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Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
[Unplanned Emergency Department return visits by older patients].
Carmen S van Dam1,2, Majon Muller1, Prabath W Nanayakkara1
1Amsterdam UMC, afd. Interne Geneeskunde, Amsterdam.
Most older patients visiting the Emergency Department (ED) have repeat visits due to illness or new issues. While some repeat visits are preventable, limited resources and growing patient numbers make this a persistent challenge.
Area of Science:
- Geriatric Medicine
- Emergency Medicine
- Healthcare Management
Context:
- Older patients frequently experience Emergency Department (ED) repeat visits.
- These revisits stem from disease progression or new health concerns.
- The vulnerability of this demographic complicates avoidance strategies.
Purpose:
- To analyze the drivers and potential preventability of Emergency Department (ED) repeat visits in older patients.
- To discuss the challenges and shared responsibilities in managing these revisits.
- To highlight the role of advance care planning in improving patient-centered care.
Summary:
- The majority of older patients' Emergency Department (ED) repeat visits are disease-related or due to new complaints.
- Preventing a proportion of these revisits is challenging due to patient vulnerability, growing patient numbers, unpredictable issues, and limited care capacity.
- Shared responsibility between the ED and the broader care network is essential, particularly for chronic conditions.
Impact:
- Advance care planning is vital for ensuring appropriate, timely, and patient-centered care for older adults.
- Understanding the factors contributing to ED revisits can inform targeted interventions.
- This research underscores the need for integrated care network strategies to manage chronic conditions in the elderly.
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