Sköra äldre patienters upplevelse av vistelsen på akutmottagningen
Sköra äldre patienterVärdighetPersoncentrerad vårdAkutmottagningThe frail elderly patientsDignityPerson- centred careEmergency room service
Background: The number of older people is increasing in Sweden. The elderly patient often requires a more complex type of care, than younger patients. The concept of frailty is often used to describe individuals who have a high biological age and a decreased physiologic reserve which could be associated with acute illness and an increased vulnerability. Emergency medical care today is not suitable for elderly patients and adaptions for these elderly patients and the demands this places on the health care is necessary. Mölndal Hospital emergency department has around 42 000 visitors per year, many of the clients have a high age. In 2012, screening of frail, elderly patients started at the department: Tage- projektet Patients aged 75 years and older are ased 5 questions. The result determines if the patient is classified as frail, and should be prioritized according to Rapid Emergency Triage and Treatement System (RTTS). Person centered care, Rett decision support and TAGE screening maybe of great importance to ensure a specific and patient safe care as possible for the frail, elderly patient. Aim: The aim of this study is to elucidate how frail elderly patients experience their stay in the emergency department. Methods The study included 17 participants, defined as frail elderly patients according to the Tage-projektet. Unstructured interviews were conducted: 7 patients were interviewed at the AKM and 10 patients were interviewed at an geriatric ward. Data was analyzed using content analysis with an inductive approach was performed. Results The result is presented in 2 themes and 5 sub categories. In the theme feeling security the following sub themes have emerged: treatment, trust and to5wait. In the theme participation the following sub themes emerged, to be seen and to be listened to. The informants expressed that they were satisfied with the approach, felt well cared for, and experienced the staff as competent which instilled a feeling of security. Several informants described that the staff were available for communication and that they felt well informed. This was an important part in the interaction between patient and staff and instilled a feeling of participation. Conclusion: The study showed that the informants experienced that security and participation in the nursing care was of great importance. To give elderly frail patients a secure and dignified care where they experience participation requires competent Personcentered care can, combined with RETTS and screening according to Tage project at the emergencr department be of importance an improve the care of elderly, frail patients.