An approach to the older patient in the emergency department
Perry A, Macias tejada J, Melady D. An Approach to the Older Patient in the Emergency Department. Clin Geriatr Med. 2018;34(3):299-311. doi: 10.1016/j.cger.2018.03.001.
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.