The Geriatric ED: Structure, Patient Care, and Considerations for the Emergency Department Geriatric Unit

The emergency department (ED) is a unique medical care environment with many challenges. Aging populations increasingly use the ED as an acute and chronic treatment site given the accessibility and resources inherent to emergency provider staff. Given the challenges of emergency medical practice, pa...

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Bibliographic Details
Main Authors: John H. Burton, Janet Young, Carol A. Bernier
Format: Article
Language:English
Published: Taiwan Society of Geriatric Emergency and Critical Medicine (TSGECM) 2014-06-01
Series:International Journal of Gerontology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1873959814000301
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author John H. Burton
Janet Young
Carol A. Bernier
author_facet John H. Burton
Janet Young
Carol A. Bernier
author_sort John H. Burton
collection DOAJ
description The emergency department (ED) is a unique medical care environment with many challenges. Aging populations increasingly use the ED as an acute and chronic treatment site given the accessibility and resources inherent to emergency provider staff. Given the challenges of emergency medical practice, particularly with limited interaction time and awareness for each patient, older patients are at a relatively high risk for inadequate or insufficient comprehensive care at these sites. This article discusses a number of considerations for the development of a unique elderly patient treatment space and care approach in the modern ED. A geriatric-specific approach should incorporate opportunities to enhance patient encounters by alterations in the traditional physical treatment space, the approach to medical and traumatic evaluations, neurocognitive functional assessment, and decision support for medical care and disposition following the ED visit.
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spelling doaj.art-ce8ec410ae044019a4b82306e2d50c732022-12-21T17:48:00ZengTaiwan Society of Geriatric Emergency and Critical Medicine (TSGECM)International Journal of Gerontology1873-95982014-06-0182565910.1016/j.ijge.2014.01.002The Geriatric ED: Structure, Patient Care, and Considerations for the Emergency Department Geriatric UnitJohn H. BurtonJanet YoungCarol A. BernierThe emergency department (ED) is a unique medical care environment with many challenges. Aging populations increasingly use the ED as an acute and chronic treatment site given the accessibility and resources inherent to emergency provider staff. Given the challenges of emergency medical practice, particularly with limited interaction time and awareness for each patient, older patients are at a relatively high risk for inadequate or insufficient comprehensive care at these sites. This article discusses a number of considerations for the development of a unique elderly patient treatment space and care approach in the modern ED. A geriatric-specific approach should incorporate opportunities to enhance patient encounters by alterations in the traditional physical treatment space, the approach to medical and traumatic evaluations, neurocognitive functional assessment, and decision support for medical care and disposition following the ED visit.http://www.sciencedirect.com/science/article/pii/S1873959814000301emergency departmentemergency medicinegeriatrics
spellingShingle John H. Burton
Janet Young
Carol A. Bernier
The Geriatric ED: Structure, Patient Care, and Considerations for the Emergency Department Geriatric Unit
International Journal of Gerontology
emergency department
emergency medicine
geriatrics
title The Geriatric ED: Structure, Patient Care, and Considerations for the Emergency Department Geriatric Unit
title_full The Geriatric ED: Structure, Patient Care, and Considerations for the Emergency Department Geriatric Unit
title_fullStr The Geriatric ED: Structure, Patient Care, and Considerations for the Emergency Department Geriatric Unit
title_full_unstemmed The Geriatric ED: Structure, Patient Care, and Considerations for the Emergency Department Geriatric Unit
title_short The Geriatric ED: Structure, Patient Care, and Considerations for the Emergency Department Geriatric Unit
title_sort geriatric ed structure patient care and considerations for the emergency department geriatric unit
topic emergency department
emergency medicine
geriatrics
url http://www.sciencedirect.com/science/article/pii/S1873959814000301
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