Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-586b7cd67f-rdxmf Total loading time: 0 Render date: 2024-11-24T13:49:56.397Z Has data issue: false hasContentIssue false

Chapter 36 - Geriatric Emergency Medicine

from Section III - Care of the Elderly by Organ System

Published online by Cambridge University Press:  30 June 2022

By
Christine Binkley ,
Katherine Selman  and
Kevin Biese
Edited by
Jan Busby-Whitehead ,
Samuel C. Durso ,
Christine Arenson ,
Rebecca Elon ,
Mary H. Palmer  and
William Reichel
Jan Busby-Whitehead
Affiliation:
University of North Carolina, Chapel Hill
Samuel C. Durso
Affiliation:
The Johns Hopkins University, Maryland
Christine Arenson
Affiliation:
Thomas Jefferson University, Philadelphia
Rebecca Elon
Affiliation:
The Johns Hopkins University School of Medicine
Mary H. Palmer
Affiliation:
University of North Carolina, Chapel Hill
William Reichel
Affiliation:
Georgetown University Medical Center
Get access

Summary

As the population ages, it is imperative that we adapt our health-care system in a way that improves the delivery of care to all of our patients, especially the elderly population. Geriatric emergency departments (EDs) are traditional EDs with an enhanced, but not exclusive, focus on the special needs of older adults. They incorporate staff education, enhanced processes (e.g., screenings), improved and often inexpensive structures for older adults, and community connections with the leadership of a geriatric-focused physician and nurse champions. Initial data from geriatric EDs demonstrate decreased admissions, ED revisits, and enhanced patient satisfaction with Geriatric ED processes. The Geriatric Emergency Department Collaborative (GEDC) is a learning collaborative to share best practices in geriatric emergency medicine. There is also the Geriatric ED Accreditation (GEDA) program that standardizes tiered expectations for geriatric EDs and grants recognition to EDs that achieve those standards.

Keywords

Geriatric Emergency DepartmentGeriatric Emergency Department Accreditation (GEDA)GED guidelinescare transitions
Type
Chapter
Information
Reichel's Care of the Elderly
Clinical Aspects of Aging
 , pp. 434 - 439
Publisher: Cambridge University Press
Print publication year: 2022

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Kahn, JA, Magauran, BG, Olshaker, JS, Shankar, KN. Current trends in geriatric emergency medicine. Emerg Med Clin North Am. 2016; 34(3):435–452.CrossRefGoogle ScholarPubMed
Sun, R, Karaca, Z, Wong, HS. Trends in hospital emergency department visits by age and payer, 2006–2015. Agency for Healthcare Research and Quality, 2018 [cited May 30, 2020]. www.hcup-us.ahrq.gov/reports/statbriefs/sb238-Emergency-Department-Age-Payer-2006-2015.jsp.Google Scholar
US Census Bureau. Older people projected to outnumber children for first time in U.S. history [updated Oct. 8, 2019]. www.census.gov/newsroom/press-releases/2018/cb18-41-population-projections.html.Google Scholar
Afable, R, Averbeck, B, Dziedzicki, R, Nichols, A. Report: When I’m 64 – How boomers will change health care. American Hospital Association, 2007 [cited May 30, 2020]. www.aha.org/guidesreports/2007-05-08-report-when-im-64-how-boomers-will-change-health-care.Google Scholar
Hwang, U, Morrison, RS. The geriatric emergency department. J of Am Geriatr Soc. 2007; 55(11):1873–1876.CrossRefGoogle ScholarPubMed
Pines, JM, Mullins, PM, Cooper, JK, Feng, LB, Roth, KE. National trends in emergency department use, care patterns, and quality of care of older adults in the United States. J of Am Geriatr Soc. 2013; 61(1):12–17.CrossRefGoogle ScholarPubMed
Sanders, AB. Care of the elderly in emergency departments: Conclusions and recommendations. Ann Emerg Med. 1992; 21(7):830–834.Google Scholar
McNamara, RM, Rousseau, E, Sanders, AB. Geriatric emergency medicine: A survey of practicing emergency physicians. Ann Emerg Med. 1992; 21(7):796–801.Google Scholar
Carpenter, CR, Lewis, LM, Caterino, JM, Wilber, S, Scheatzle, M, Fiorello, A. Emergency physician geriatric education: An update of the 1992 geriatric task force survey. Has anything changed? [abstract] Ann Emerg Med. 2008; 52(4 Suppl. 1):S156.Google Scholar
Hogan, TM, Losman, ED, Carpenter, CR, et al. Development of geriatric competencies for emergency medicine residents using an expert consensus process. Acad Emerg Med. 2010; 17(3):316–324.CrossRefGoogle ScholarPubMed
Geriatric Emergency Department Guidelines. American College of Emergency Physicians, The American Geriatrics Society, Emergency Nurses Association, and the Society for Academic Emergency Medicine, 2013.Google Scholar
Wallis, M, Marsden, E, Taylor, A, Craswell, A, Broadbent, M, Barnett, A, et al. The Geriatric Emergency Department Intervention model of care: A pragmatic trial. BMC Geriatr. 2018; 18(1).Google Scholar
Wright, PN, Tan, G, Iliffe, S, Lee, D. The impact of a new emergency admission avoidance system for older people on length of stay and same-day discharges. Age and Ageing. 2013; 43(1):116–121.Google Scholar
Dresden, SM, Hwang, U, Garrido, MM, et al. Geriatric emergency department innovations: The impact of transitional care nurses on 30‐day readmissions for older adults. Acad Emerg Med. 2019; 27(1):43–53.Google Scholar
Goldstein, J, McVey, J, Ackroyd-Stolarz, S. The role of emergency medical services in geriatrics: Bridging the gap between primary and acute care. CJEM. 2016; 18(1):54–61.CrossRefGoogle ScholarPubMed
Southerland, LT, Lo, AX, Biese, K, Arendts, G, Banerjee, J, Hwang, U, et al. Concepts in practice: Geriatric emergency departments. Ann Emerg Med. 2020; 75(2):162–170.CrossRefGoogle ScholarPubMed
Goldberg, EM, Marks, SJ, Ilegbusi, A, Resnik, L, Strauss, DH, Merchant, RC. GAPcare: The geriatric acute and post‐acute fall prevention intervention in the emergency department – Preliminary data. J of Am Geriatr Soc. 2019; 68(1):198–206.CrossRefGoogle ScholarPubMed
Carpenter, C, Griffey, R, Stark, S, Coopersmith, C, Gage, B. Physician and nurse acceptance of technicians to screen for geriatric syndromes in the emergency department. West J of Emerg Med. 2011; 12(4):489–495.Google Scholar
Hwang, U, Dresden, S, Garrido, M, et al. Geriatric Emergency Department (ED) Innovations: ED-based social work associated with reduced Medicare expenditures. Paper presented at: American Geriatrics Society Annual Meeting, 2018.Google Scholar
Hwang, U, Dresden, SM, Rosenberg, MS, et al. Geriatric emergency department innovations: Transitional care nurses and hospital use. J of Am Geriatr Soc. 2018; 66(3):459–466.Google Scholar
Lesser, A, Israni, J, Kent, T, Ko, KJ. Association between physical therapy in the emergency department and emergency department revisits for older adult fallers: A nationally representative analysis. J of Am Geriatr Soc. 2018; 66(11):2205–2212.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×