Emergency medical service, nursing, and physician providers' perspectives on XXXX identification and management.

@entity1 @entity697 @entity303 @entity2146 @entity933
PURPOSE OF THE STUDY: The study objective was to understand providers' perceptions regarding identifying and treating older adults with @entity933 , a common complication of @entity697 in @entity1 with @entity303 , in the pre-hospital and emergency department environments. DESIGN AND METHODS: The authors conducted structured focus group interviews with separate groups of emergency medical services staff, emergency nurses, and emergency physicians. Recordings of each session were transcribed, coded, and analyzed for themes with representative supporting quotations identified. RESULTS: Providers shared that the busy emergency department environment was the largest challenge to @entity933 recognition and treatment. When describing @entity933 , @entity1 frequently detailed hyperactive features of @entity933 , rather than hypoactive features. @entity1 shared that they employed no clear diagnostic strategy for identifying the condition and that they used heterogeneous approaches to treat the condition. To improve care for older adults with @entity933 , emergency nurses identified the need for more training around the management of the condition. Emergency medical services providers identified the need for more support in managing @entity2146 @entity1 when in transport to the hospital and more guidance from emergency physicians on what information to collect from the @entity1 's home environment. Emergency physicians felt that @entity933 care would be improved if they could have baseline mental status data on their @entity1 and if they had access to a simple, accurate diagnostic tool for the condition. IMPLICATIONS: Emergency medical services providers, emergency nurses, and emergency physicians frequently encounter delirious @entity1 , but do not employ clear diagnostic strategies for identifying the condition and have varying levels of comfort in managing the condition. Clear steps should be taken to improve @entity933 care in the emergency department including the development of mechanisms to communicate @entity1 ' baseline mental status, the adoption of a systematized approach to recognizing @entity933 , and the institution of a standardized method to treat the condition when identified.
