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Developing a novel integrated geriatric palliative care consultation program for the emergency department
Mark J Stoltenberg1,2, Maura Kennedy3,2, Janet Rico1,2
1Division of Palliative Care and Geriatric Medicine Massachusetts General Hospital Boston Massachusetts USA.
Journal of the American College of Emergency Physicians Open
|December 15, 2022
Summary
Older adults face challenges in emergency departments (EDs). This study outlines an integrated model for geriatric and palliative care in the ED to improve care for seriously ill patients.
Area of Science:
- Geriatric Medicine
- Palliative Care
- Emergency Medicine
Background:
- Aging population leads to more older adults with chronic conditions, frailty, and life-limiting illnesses.
- Older adults and those with serious illnesses experience high emergency department (ED) utilization and hospitalizations.
- Current emergency care may not align with patient goals and values, necessitating new care models.
Purpose of the Study:
- To develop an integrated model for geriatric and palliative care interventions within the emergency department (ED).
- To address the siloed nature of existing geriatric and palliative care programs in EDs.
Main Methods:
- Convened stakeholders and thought leaders from emergency medicine, palliative care, and geriatrics.
- Utilized a consensus process to define elements of an ideal combined intervention model.
- Reviewed the history of geriatric and palliative care integration in EDs.
Main Results:
- Identified key elements for an integrated geriatric and palliative care model in the ED.
- Presented a novel, combined model for ED-based geriatric and palliative care interventions.
Conclusions:
- An integrated approach combining geriatric and palliative care in the ED is needed.
- The developed model offers a framework for improving emergency care for older adults and those with serious illnesses.
Keywords:
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