Journal article
The development of a modified comprehensive geriatric assessment for use in the emergency department using a RAND/UCLA appropriateness method
International Emergency Nursing, Vol.55, pp.100847-100847
2021
PMID: 32205108
Abstract
Background: The universal screening and comprehensive assessment of older persons presenting to the emergency department is considered useful, yet is difficult to embed. A number of assessment instruments exist however they are not widely used and there is a lack of agreement between clinicians as to which tools are best suited to the emergency department. The aim of this study was to develop a modified comprehensive geriatric assessment using consensus methodology for use by the multidisciplinary team in the emergency department. Method: The modified comprehensive geriatric assessment was formulated using the RAND/UCLA appropriateness methodology incorporating consensus opinion from an expert group of clinicians and the best scientific evidence available. A series of pre and post survey and expert group meetings were held with expert multidisciplinary clinicians. Emphasis was placed on a pragmatic approach to the development of a document which reflected consensus opinion. Results: Between nine and 15 expert group members participated in the stages of the process. A tiered approach incorporating different aspects of screening and/or assessments was considered optimal to reflect the stages of decision-making in the emergency department process. Conclusion: A unique approach to the screening and assessment of the frail older person was developed using consensus methodology to develop a modified comprehensive geriatric assessment for use in the emergency department. Associated actions and interventions are an important next step, with pilot site testing.
Details
- Title
- The development of a modified comprehensive geriatric assessment for use in the emergency department using a RAND/UCLA appropriateness method
- Authors
- Andrea Taylor (Author) - University of the Sunshine CoastMarc Broadbent (Author) - University of the Sunshine CoastApil Gurung (Author) - University of the Sunshine CoastMarianne Wallis (Author) - University of the Sunshine Coast
- Publication details
- International Emergency Nursing, Vol.55, pp.100847-100847
- Publisher
- Elsevier Ltd.
- Date published
- 2021
- DOI
- 10.1016/j.ienj.2020.100847
- ISSN
- 1755-599X; 1532-9267
- PMID
- 32205108
- Organisation Unit
- School of Health - Nursing; School of Nursing, Midwifery and Paramedicine - Legacy; University of the Sunshine Coast, Queensland
- Language
- English
- Record Identifier
- 99450958402621
- Output Type
- Journal article
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