Experiences of frequent visits to the emergency department by residents with dementia in assisted living

Individualization and the Health Care Mosaic in Assisted Living

“…Similar to AL nationwide (Khatutsky et al, 2016), our resident sample experienced frequent falls and other acute events. We found, as did Sharpp and Young (2016), emergency departments are commonly used to manage residents' acute care, especially with no nurse on staff. Our data support Hwang andMorrison's (2007, p. 1873) assertion regarding "a disconnect between emergency and elder care."…”

“…In 2010, 15% of residents fell and sustained an injury; 35% visited an emergency department; 25% were hospitalized; and 8% had a nursing or rehabilitation facility stay (Khatutsky et al, 2016). Sending residents to the emergency department is a common strategy to manage acute care (Sharpp & Young, 2016), yet these care units are not well equipped to address the complex care needs of frail elders (Hwang & Morrison, 2007).…”

Urgent care for patients with dementia: a scoping review of associated factors and stakeholder experiences

“…Professional carers reported feeling frustrated by limitations on their ability to avoid emergency situations in dementia. 55 There were not always the staff available to control extreme behavioural symptoms. 45 Additionally, professional carers report resistance from informal carers to engage in end-of-life discussions, resulting in people with dementia being hospitalised or aggressively treated even in late stages of their condition.…”

Impact of settings and culture on nurses’ knowledge of and attitudes and perceptions towards people with dementia: An integrative literature review

“…The studies were presented in a summary table ordered my World Health Organisation regions and countries, from Europe (Adams et al., 2017; Beck et al., 2017; Blaser & Berset, 2019; Bolmsjö et al., 2012; Brorson et al., 2014; Burns & McIlfatrick, 2015a; Cooper et al., 2016; De Witt et al., 2017; Egede‐Nissen et al., 2017; Ericson‐Lidman et al., 2014; Hansen et al., 2017; Høgsnes et al., 2016; Jakobsen & Sørlie, 2016; Kohler et al., 2016; Krumm et al., 2014; Krupic et al., 2016; Kuehlmeyer et al., 2015; Kupeli et al., 2016; Lee et al., 2017; Lillekroken et al., 2015; McPherson et al., 2016; Midtbust et al., 2018a, 2018b; Naughton et al., 2016; Nilsson et al., 2016; Pellfolk et al., 2010; Pinkert et al., 2018; Rantala et al., 2014; Rosendahl et al., 2016; Ross et al., 2015; Skomakerstuen Ødbehr et al., 2015; Smythe et al., 2014, 2017; Solli et al., 2015; Van Hoof et al., 2016), Americas (Brody et al., 2016; Chaudhury et al., 2017; Daniel et al., 2014; de Witt & Ploeg, 2016; Eritz et al., 2016; Hunter et al., 2017; Karlin et al., 2017; Schindel Martin et al., 2016; Sharpp & Young, 2016; Unroe et al., 2015), the Western Pacific region (Annear, 2020; Conway & Chenery, 2016; Digby et al., 2018; Ervin et al., 2014; Fry et al., 2017; Kable et al., 2015; Lin et al., 2018; McCann et al., 2014; Nakanishi & Miyamoto, …”

“…This can further contribute to encouraging a positive attitude with respect to communication and personal interaction (de Witt & Ploeg, 2016; Eritz et al., 2016; Machiels et al., 2017). In the United States, four quantitative studies were conducted in both settings (Brody et al., 2016; Daniel et al., 2014; Karlin et al., 2017; Unroe et al., 2015), along with one mixed‐method study (Sharpp & Young, 2016) in an acute care setting (dementia wards at the hospital), to gather a clear inference of the nurses’ knowledge; this was done by investigating the nurses’ attitudes towards dementia patients and towards dementia care. The diversities in the practice and skill of the nurses led to an increase in the level of risks over time (de Witt & Ploeg, 2016; Unroe et al., 2015).…”