Providing care for older adults in the Emergency Department: expert clinical recommendations from the European Task Force on Geriatric Emergency Medicine
Authors:
Vojtěch Mezera
Authors‘ workplace:
Geriatrické centrum, Pardubická nemocnice
Published in:
Geriatrie a Gerontologie 2022, 11, č. 1: 7-14
Category:
Recommendation
Overview
Despite the rapidly expanding knowledge in the field of Geriatric Emergency Medicine in Europe, widespread implementation of change is still lacking. Many opportunities in everyday clinical care are missed to improve care for this susceptible and growing patient group.
The aim was to develop pragmatic clinical Geriatric Emergency Medicine guidelines based on expert consensus, to be disseminated across Europe.
Using a modified Delphi procedure a prioritized list of topics related to Geriatric Emergency Medicine was created. Next, a multi-disciplinary group of nurses, geriatricians and emergency physicians performed a review of recent guidelines and literature to create recommendations. These recommendations were voted upon by a group of experts and placed on visually attractive posters.
Setting and participants: A group of multi-disciplinary experts in the field of Geriatric Emergency Medicine in Europe.
The expert group identified the following eight subject areas to develop targeted guidelines on: Comprehensive Geriatric Assessment in the Emergency Department (ED), age/frailty adjusted risk stratification, delirium and cognitive impairment, family involvement, ED environment, silver trauma, end of life care in the acute setting.
Eight posters with guidelines on the most important topics in Geriatric Emergency Medicine are now available through https: //posters. geriemeurope. eu/. Pragmatic guidelines for Geriatric Emergency Medicine in Europe were created and are ready for dissemination across Europe.
Keywords:
geriatrics – acute care – frailty – emergency medicine – guidelines – geriatric emergency medicine
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