From Emergency to the Community: Nursing Care That Promotes Safe Transition of the Person with Increased Vulnerability

• Autor(a) principal: Monteiro,Cristina
• Data de Publicação: 2021
• Outros Autores: Rosado,João, Teixeira,Pedro, Fernandes,Melissa
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: http://scielo.pt/scielo.php?script=sci_arttext&pid=S2184-77702021000100052
• topic: elderly; nursing care; continuity of care; transitional care; emergency.

Abstract: Readmission to the emergency service after discharge is high, nursing interventions are needed in order to ensure continuity of care after discharge from this service to avoid this phenomenon. Objective: To identify the risk factors for readmissions and describe the interventions that guarantee continuity of care after discharge from the Emergency Department. Methodology: Integrative literature review, following the protocol. The bibliographic sample comprises 7 articles. Results: It is necessary to identify risk factors, personal history, polymedication, the current life situation, age, level of dependence, risk of falling and cognitive function. In nursing, the interventions that stand out the most are the follow-up telephone calls and the existence of an expert nurse in transitional care. Conclusion: The evidence recommends that the existence of structured interventions and an effective articulation of care between the Emergency Department and the Community are good practices to implement and bring health gains to the population studied, however there is a need to further research at this level.