The use of functional and cognitive assessment in the emergency department to inform decision making: A scoping review

Andrea Taylor; Marc Broadbent; Marianne Wallis; Elizabeth J Marsden

doi:10.1016/j.auec.2017.12.002

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The use of functional and cognitive assessment in the emergency department to inform decision making: A scoping review

Journal article

Open access

Peer reviewed

The use of functional and cognitive assessment in the emergency department to inform decision making: A scoping review

Andrea Taylor, Marc Broadbent, Marianne Wallis and Elizabeth J Marsden

Australasian Emergency Care, Vol.21(1), pp.13-22

2018

DOI: https://doi.org/10.1016/j.auec.2017.12.002

Appears in UniSC Diversity and Inclusion Research Collection

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Abstract

aged

emergency service

hospital

geriatric assessment

cognition disorders

patient outcome assessment

scoping review

UniSC Diversity Area - Disability and Inclusion

UniSC Diversity Area - Life Stages

Background: The use of functional and/or cognitive assessment in the emergency department (ED) to inform decision making in the complex older adult is considered important, yet not routinely administered. Method: Electronic databases were searched to identify eligible published research studies: older adults >65 years; the administration of a functional and/or cognition assessment instrument whilst the older adult is in any part of the ED; interventions resulting from the administration of the instrument; and a measured outcome post ED visit. A revised scoping review methodology was applied to chart study data and to identify key differences. Results: Ten research studies were identified that met the criteria for review. There are a variety of assessments, aimed at different age groups, for several purposes and used at different times in the ED journey. Assessments are not being used in conjunction with routine medical assessment early in the ED patient journey. Conclusion: This scoping review identified no consistent suite of tools being administered in the ED to influence the disposition decision with measurable outcomes. Further research is required to identify a suite of assessment instruments suitable for use in the ED setting aimed at improving disposition decision making in the complex elderly person.

Details

Title: The use of functional and cognitive assessment in the emergency department to inform decision making: A scoping review
Authors: Andrea Taylor (Author) - University of the Sunshine Coast - Faculty of Science, Health, Education and Engineering
Marc Broadbent (Author) - University of the Sunshine Coast - Faculty of Science, Health, Education and Engineering
Marianne Wallis (Author) - University of the Sunshine Coast - Faculty of Science, Health, Education and Engineering
Elizabeth J Marsden (Author) - University of the Sunshine Coast - Faculty of Science, Health, Education and Engineering
Publication details: Australasian Emergency Care, Vol.21(1), pp.13-22
Publisher: Elsevier Ltd.
Date published: 2018
DOI: 10.1016/j.auec.2017.12.002
ISSN: 2589-1375; 2589-1375
Organisation Unit: School of Health - Nursing; University of the Sunshine Coast, Queensland; School of Nursing, Midwifery and Paramedicine - Legacy
Language: English
Record Identifier: 99451340102621
Output Type: Journal article
Research Statement: false

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Collaboration types: Domestic collaboration
Web Of Science research areas: Emergency Medicine; Nursing

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