Geriatric Emergency Care, An Issue of Clinics in Geriatric Medicine

1st Edition, Volume 39-4 - October 6, 2023
Editors: Maura Kennedy, Shan Liu
Language: English
Hardback ISBN:
9 7 8 - 0 - 4 4 3 - 1 8 3 7 3 - 7
eBook ISBN:
9 7 8 - 0 - 4 4 3 - 1 8 3 7 4 - 4

In this issue of Clinics in Geriatric Medicine, guest editors Drs. Maura Kennedy and Shan Liu bring their considerable expertise to the topic of Geriatric Emergency Care. Top… Read more

Geriatric Emergency Care, An Issue of Clinics in Geriatric Medicine

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In this issue of Clinics in Geriatric Medicine, guest editors Drs. Maura Kennedy and Shan Liu bring their considerable expertise to the topic of Geriatric Emergency Care. Top experts in the field cover critical topics or concepts in geriatric emergency medicine and topics for which there is new research, including guidance on “geriatricizing” the ED and ED observation unit, caring for persons with dementia, and examining the intersection of DEI and care of an aging population.

Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
Foreword
Preface
Assessing Physiologic Reserve and Frailty in the Older Emergency Department Patient: Should the Paradigm Change?
Key points
Introduction
Vital sign interpretation in older emergency department patients
Factors to consider in addition to vital sign changes
Frailty as a “vital sign”
Why assess frailty in the emergency department?
How to assess frailty or vulnerability in the emergency department?
Should frailty assessment be part of the emergency department triage process?
Can frailty assessment change the process of emergency department care?
Summary
Clinics care points
Disclosures
Nonspecific Complaints in Older Emergency Department Patients
Key points
Introduction
Discussion
Emergency department evaluation of nonspecific complaints
Emergency department care transitions for patients with nonspecific complaints
Referrals for home and community service
Summary
Clinics care points
Disclosure
Older Adult Falls in Emergency Medicine, 2023 Update
Key points
Epidemiology of falls
Technological advances with pre-hospital falls detection
Systems-based prehospital falls detection risk assessment and preventive interventions
Emergency department and post–emergency department fall risk assessment and interventions
Post–emergency department falls clinic
Resource allocation for falls management in the emergency department
Next steps
Clinics care points
Disclosure
Trauma (Excluding Falls) in the Older Adult
Introduction
Clinics care points
Disclosures
Delirium and Delirium Prevention in the Emergency Department
Key points
Introduction
Delirium definition and epidemiology in the emergency department
Delirium’s heterogeneity
Delirium and dementia
Risk factors for delirium
Medication risk factors for delirium
Under recognition of delirium in the emergency department
Assessment of delirium in the emergency department
The diagnostic evaluation once delirium is detected in the emergency department
Nonpharmacological management of delirium
Pharmacological management for delirium in the emergency department
Disposition of patients with delirium
Nonpharmacological management (prevention) in the emergency department
Assess, diagnose, evaluate, prevent, and treat tool for delirium care
Future directions
Summary
Clinics care points
Disclosure
Elder Mistreatment: Emergency Department Recognition and Management
Key points
The emergency department encounter: a missed opportunity
Improving detection
Improving intervention and management
The future
Resources
Summary
Clinics care points
Best Practices in End of Life and Palliative Care in the Emergency Department
Key points
Introduction
Assessing of palliative care needs in the emergency department
Communicating difficult news
Suffering in the last days of life
Palliating pain management
Palliating dyspnea management
Caring for hospice patients
Quality metrics for palliative care in the emergency department
Summary
Clinics care points
Disclosure
Optimizing the Care of Persons Living with Dementia in the Emergency Department
Key points
Introduction
Discussion
Summary
Clinics care points
Funding
Emergency Department Pain Management in the Older Adult
Key points
Introduction
General approach to pain in older adults
Pharmacologic treatments
Opioids
Opioid use disorder
Neuropathic agents
Skeletal muscle relaxants
Summary
Clinics care points
Disclosure
Funding
Adverse Drug Event Prevention and Detection in Older Emergency Department Patients
Key points
Introduction
Discussion
Prescribing and deprescribing electronic tools
Integrating into emergency department workflow
Summary
Clinics care point
Disclosure
Developing a Geriatric Emergency Department: People, Processes, and Place
Key points
Introduction
Summary
Disclosure
Emergency Department-to-Community Transitions of Care: Best Practices for the Older Adult Population
Key points
Introduction
Summary
Clinics care points
Funding sources
Disclosure
Diversity, Equity, and Inclusion: Considerations in the Geriatric Emergency Department Patient
Key points
Introduction
Clinics care points
Culture
Clinics care points
Clinics care points
Clinics care points
Discussion
Summary
Disclosure

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Geriatric Emergency Care, An Issue of Clinics in Geriatric Medicine

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Maura Kennedy

Shan Liu