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Related Experiment Videos

Social emergencies in the elderly.

A J McDonald1, S T Abrahams

  • 1Emergency Department, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.

Emergency Medicine Clinics of North America
|May 1, 1990
PubMed
Summary
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Emergency Departments (EDs) must address social concerns in elderly patients, including substance abuse and elder abuse. Skilled staff and comprehensive geriatric care centers are crucial for effective referrals and high-quality care for seniors.

Area of Science:

  • Gerontology
  • Geriatric Medicine
  • Emergency Medicine
  • Social Work

Background:

  • Elderly patients present complex social concerns in Emergency Departments (EDs), including caregiver burnout, patient self-care deficits, and abandonment.
  • Substance abuse among the elderly is often masked by physical ailments and requires recognition by ED staff.
  • Elder abuse, encompassing physical, psychological, material abuse, and neglect, is a growing concern necessitating skilled detection in ED settings.

Purpose of the Study:

  • To highlight the critical need for thorough social assessments and skilled staff in EDs for effective elderly patient referrals.
  • To emphasize the importance of recognizing and addressing substance abuse and elder abuse in geriatric emergency care.
  • To advocate for policy changes and the development of coordinated geriatric services, including specialized treatment centers.

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Main Methods:

  • Review of social concerns impacting elderly patients in Emergency Departments.
  • Analysis of disposition challenges, substance abuse, and elder abuse within the geriatric population.
  • Examination of the role of EDs in community referral and program planning for elderly patients.

Main Results:

  • Effective resolution of disposition problems requires a diverse skill set to manage caregiver exhaustion, patient self-care limitations, and abandonment.
  • ED clinicians must integrate social and family history with physical assessments to identify substance abuse.
  • Skilled observation and detection are vital for identifying elder abuse in geriatric emergency patients.

Conclusions:

  • EDs must prioritize social assessments and skilled staff to ensure appropriate community referrals for elderly individuals.
  • The increasing elderly population necessitates policy adjustments and enhanced geriatric care delivery systems.
  • Geriatric treatment centers offering a continuum of care and multidisciplinary teams are essential resources for elderly patients identified in EDs.