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KMID : 0895920130150030205
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Journal of Korean Gerontological Nursing
2013 Volume.15 No. 3 p.205 ~ p.217
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Factors Influencing Management of Cognitive Impairment among Older Adults in Acute Care Settings: A Review of the Literature
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Kang Yun-Young
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Abstract
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Purpose: This study was done to better understand factors affecting care management of older adults with cognitive impairments (CI) in acute care settings and to provide a discussion of the literature focusing on educational issues for nurses caring for older adults with CI in acute care settings.
Methods: Analysis was done of 26 articles related to management of acute or chronic confusion in older adults in acute care settings, which were published between 2000 and 2012.
Results: The theoretical literature outlines nurse-related and organizational-related factors that influence management of dementia or delirium in older adults in acute care settings. These themes offer grounding for further research and the development of education that address the needs of older adults with CI undergoing management for co-morbidity in acute care settings.
Conclusion: In the current studies, the emphasis was on the need for education, which has the potential to lead to a significantly positive improvement in RNs’ knowledge and attitudes, and the appropriate management and empowerment of family members to participate through the early detection of dementia or delirium in hospitalized older adults with CI. Consequently, facilitating care improvement for older adults with CI, particularly those with dementia, needs to be given attention in Korean acute care settings.
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KEYWORD
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Dementia, Delirium, Management, Hospital, Aged
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