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An Approach to the Older Patient in the Emergency Department
Adam Perry1, Jonny Macias Tejada2, Don Melady3
1Department of Medicine, The Geisinger Commonwealth Medical College, 525 Pine Street, Scranton PA 18509, USA; Wilkes Barre General Hospital, 575 North River Street, Wilkes Barre, PA 18764, USA.
Abstract:
Older patients in the emergency department (ED) present unique diagnostic and therapeutic challenges. The ED clinicians must simultaneously evaluate and treat older adults along multiple domains: cognitive impairment, atypical presentations, functional impairment, medication management, trauma and falls, and end-of-life care. This article reviews these domains and suggests strategies for a more comprehensive, patient-centered ED approach to older patients. Incorporating assessment of these domains into the ED process improves patient outcomes, provider satisfaction, and ED flow.
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