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Interdisciplinary Journal of Nursing and Critical Care


Research Article

Implementation of a Standardized Tool for Trauma Associated Acute Respiratory Distress Syndrome in Older Adults

Deanna Jung

Correspondence Address :

Deanna Jung
Assistant Professor
School of Nursing
California State University
United States
Tel: 657-278-5365, Fax: 657-278-3338
Email: dejung@Exchange.FULLERTON.EDU

Received on: August 04, 2017, Accepted on: August 26, 2017, Published on: August 30, 2017

Citation: Deanna Jung (2017). Implementation of a Standardized Tool for Trauma Associated Acute Respiratory Distress Syndrome in Older Adults

Copyright: 2017 Deanna Jung. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

  • Abstract

Introduction: Advanced aged adults, 65 years old or greater, have a four times greater likelihood of dying after a blunt thoracic traumatic injury (Lotfipour. et al, 2009). Over the last century the number of advanced aged adults in the United States has increased eleven fold and continues to grow annually and double within the next 25 years (Lotfipour. et al, 2009). The elderly population has the highest incidence of hospitalization following a traumatic injury and accounts for the highest percentage of age related deaths across all age groups from complications incurred including pulmonary contusions which may consequently lead to acute respiratory distress syndrome (ARDS) in 50% of patients (Lotfipour et al, 2009; Becher et al, 2012).
Aim: To identify, implement, and assess a valid standardized objective thoracic specific tool and diagnostic imaging that may be incorporated in the ER and ICU settings to help decrease the incidence of trauma associated ARDS in advanced aged adults in hopes of reducing hospital length of stay (LOS), required days on ventilator support, morbidity and mortality, and associated costs of care.
Methods: Review how the APRN role can positively affect patient outcomes with the use of standardized protocols to decrease morbidity and mortality rates, LOS, and utilization of associated healthcare costs.
Conclusion: The use of valid and reliable standardized protocols for patients with blunt thoracic trauma through the use of the Diffusion of Innovations Theory by APRNs will improve patient outcomes, decrease LOS, and associated healthcare expenditures.