The needs of older patients in hospital care: a scoping review
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REVIEW
The needs of older patients in hospital care: a scoping review Hana Bláhová1 · Alžběta Bártová1 · Vladimíra Dostálová1 · Iva Holmerová1 Received: 3 May 2020 / Accepted: 1 October 2020 © Springer Nature Switzerland AG 2020
Abstract Background Research into care for older patients in the hospital environment has become an increasingly valuable source of information, as it gives feedback on the quality of hospital care provided. The aim of this study is to provide a comprehensive overview of the self-reported needs of older people in hospital care. Methods The scoping review was conducted by searching the following databases: Medline, Web of Science, ProQuest Central, Scopus, Cinahl, PsycINFO and Summon. Results The search identified articles focusing on older people in hospital care. The majority of these articles address the system and quality of care for seniors at a somewhat general and theoretical level. Met and unmet needs were assessed by a variety of test methods focusing mainly on medical issues (e.g., Mini-Nutritional Assessment, ADLs—activities of daily living, Abbey Pain Scale) and mostly from the perspective of hospital staff, carers and relatives. Only 15 articles used assessments based on information and opinions obtained from the seniors themseAbstract_Paralves (self-reported needs). A thematic analysis revealed seven main themes: conduct and care in emergency departments, dignity, nutritional care, satisfaction of patients’ needs, pain, caring with respect, decision-making and spiritual needs. Conclusion/discussion The results of this scoping review suggest that more attention should be focused on information acquired from the patients themselves, as it is only the patient, however, old or frail, who can offer an accurate perspective on met or unmet needs and the quality of care provided. Keywords Needs · Hospital · Acute care · Senior
Introduction Hospital care and older patients Statistical data confirm that the number of frail patients in need of acute hospital care has been rising [1]. It has been demonstrated that these people face enormous physical and mental stress, which increases the risk of further health problems. With older patients, it is very important to be aware of the need for a differentiated and individual approach. This is also why acute health care providers must be ready to promptly identify older patients’ immediate needs and respond accordingly [1]. Although the number of older and frail patients has continued to rise, it is evident that in many respects, hospital * Hana Bláhová [email protected] 1
Department of Longevity Studies, Faculty of Humanities, Charles University, Prague, Czech Republic
care fails to accommodate their needs. This may also impact clinical outcomes such as morbidity and mortality, which are poorer in this group compared with other patients; this may not necessarily be due to their age. Professionals and laypersons alike have repeatedly pointed out that the existing system of health care for seniors is suboptimal, and that
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