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Geriatric Emergencies

A Case-Based Approach to Improving Acute Care

  • Book
  • © 2019

Overview

Editors:
  1. Lee A. Lindquist

    1. Northwestern University, Feinberg School of Medicine, Chicago, USA

    View editor publications

    You can also search for this editor in PubMed   Google Scholar

  2. Scott M. Dresden

    1. Northwestern University, Feinberg School of Medicine, Chicago, USA

    View editor publications

    You can also search for this editor in PubMed   Google Scholar

  • Written by experts in geriatric medicine

  • Includes 11 case studies demonstrating the unique considerations of aging patients in the emergency room

  • Each chapter concludes with "take-home points"

  • Identifies solutions for challenging problems encountered commonly with older adult patients

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Table of contents (11 chapters)

  1. Front Matter

    Pages i-x
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  2. Growing Older in the Emergency Department

    • Lee A. Lindquist, Paul A. Nelson
    Pages 1-10

  3. Components of an Effective Geriatric Emergency Department

    • Scott M. Dresden
    Pages 11-38

  4. Cognitive Impairment in the ED

    • Jill M. Huded, Todd I. Smith
    Pages 39-61

  5. Syncope in a Rural Emergency Department Setting

    • Lucy Morse, Lee A. Lindquist
    Pages 63-75

  6. ER Referrals and Hospitalizations from Post-acute and Long-Term Care Facilities

    • Fernanda Heitor
    Pages 77-101

  7. Can Home Visits Make a Difference to Emergency Department Visits? “I will just stop by his place on the way home: Who knew it would be a journey?”

    • Dwayne Dobschuetz, Katherine O’Brien
    Pages 103-112

  8. Medication Errors in Aging Adults: A Case-Based Approach to Medication Management

    • Abbie Lyden, Katherine Allen
    Pages 113-137

  9. Pain, Opioid Use, and Palliative Care of Older Adults in the Emergency Department

    • William P. Burns
    Pages 139-155

  10. Acute Mental Status Changes and Over-the-Counter Medications in Older Adults

    • Katherine M. Hunold
    Pages 157-172

  11. Identifying Fall Risk in the Emergency Department

    • Chirley M. Rodriguez
    Pages 173-184

  12. Capacity, Advanced Planning, and Buying Time

    • Hashim Q. Zaidi
    Pages 185-207

  13. Back Matter

    Pages 209-214
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Keywords

About this book

Care for older adults in Emergency Departments (EDs) has historically been focused on acute medical conditions with little emphasis on geriatric-specific issues. In 2010, emergency departments (EDs) throughout the nation saw almost 130 million patients, 15% of whom were 65 or older.  The number of older adults who visit an ED has doubled in the last decade and continues to grow rapidly. Older adults receiving care in an ED are highly likely to be admitted to the hospital, much more so than their younger counterparts. Preventing a hospital admission saves older adults from frequently encountered adverse events, including hospital-acquired delirium, functional status impairment, cognitive loss, and nursing home admission. 

 It is unknown how many older adults are hospitalized for reasons other than acute medical illness, such as functional decline, polypharmacy, progressive dementia, caregiver stress, or unstable living situation. These non-emergent conditions are rarely addressed during a typical ED visit due to lack of resources, significant patient volumes, and the need for rapid turnover of care spaces. The predominant management strategy of emergency physicians to handle these important but not imminently life-threatening geriatric issues is to recommend hospital admission.

 Northwestern has pioneered the Geriatric Emergency Department through the creation of the Geriatric Emergency Department Innovation model (GEDI), with goals to prevent admissions for older adults by assessing and meeting their geriatric-specific, non-acute care needs in the ED. The GEDI model at Northwestern centers on a multi-disciplinary curriculum composed of clinical, didactic, and practical arms developed by emergency medicine and geriatrics educational experts.

 In this title, we will present case studies of older adults seen in the Emergency Department through the GEDI model and discuss means of identifying/screening for, diagnosing, and treating geriatric syndromes seen in the emergent care of the older adult patient.  In addition, there will be a set of concise “take-home points” for each case study that will be easy to commit to memory and implement in clinical care of older adults.

 As the number of seniors seeking emergent care will continue to increase, the ED setting must become responsive to geriatric-specific needs.  This book will provide a variety of  models detailing how to offer comprehensive, state-of-the-art, optimal care for managing the full range of geriatric syndromes that regularly present in the emergent care setting.

Reviews

“This book is meant for medical providers of all levels, including students, nurses, and seasoned professionals, and for older individuals seeking medical care or their families. … This book provides brief discussions of selected topics commonly complicating geriatric medical emergencies and offers discrete, bulleted suggestions. It may be useful for older patients and/or their families but is written mostly for medical providers.” (Benjamin A Willenbring, Doody's Book Reviews, August 23, 2019)

Editors and Affiliations

  • Northwestern University, Feinberg School of Medicine, Chicago, USA

    Lee A. Lindquist, Scott M. Dresden

About the editors

Lee A. Lindquist, MD MPH MBA
Associate Professor of Medicine
Section Chief of Geriatrics
Northwestern University Feinberg School of Medicine
750 N. Lake Shore Drive, 10th Floor 
Chicago, IL 60611

 

Scott Dresden, MD
Assistant Professor of Medicine
Department of Emergency Medicine
Northwestern University Feinberg School of Medicine
211 E. Ontario, Room 200
Chicago, IL 60611

Bibliographic Information

  • Book Title: Geriatric Emergencies

  • Book Subtitle: A Case-Based Approach to Improving Acute Care

  • Editors: Lee A. Lindquist, Scott M. Dresden

  • DOI: https://doi.org/10.1007/978-3-030-12414-4

  • Publisher: Springer Cham

  • eBook Packages: Medicine, Medicine (R0)

  • Copyright Information: Springer Nature Switzerland AG 2019

  • Softcover ISBN: 978-3-030-12413-7Published: 27 May 2019

  • eBook ISBN: 978-3-030-12414-4Published: 15 May 2019

  • Edition Number: 1

  • Number of Pages: X, 214

  • Number of Illustrations: 9 b/w illustrations, 6 illustrations in colour

  • Topics: Geriatrics/Gerontology, Emergency Medicine, Primary Care Medicine, Nursing, Public Health

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