Non-pharmacologic interventions improve comfort and experience among older adults in the Emergency Department - 08/06/20

Doi : 10.1016/j.ajem.2020.04.089

Isabella M. Lichen ^a , Michelle J. Berning ^a, Susan M. Bower, RN ^a,^b , Jessica A. Stanich, MD ^a , Molly M. Jeffery, PhD ^a,^c , Ronna L. Campbell, MD, PhD ^a , Laura E. Walker, MD ^a , Fernanda Bellolio, MD, MS ^a,^c,^{^⁎}
^a Department of Emergency Medicine, Mayo Clinic, Rochester, MN, USA
^b Department of Nursing, Mayo Clinic, Rochester, MN, USA
^c Department Health Science Research, Division of Health Care Policy and Research, Mayo Clinic, Rochester, MN, USA

^⁎Corresponding author at: Department of Emergency Medicine, Mayo Clinic, 200 First St SW, Generose Building G-410, Rochester, MN 55905, USA.Department of Emergency MedicineMayo Clinic200 First St SW, Generose Building G-410RochesterMN55905USA

Sous presse. Épreuves corrigées par l'auteur. Disponible en ligne depuis le Monday 08 June 2020
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Abstract

Objective

Determine if a comfort cart would improve older adults' comfort and facilitate communication during Emergency Department (ED) visits.

Methods

A comfort cart containing low-cost, non-pharmacological interventions to improve patient comfort and ability to communicate (e.g., hearing amplifiers, reading glasses) were made available to patients aged ≥65 years. Patients and clinicians were surveyed to assess effectiveness. We followed the Standards for Quality Improvement Reporting Excellence: SQUIRE 2.0 guidelines.

Results

Three hundred patients and 100 providers were surveyed. Among patients, 98.0%, 95.1%, and 67.5% somewhat or strongly agreed that the comfort cart improved comfort, overall experience, and independence, respectively. Among providers, 97.0%, 95.0%, 87.0%, and 83% somewhat or strongly agreed that the comfort cart provided comfort, improved patient satisfaction, increased ability to give compassionate care, and increased patient orientation.

Conclusion

The comfort cart was an affordable and effective intervention that improved patients' comfort by facilitating communication, wellbeing, and compassionate care delivery.

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