Identifying Social-Behavioral Health Needs of Adults with Sickle Cell Disease in the Emergency Department

Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association
Sophia K SmithPaula Tanabe

Abstract

Sickle cell disease (SCD) is a complex illness with many social-behavioral co-morbidities. The aim of this project was to describe unmet social-behavioral health needs for adults with SCD who presented to the emergency department for treatment of vaso-occlusive episodes (VOEs). A descriptive study using 1:1 interviews during an ED visit for a VOE was conducted; a brief social behavioral health screening interview guide was used. A convenience sample of adults with SCD treated in the emergency department for a VOE were eligible for inclusion. We conducted 147 interviews over 14 months. Patients reported transportation and/or scheduling difficulties with clinic appointments in one third of the interviews. Four major themes emerged: clinic appointment barriers, medication barriers, other care barriers, and social-behavioral issues. A majority of patients (53%) reported being brought to the emergency department by a family member at their current visit. Patients cited having insurance coverage issues in more than one quarter (27%) of the interviews. Difficulties in obtaining prescriptions were cited as a result of a financial copay (17%), transportation (11%), and pharmacy (9%) issues. Almost one third of patients (29%) reported fe...Continue Reading

Citations

Dec 22, 2017·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Patrick W MalechaKelly M Doran
May 29, 2019·The American Journal of Nursing·Paula TanabeMary Hulihan
Jul 22, 2018·Orthopaedic Nursing·Irina Benenson, Sallie Porter
Feb 18, 2021·Critical Care Nursing Quarterly·Nancy CregoPaula Tanabe

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