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Case Reports
Emergency Palliative Care: Early Assessment of an Older Adult With a Fall and Hip Fracture.
- Maura Kennedy, Janet S Rico, Shan W Liu, Kirsten G Engel, Christine S Ritchie, and Emergency Palliative Care Working Group.
- Department of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
- J Palliat Med. 2024 Mar 1; 27 (3): 430433430-433.
AbstractIn this segment of the emergency department (ED) palliative care case series, we present a patient who arrives to the ED after a fall resulting in a hip fracture. He is also found to have hypernatremia and an acute kidney injury and develops delirium while in the ED awaiting an inpatient bed. The ED-based integrated geriatric palliative care program is consulted and performs a multidimensional assessment. The geriatric palliative care clinician facilitates discussion with his daughter about surgical intervention based on the patient's goals and values, diagnoses delirium, and worsening depression, creates a plan for delirium and pain management, and accelerates postdischarge planning.
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