Journal of Korean Gerontological Nursing 2013;15(3):205-217.
Factors Influencing Management of Cognitive Impairment among Older Adults in Acute Care Settings: A Review of the Literature
Kang, Yun Young
Factors Influencing Management of Cognitive Impairment among Older Adults in Acute Care Settings: A Review of the Literature
Kang, Yun Young
Abstract
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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