Journal of geriatric emergency medicine最新文献

{"title":"Prioritizing Care of Older Adults in Times of Emergency Department Overcrowding","authors":"April L Ehrlich, Mitchel Erickson, Esther Oh, Todd James, Saket A Saxena","doi":"10.17294/2694-4715.1067","DOIUrl":"https://doi.org/10.17294/2694-4715.1067","url":null,"abstract":"creation of multi/transdisciplinary efforts to address the overcrowding of older adults in the ED. There has also been great success in improving outcomes with modified Hospital Elder Life Programs (HELP) 17 and Geriatric Surgical Verification (GSV) programs. 18 In addition, the Nurses Improving Care for Health System Elders (NICHE) program 19 has had great success in training nurses to be geriatric resource nurses within successful programs. More such 3I initiatives are needed. With the above recommendations we can begin to address this critical epidemic by leveraging transdisciplinary expertise, local and national partners, and policymakers. We urge local and national leaders to address the boarding crises of older adults and how to mitigate its impact, consolidate strengths","PeriodicalId":73757,"journal":{"name":"Journal of geriatric emergency medicine","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135146165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of a Novel Multi-Specialist Telemedicine Consultation Program Model of Care for Homebound Older Adults","authors":"Samir K Sinha, Kristina Marie Kokorelias, Nicoda Foster, Pauline Kabitsis, Alfiya Mukharyamova, Mary Ann Hamelin, Nga Truong, Anna Grosse, Janny Lee","doi":"10.17294/2694-4715.1063","DOIUrl":"https://doi.org/10.17294/2694-4715.1063","url":null,"abstract":"BACKGROUND: In 2015, a centralised Multi-Specialist Telemedicine (TM) Consultation Program was established to improve access to specialist care and enhance continuity of care for homebound older adults in Toronto, Canada. Community-dwelling patients were referred to the program by their primary care providers (PCP), treating specialists, and inpatient physicians for specialist-led post hospital discharge follow-up care. A clinical nurse specialist (CNS) thereafter collaborated with hospital-based consulting specialists, utilizing videoconferencing technology to facilitate consultations and follow-up visits for homebound patients","PeriodicalId":73757,"journal":{"name":"Journal of geriatric emergency medicine","volume":"225 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135207088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Missed and the Misdiagnosed: Geriatric Delirium in the Emergency Department","authors":"Christienne Shams, Yashar Eshman, Ronan Factora, Stephen Meldon, Saket Saxena","doi":"10.17294/2694-4715.1061","DOIUrl":"https://doi.org/10.17294/2694-4715.1061","url":null,"abstract":"Background: Older patients with delirium are at increased risk for prolonged hospitalization, poor outcomes, higher costs and a greater risk for institutionalization. By identifying those at risk early, interventions can be implemented to prevent or minimize the severity of the delirium. Per hospital policy, our geriatric emergency department (ED) screens for delirium by performing a 4AT only if changes in mental status are noted by caregivers or healthcare providers familiar with the patient. We hypothesize this approach underestimates the prevalence of delirium on presentation to the ED, particularly among high-risk older patients. The aim of this study is to determine how many cases of delirium that are present on admission are missed using this traditional approach.","PeriodicalId":73757,"journal":{"name":"Journal of geriatric emergency medicine","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135259575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Shared Disposition Decision-Making in the Emergency Department for Persons Living with Dementia.","authors":"Justine Seidenfeld, Fernanda Bellolio, Anita Vashi, Courtney Van Houtven, Susan Hastings","doi":"10.17294/2694-4715.1057","DOIUrl":"10.17294/2694-4715.1057","url":null,"abstract":"","PeriodicalId":73757,"journal":{"name":"Journal of geriatric emergency medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11378982/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47813022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient Experience After Geriatric Emergency Medicine Assessment","authors":"Jessica Kuxhause, Natalie Liogas, S. Keene, R. Fisher, Lauren Cameron Comasco","doi":"10.17294/2694-4715.1048","DOIUrl":"https://doi.org/10.17294/2694-4715.1048","url":null,"abstract":"Introduction The geriatric population is increasing in size and is expected to represent 20% of the United States population by 2030 per US census data estimates, with an expectant increase in geriatric emergency department (ED) visits. 