Tele-follow-up of older adult patients from the Geriatric Emergency Department Innovation (GEDI) program

Lucy Morse, Linda Xiong, Vanessa Ramirez-Zohfeld, Scott Dresden, Lee A. Lindquist*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

The objective of this study was to characterize the content and interventions performed during follow-up phone calls made to patients discharged from the Geriatrics Emergency Department Innovation (GEDI) Program and to demonstrate the benefit of these calls in the care of older adultsdischarged from the emergency department (ED). This study utilizes retrospective chart review with qualitative analysis. It was set in a large, urban, academic hospital emergency department utilizing the Geriatric Emergency Department Innovations (GEDI) Program. The subjects wereadults aged 65 and over who visited the emergency department for acute care. Follow-up telephone calls were made by geriatric nurse liaisons (GNLs) at 24-72 h and 10-14 days post-discharge from the ED. The GNLs documented the content of the phone calls, and these notes were analyzed through a constant comparative method to identify emergent themes. The results showed that the most commonly arising themes in the patients' questions and nurses' responses across time-points included symptom management, medications, and care coordination (physician appointments, socialservices, therapy, and medical equipment). Early follow-up presented the opportunity for nurses to address needs in symptom management and care coordination that directly related to the ED admission; later follow-up presented a unique opportunity to resolve sub-acute issues that were not addressed by the initial discharge plan and to manage newly arising symptoms and patient needs. Thus, telephone follow-up after emergency department discharge presents an opportunity to better connect older adults with appropriate outpatient care and to address needs arising shortly afterdischarge that may not have otherwise been detected. By following up at two discrete time-points, this intervention identifies and addresses distinct patient needs.

Original languageEnglish (US)
Article number18
JournalGeriatrics (Switzerland)
Volume4
Issue number1
DOIs
StatePublished - Mar 1 2019

Keywords

  • Emergency department
  • Follow-up phone calls
  • Older adults

ASJC Scopus subject areas

  • Aging
  • Geriatrics and Gerontology
  • Gerontology
  • Health(social science)

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