidade.…”

"Emergency Room: The Geriatric Patients With Severe Anaemia – Causes and Management"

“…From a clinical point of view, the patient most frequently presents with haematemesis and/or melena. In rare cases with abundant digestive bleeding, they may present haematochezia 22,23 . A careful history can identify several risk factors for the peptic pathology, such as history of gastro-duodenal ulcer, chronic use of warfarin or other oral anticoagulants, NSAIDs, aspirin, corticosteroid, or history of digestive surgery 23,24 . Vascular malformations are another cause of severe anaemia in the geriatric patient and may be represented by:  Antral vascular ectasia.…”