1 Prior research has demonstrated older adults evaluated in the ED are more likely to have an increased length of stay, more diagnostic tests, and higher overall costs than their younger counterparts, but despite consuming greater resources and staff time, older adults are still more likely to be dissatisfied with their treatment outcomes and less likely to feel that their presenting complaint has been resolved. 2,4 In 2013 the American Academy of Emergency Physicians began a formal accrediting process for Geriatric Emergency Departments, 3 and the Beaumont Royal Oak ED implemented a Geriatric Assessment Team (GAT) while in the process of obtaining this accreditation. The primary objective of this qualitative study was to assess the older patient’s experience and perception of the care they received in the emergency department after evaluation by the Geriatric Assessment Team and determine if patients would recommend the continuation of this program. Methods Patients aged 65 and older that do not live in a nursing home and presented to the ED from the community Monday through Friday between 9 AM to 5 PM were screened using the Identifying Seniors at Risk Questionnaire. Those who scored 2 or higher underwent additional testing to further assess cognition, fall risk, risk of polypharmacy. Patients who screened positive on any of these tests received additional care coordination including physical and occupational therapy evaluations, home care, and medical equipment. When workup was completed, a 6-question survey was administered to assess satisfaction with the program elements on a scale from 1 (very dissatisfied) to 5 (very satisfied), with opportunity to provide additional comments. Results From November 2020 through May 2021, 258 surveys were collected. The average age of responders was 79 and 40% of responders identified as male. 46.1% of surveyed patients were discharged, 34% admitted, 18% placed in the observation unit, 1.6% were discharged directly to a subacute rehab facility,","PeriodicalId":73757,"journal":{"name":"Journal of geriatric emergency medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44368947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Geriatric Emergency Medicine Fellowship Journal Club: Screening for High-Risk Alcohol Use Among Older Adults in the Emergency Department","authors":"K. Gossack-Keenan","doi":"10.17294/2694-4715.1058","DOIUrl":"https://doi.org/10.17294/2694-4715.1058","url":null,"abstract":",","PeriodicalId":73757,"journal":{"name":"Journal of geriatric emergency medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44367577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Top 10 Things to Know about Falls in Older Adults","authors":"Alexander Zirulnik, Sha Liu","doi":"10.17294/2694-4715.1053","DOIUrl":"https://doi.org/10.17294/2694-4715.1053","url":null,"abstract":"Assessing falls among the older adult population in the emergency department (ED) is challenging. Multi-factorial fall assessments often take time, a resource that is limited in crowded and under-resourced EDs. Nonetheless, EDs have a unique opportunity to intervene to prevent recurrent falls. Patients may present soon after their fall and may be more open to interventions that can change their fall risk. Given the aging population, visits for falls among the older adult population will likely increase.1 This brief report outlines the top 10 considerations when caring for older adult patients who present to the ED with a fall.","PeriodicalId":73757,"journal":{"name":"Journal of geriatric emergency medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41353458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"End-of-life Care In The Trauma Bay: Six Key Points","authors":"L. Christie","doi":"10.17294/2694-4715.1051","DOIUrl":"https://doi.org/10.17294/2694-4715.1051","url":null,"abstract":"","PeriodicalId":73757,"journal":{"name":"Journal of geriatric emergency medicine","volume":"16 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41260637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Geriatric Trauma Triage - The Scope of the Problem","authors":"Mya Cubitt, Rachel Key","doi":"10.17294/2694-4715.1052","DOIUrl":"https://doi.org/10.17294/2694-4715.1052","url":null,"abstract":"","PeriodicalId":73757,"journal":{"name":"Journal of geriatric emergency medicine","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136135993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ABC's of Geriatric Trauma","authors":"T. Hogan","doi":"10.17294/2694-4715.1049","DOIUrl":"https://doi.org/10.17294/2694-4715.1049","url":null,"abstract":"","PeriodicalId":73757,"journal":{"name":"Journal of geriatric emergency medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48137569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}