• Clin Geriatr Med · Aug 2018

    Review

    Care of Geriatric Patients with Advanced Illnesses and End-of-Life Needs in the Emergency Department.

    • Daniel Bell, Margaret Brungraber Ruttenberg, and Emily Chai.
    • Department of Emergency Medicine, Emory Palliative Care Center, Emory University School of Medicine, 1821 Clifton Road, Northeast, Suite 1017, Atlanta, GA 30322, USA. Electronic address: Daniel.bell@emory.edu.
    • Clin Geriatr Med. 2018 Aug 1; 34 (3): 453-467.

    AbstractOlder patients with advanced illness are presenting more frequently to emergency departments (EDs). These patients have complex needs, which challenge busy EDs tuned to provide emergent, life-sustaining interventions, and rapid dispositions. This article outlines communication skills to assess patient goals so that the ED provider can create a care plan that matches level of medical intervention with patient wishes. Furthermore, this article outlines symptom-based care for the actively dying geriatric patient in the ED, specifically, acute pain, dyspnea, terminal delirium, secretions, dry mouth, fever, and bereavement.Copyright © 2018 Elsevier Inc. All rights reserved.

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