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dc.contributor.authorBuswell, Marina
dc.contributor.authorLumbard, Philip
dc.contributor.authorProthero, Larissa
dc.contributor.authorLee, Caroline
dc.contributor.authorMartin, Steven
dc.contributor.authorFleming, Jane
dc.contributor.authorGoodman, Claire
dc.date.accessioned2017-07-21T14:51:05Z
dc.date.available2017-07-21T14:51:05Z
dc.date.issued2014-12-02
dc.identifier.citationBuswell , M , Lumbard , P , Prothero , L , Lee , C , Martin , S , Fleming , J & Goodman , C 2014 , ' Unplanned, urgent and emergency care : what are the roles that EMS plays in providing for older people with dementia? An integrative review of policy, professional recommendations and evidence ' , European Journal of Emergency Medicine , vol. 33 , no. 1 , pp. 61-70 . https://doi.org/10.1136/emermed-2014-203941
dc.identifier.issn0969-9546
dc.identifier.otherPURE: 10220565
dc.identifier.otherPURE UUID: 7312794f-9174-410f-a1b0-46d79f306ed0
dc.identifier.otherPubMed: 25465035
dc.identifier.otherScopus: 84951791764
dc.identifier.urihttp://hdl.handle.net/2299/19035
dc.descriptionThis is the accepted manuscript for the following article: Marina Buswell, et al., “Unplanned, urgent and emergency care: what are the roles EMS provide for older people with dementia? An integrative review of policy, professional recommendations and evidence”, European Journal of Emergency Medicine, Vol. 33(1), December 2014. The final published version is available at: http://emj.bmj.com/content/33/1/61 © 2014  BMJ Publishing Group Limited. 
dc.description.abstractOBJECTIVE: To synthesise the existing literature on the roles that emergency medical services (EMS) play in unplanned, urgent and emergency care for older people with dementia (OPWD), to define these roles, understand the strength of current research and to identify where the focus of future research should lie. DESIGN: An integrative review of the synthesised reports, briefings, professional recommendations and evidence. English-language articles were included if they made any reference to the role of EMS in the urgent or emergency care of OPWD. Preparatory scoping and qualitative work with frontline ambulance and primary care staff and carers of OPWD informed our review question and subsequent synthesis. RESULTS: Seventeen literature sources were included. Over half were from the grey literature. There was no research that directly addressed the review question. There was evidence in reports, briefings and professional recommendations of EMS addressing some of the issues they face in caring for OPWD. Three roles of EMS could be drawn out of the literature: emergency transport, assess and manage and a 'last resort' or safety net role. CONCLUSIONS: The use of EMS by OPWD is not well understood, although the literature reviewed demonstrated a concern for this group and awareness that services are not optimum. Research in dementia care should consider the role that EMS plays, particularly if considering crises, urgent care responses and transitions between care settings. EMS research into new ways of working, training or extended paramedical roles should consider specific needs and challenges of responding to people with dementia.en
dc.format.extent10
dc.language.isoeng
dc.relation.ispartofEuropean Journal of Emergency Medicine
dc.rightsEmbargoed
dc.titleUnplanned, urgent and emergency care : what are the roles that EMS plays in providing for older people with dementia? An integrative review of policy, professional recommendations and evidenceen
dc.contributor.institutionSchool of Health and Social Work
dc.contributor.institutionCentre for Research in Public Health and Community Care
dc.contributor.institutionOlder People's Health and Complex Conditions
dc.description.statusPeer reviewed
dc.date.embargoedUntil2015-12-02
dc.relation.schoolSchool of Health and Social Work
dc.description.versiontypeFinal Accepted Version
dcterms.dateAccepted2014-12-02
rioxxterms.versionAM
rioxxterms.versionofrecordhttps://doi.org/10.1136/emermed-2014-203941
rioxxterms.typeJournal Article/Review
herts.preservation.rarelyaccessedtrue
herts.rights.accesstypeEmbargoed


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