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Continuing Care

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Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...

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A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

Published on: November 9, 2016

Palliative Care in the Emergency Department.

Alyssia McEwan¹, Joshua Z Silverberg¹

¹Department of Emergency Medicine, Albert Einstein College of Medicine, 1400 Pelham Parkway South, Building 6, Suite 1B-25, Bronx, NY 10461, USA.

Emergency Medicine Clinics of North America

|August 1, 2016

Summary

Emergency physicians can improve end-of-life care for seniors by enhancing communication skills and mastering pain management. This supports shared decision-making and reduces patient suffering during critical care.

Keywords:

Communication Emergency medicine End of life Geriatric Palliative care Surrogate

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Published on: August 15, 2022

Area of Science:

Geriatric Medicine
Emergency Medicine
Palliative Care

Background:

The aging US population is increasing emergency department (ED) visits for end-of-life (EOL) and palliative care needs.
Emergency physicians face unique challenges and opportunities in managing EOL care for geriatric patients.

Purpose of the Study:

To highlight the critical role of emergency physicians in providing palliative and EOL care.
To emphasize the importance of physician competency in communication and symptom management for geriatric EOL care.

Main Methods:

Review of current trends in geriatric EOL care within emergency departments.
Discussion of essential skills for emergency physicians, including communication strategies and evidence-based symptom management.

Main Results:

Enhanced communication skills, including shared decision-making, boost physician confidence in addressing EOL complaints.
Familiarity with medicolegal terminology is crucial for effective EOL care discussions.
Knowledge of evidence-based pain management improves patient and family experiences.

Conclusions:

Emergency physicians are pivotal in alleviating suffering and enhancing the experience of geriatric patients at the end of life.
Investing in physician training for communication and symptom management is essential for quality EOL care in the ED setting.