The demographic evolution of old age is a reality. After the age of 75, 2 out of 3 people living in institutions have neurocognitive disorders. Behavioural disorders such as physical aggression, agitation, hallucinations, sleep disorders, generate difficulties in the management of these patients and lead to unscheduled emergency hospitalizations. Non-pharmacological management of behavioral disorders is recommended as a first-line treatment because of its low risk and potential improvement (Haute Autorité de Santé 2009). However, this management is not simple and obvious to put in place, especially since not all elderly people with Behavioural disorders are in adapted structures. The advanced practice nurse specializing in geriatrics has a place in this care pathway. Because of her skills, she could "organize multi-professional care, set up analyses of practices within the nursing homes, train caregivers appropriately, and limit hospitalizations due to behavioral problems" (SALIEGE L. 2020). Advanced practice nursing is in its infancy in France, and everything remains to be done (International Council of Nurses- directive). The aim of the study is to identify the number of emergency room visits by people aged 75 and over for behavioral problems in nursing home during a 6 month-period.
Study Type
OBSERVATIONAL
Enrollment
4,000
Observation
CHRU de NANCY
Nancy, France
Number of passage of people aged 75 and over referred to emergency departments by nursing homes for disorientation, agitation, dementia or behavioural problems during the study period
Number of passage of people aged 75 and over referred to emergency departments by nursing homes for disorientation, agitation, dementia or behavioural problems during the study period
Time frame: through study completion, an average of 6 months
Age of the patients
Time frame: through study completion, an average of 6 months
Gender of the patients
Time frame: through study completion, an average of 6 months
Presence of previous medical cognitive disorder
Time frame: through study completion, an average of 6 months
Name of nursing home of origin
Time frame: through study completion, an average of 6 months
Length of stay at emergency room
Time frame: through study completion, an average of 6 months
Referral after visit at emergency room
Time frame: through study completion, an average of 6 months
Number of iterative passage of people aged 75 and over referred to emergency departments by nursing homes for disorientation, agitation, dementia or behavioural problems during the study period
Time frame: through study completion, an average of 6 months
Presence of intervention of geriatric mobile team
Time frame: through study completion, an average of 6 months
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