Ten Best Practices for the Older Patient in the Emergency Department

Don Melady; Adam Perry

doi:10.1016/j.cger.2018.04.001

Ten Best Practices for the Older Patient in the Emergency Department

Clin Geriatr Med. 2018 Aug;34(3):313-326. doi: 10.1016/j.cger.2018.04.001. Epub 2018 Jun 20.

Authors

Don Melady¹, Adam Perry²

Affiliations

¹ Department of Emergency Medicine, Mount Sinai Hospital, Schwarz/Reisman Emergency Medicine Institute, Room 206, 600 University Avenue, Toronto Ontario M5G 1X5, Canada. Electronic address: don.melady@sinaihealthsystem.ca.
² Department of Medicine, The Geisinger Commonwealth Medical College, 525 Pine Street, Scranton PA 18509, USA; Wilkes Barre General Hospital, 575 North River St Wilkes Barre, PA 18764, USA.

PMID: 30031419
DOI: 10.1016/j.cger.2018.04.001

Abstract

This article reviews 10 best practices that integrate geriatric principles into emergency department processes of care. These best practices are grouped around ten words: complexity; clinician education; geriatric-specific; atypical; medication; variability; cognitive impairment; psychosocial issues; end-of-life care; and interdisciplinary.

Keywords: Best practices; Emergency department transitions; Geriatric emergency department; Geriatric emergency medicine; Geriatric principles; Older patients; Processes of care.

Publication types

Review

MeSH terms

Aged
Emergency Medical Services* / methods
Emergency Medical Services* / organization & administration
Emergency Service, Hospital*
Geriatrics* / methods
Geriatrics* / trends
Health Services for the Aged* / standards
Health Services for the Aged* / trends
Humans
Practice Guidelines as Topic