Lauren Southerland,Eric James
Lauren Southerland
Multidisciplinary care for older adults in the emergency department (ED) is endorsed by multiple national and international guidelines. There are numerous disciplines to consider including, each with different strengths and contributions, i...
Boarding in the Emergency Department: Specific Harms to Older Adults and Strategies for Risk Mitigation [0.03%]
急诊科加床导致的老年患者具体伤害及减少风险的策略
Joshua W Joseph,Anthony Rosen,Maura Kennedy
Joshua W Joseph
Emergency department (ED) boarding, which refers to holding patients in the ED for prolonged periods while awaiting an inpatient bed, is linked to patient harm and is associated with worsening ED crowding. Evidence suggests that older patie...
Geriatric-Specific Considerations in the Care of Older Adults with Pulmonary/Respiratory Diseases [0.03%]
老年呼吸系统疾病患者的护理中的老年专科问题考虑因素
Angel Li,Katherine M Hunold
Angel Li
Older adult patients (age ≥ 65 years) frequently present to the emergency department with dyspnea, and the most common cause is pulmonary disease. Clinical presentation, examination findings, and existing diagnostic tests can be affected b...
Daniel W Markwalter,Susan Kennedy
Daniel W Markwalter
Capacity refers to the ability of an individual to make a decision about their medical care based on informed understanding of the medical scenario, treatment options, and potential outcomes. Determining patient capacity for a decision requ...
Mark Lachmann,Savannah Forrester
Mark Lachmann
Older adults with acute mental health concerns represent a large and growing population presenting to emergency departments (EDs). An organized approach to seniors experiencing a mental health crisis, grounded in a life course perspective, ...
The Importance of Addressing Social Drivers of Health and Unmet Social Needs in Optimizing Geriatric Emergency Care [0.03%]
针对老年急诊医疗中社会驱动因素和未满足的社会需求的应对措施的重要性分析优化老年急诊护理中的社会驱动因素和未满足的社会需求的重要性
Christina Shenvi,Elaine Gottesman,Tony Rosen
Christina Shenvi
Social factors and determinants have an immense impact on health. These "social drivers of health" have been broadly defined as economic and social conditions that influence the health of people and communities. Unmet social needs contribut...
Identification and Initial Resuscitation of Critically Unwell Older Patients in the Emergency Department [0.03%]
急诊科危重老年患者的识别与初始复苏
Alice Gray,Brittany Ellis,Osama Loubani
Alice Gray
Identifying and managing critically unwell older patients in emergency departments are challenging for all clinicians. Physiologic changes, multiple comorbidities, and medications often mask or confound serious conditions in older people, a...
Delirium Prevention and Management in Older Adults in the Emergency Department [0.03%]
急诊科老年患者的谵妄的预防和处理
Rachel M Skains,Sangil Lee,Jin H Han
Rachel M Skains
Delirium, acute brain dysfunction, is present in 10% to 35% of older adults in the emergency department (ED) but unrecognized in ∼80% of cases leading to significant adverse outcomes. Thus, routine screening for delirium is vital to improv...
Scott M Dresden,John C Dickens,Alexander X Lo
Scott M Dresden
Assessments are available which can help to identify emergency department (ED) patients who may have dementia. Persons living with dementia (PLWD) have unique emergency care needs such as difficulties with activities of daily living and beh...
Martin F Casey,Joshua Niznik
Martin F Casey
Treating older adults with acute pain in the emergency department is complicated. Undertreated pain can lead to delirium and functional decline. Conversely, common analgesics pose risks of serious drug-drug interactions and adverse drug eve...