The Domain Management Model-A Tool for Teaching and Management of Older Adults in Emergency Departments

Siebens, Hilary

doi:10.1111/j.1553-2712.2005.tb00858.x

Cited by 19 publications

(13 citation statements)

References 21 publications

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“…Initially, 20 studies were identified, yet six were excluded due to their anecdotal nature (Poulton and West, 1993;Patrick and Alba, 1994;Kelly, 2005;Seibens, 2005;Lynch and Cole, 2006;McKeon et al, 2006). Fourteen studies were found to meet the inclusion criteria.…”

Section: Resultsmentioning

confidence: 99%

The role of teamwork and communication in the emergency department: A systematic review

Kilner

Sheppard

2010

International Emergency Nursing

134

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Section: Resultsmentioning

confidence: 99%

The role of teamwork and communication in the emergency department: A systematic review

Kilner

Sheppard

2010

International Emergency Nursing

134

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“…An interesting approach recently developed and described by the Geriatric Emergency Medicine Task Force of the Society for Academic Emergency Medicine is known as the Domain Management Model [78]. It includes both the 11 core principles of Geriatric Emergency Medicine and routine evaluation of mental status and function.…”

Section: Clinical Evaluationmentioning

confidence: 99%

The elderly in the emergency department: a critical review of problems and solutions

et al. 2007

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The elderly are an ever increasing population in overcrowded emergency departments (EDs) in many countries. They have multiple health problems and consume more time and resources than younger patients. They are more frequently admitted and experience adverse outcomes after they are discharged from the ED. These frail patients could require specific skills, instruments and organisational models of emergency care in order to look after their complex needs. As such, several approaches have been tried and tested to improve emergency care for them. This article analyses the epidemiological load and problems faced when confronted with elder ED patients. We critically review organisational models, clinical approaches and methodologies in order to reduce ED physicians' difficulties and to improve quality of care and outcomes for elder patients. Triage, clinical assessment and discharge are identified as critical moments during an emergency care process, and interesting and useful instruments are proposed as possible solutions.

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“…HEI theory calls for shift toward a more holistic multifactorial way of thinking about patients. It does not take more time to think more expansively [93]. A conceptually grounded synthesis of information from essential elements across the 4 HEI spheres ultimately may save time and resources and increase the patient’s quality of life.…”

Section: Applying Biopsycho-ecological Principles To Pmandr Practicementioning

confidence: 99%

The Biopsycho‐ecological Paradigm: A Foundational Theory for Medicine

Stineman

Streim

2010

PM&R

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The current biomedical and psychosocial frameworks that form the conceptual basis of medicine today are insufficient to address the needs of the medically complex and environmentally challenged populations of patients often cared for by physical medicine and rehabilitation specialists. The expanded biopsycho-ecological model of health, illness, injury, and disability operating through mechanisms of Health Environmental Integration (HEI) encourages a more complete understanding of illness, injury, activity limitation, and participation restriction as arising at the interface between the person and the environment. HEI recognizes complex interacting multilevel functional hierarchies beginning at the cellular level and ending at the individual’s experience of the environment. Although the foci of illness and injury are within the body and mind, the physical and social environments contain elements that can cause or exacerbate disease and barriers that interact in ways that lead to injuries and disabilities. Furthermore, these environments hold the elements from which treating agents, facilitators, and social supports must be fashioned. The highly integrative biopsycho-ecological framework provides an expanded basis for understanding the objective causes and subjective meanings of disabilities. Disabilities are reduced through HEI by seeking to maximally integrate the body and mind (the self) with both the surrounding physical environment and other people in society. HEI offers mechanisms for interdisciplinary research, an expanded framework for education and empowerment, and a blueprint for optimizing day-to-day clinical care at both the individual patient and treatment population levels in the ever-changing scientific, political, and policy environments.

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The Domain Management Model-A Tool for Teaching and Management of Older Adults in Emergency Departments

Abstract: Older adults in emergency departments (EDs) can have complicated health problems that defy straightforward diagnosis and management. Implementation of the 11 core principles in the geriatric emergency care model requires changes in care processes.

Cited by 19 publications

References 21 publications

The role of teamwork and communication in the emergency department: A systematic review

The role of teamwork and communication in the emergency department: A systematic review

The elderly in the emergency department: a critical review of problems and solutions

The Biopsycho‐ecological Paradigm: A Foundational Theory for Medicine

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