Care of frail and older adults: A content analysis of paramedic operational clinical practice guidelines
| Autor: | Peter Lucas, Anne-Marie M. Williams, Christine Stirling, Wayne Harris |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Gerontology
Decision support system medicine.medical_specialty Population ageing Emergency Medical Services animal structures Health Services for the Aged Frail Elderly Allied Health Personnel Emergency Nursing 03 medical and health sciences 0302 clinical medicine Documentation medicine Humans 030212 general & internal medicine Child Aged Geriatrics business.industry 030208 emergency & critical care medicine Paramedicine Service provider Clinical Practice Emergency Medical Technicians Content analysis embryonic structures Practice Guidelines as Topic business people human activities people.professional_field |
| Zdroj: | International emergency nursing. 56 |
| ISSN: | 1878-013X |
| Popis: | Introduction Frailty rates are increasing with population ageing. In paramedicine, Clinical Practice Guidelines (CPGs) are essential documents that support decision making, yet little evidence exists regarding the support CPGs provide paramedics in the care of frail and older adults. Aim To investigate how CPGs support paramedics’ care of frail and older adults. Methods CPGs from nine Australasian paramedic services were collected in 2019. Content analysis was used to explore two hundred and thirty-seven individual CPGs for decision support information regarding frail and older adults. Results Evidence-based content relating to older adults was sparse compared to paediatric content. Two overarching decision support domains were identified, patient assessment and management. Inconsistent age descriptors were widespread, particularly in pharmacological guidelines. Five service providers’ CPGs contained validated assessment instruments for use with older adults. Conclusion Decision support documentation regarding frail and older adults varies across Australasian paramedic services. Frailty and older adult specific CPGs, and validated assessment instruments suitable to the paramedicine environment could improve paramedic decision making and minimise patient risk. A collaborative approach encompassing service providers and educational institutions is crucial to develop consistent, evidence-based CPGs relevant to older adults. |
| Databáze: | OpenAIRE |
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