Reasons for the Frequent Use of the Emergency Service by the Elderly in the Context of a Family Health Unit
##plugins.themes.bootstrap3.article.sidebar##
##plugins.themes.bootstrap3.article.main##
Abstract
The world population is aging, which leads to an increase in chronic diseases and an increased risk of frailty, with implications for the frequent use of the emergency department by the elderly, with an impact on social and health levels, which should be a concern for nurses who need to intervene in promoting the health of this population; Goals: analyse the reasons for the frequent use of the emergency department by the elderly; Method: qualitative descriptive study, using semi-structured interviews and content analysis; participants - 6 (frail elderly and family caregivers); Results: it was found that most of the reasons that led the participants to make use of emergency department were related to periods of acute of the chronic disease(s), search for specialized care, referral by healthcare professionals, fear of worsening the disease and difficulty in accessing the primary healthcare facility; Conclusions: primary healthcare nurses need to invest more in the surveillance of chronic diseases(s) and promote the literacy of the elderly and the family caregiver to promote the Self-Care.
##plugins.themes.bootstrap3.article.details##
How to Cite
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
openAccess
Andrews, H., & Kass, L. (2018). Non?urgent use of emergency departments: populations most likely to overestimate illness severity. Internal and Emergency Medicine, 1–8. doi: ncbi.nlm.nih.gov/pubmed/29380133.
Bardin, L. (2016). Análise de conteúdo (1.a ed.). Edições 70.
Batista, E. C., Matos, L. A. L., & Nascimento, A. B. (2017). A entrevista como técnica de investigação na pesquisa qualitativa. Revista Interdisciplinar Científica Aplicada, 11(3), 23–38. doi: file:///C:/Users/EU/Downloads/Aentrevistacomotcnicadeinvestigaonapesquisaqualitativa (1).pdf.
Coster, J. E., Turner, J. K., Bradbury, D., & Cantrell, A. (2017). Why Do People Choose Emergency and Urgent Care Services? A Rapid Review Utilizing a Systematic Literature Search and Narrative Synthesis. Academic Emergency Medicine, 24(9), 1137-11–49. doi: ncbi.nlm.nih.gov/pmc/articles/PMC5599959/pdf/ACEM-24-1137.pdf.
Dufour, I., Chouinard, M.-C., Dubuc, N., Beaudin, J., Lafontaine, S., & Hudon, C. (2019). Factors associated with frequent use of emergency-department services in a geriatric population: a systematic review. BMC Geriatrics, 19(185), 1–9. doi: bmcgeriatr.biomedcentral.com/track/pdf/10.1186/s12877-019-1197-9.
Gomes, I. (2021). Partnership of Care in the Promotion of the Care-of-the-Self: An Implementation Guide with Elderly People. Em J. Garcia-Alonso & C. Fonseca (Eds.), Gerontechnology III: Contributions to the Third International Workshop on Gerontechnology, IWoG 2020 (pp. 345–356). Évora: Lecture Notes in Bioengineering - Springer.
Gomes, I. D. (2019). Promover o Cuidado-de-Si: património da enfermagem para o desenvolvimento sustentado, bem-estar e saúde das populações. Revista Pensar Enfermagem, 23(2), 7–15.
Kraaijvanger, N., Rijpsma, D., Willink, L., Lucassen, P., Leeuwen, H. van, & Edwards, M. (2016). Why patients self?refer to the Emergency Department: A qualitative interview study. Journal of Evaluation in Clinical Practice, 23, 593–598. doi: onlinelibrary.wiley.com/doi/epdf/10.1111/jep.12680.
Leite, R. F. (2017). Perspectiva da análise de conteúdo na pesquisa qualitativa: algumas considerações. Revista Pesquisa Qualitativa, 5(9), 539–551. doi: editora.sepq.org.br/rpq/article/view/129/98.
McCance, T., McCormack, B., Slater, P., & McConnell, D. (2020). Examining the theoretical relationships between constructs in the person-centered practice framework: a structural equation model. BMC Health Services Research, 1–23. doi: 10.21203/rs.3.rs-22586/v1.
Minayo, M. C. S., & Costa, A. P. (2018). Fundamentos teóricos das técnicas de investigação qualitativa. Revista Lusófona de Educação, 40, 139–153. doi: revistas.ulusofona.pt/index.php/rleducacao/article/view/6439.
Observatório Português dos Sistemas de Saúde [OPSS]. (2017). Viver em tempos incertos - sustentabilidade e equidade na saúde. OPSS. doi: opss.pt/wp-content/uploads/2018/06/Relatorio_Primavera_2017.pdf.
Observatório Português dos Sistemas de Saúde [OPSS]. (2018). Meio caminho andando - Relatório primavera 2018. OPSS. doi: opss.pt/wp-content/uploads/2018/06/relatorio-primavera-2018.pdf.
Taquette, S. R. (2016). Análise de dados de pesquisa qualitativa em saúde. Atas CIAIQ 2016, 2, 524–533. doi: proceedings.ciaiq.org/index.php/ciaiq2016/article/view/790.
WHO. (2020). Decade of Healthy Ageing (2020-2030). doi: who.int/docs/default-source/decade-of-healthy-ageing/final-decade-proposal/decade-proposal-final-apr2020-en.pdf?sfvrsn=b4b75ebc.