General approach to the geriatric patient

Suzanne Michelle Rhodes, Arthur B Sanders

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Introduction. The emergency department approach to the geriatric patient is different than the traditional approach to younger emergency patients, and requires an evaluation combining medical, functional, and psychosocial issues. This chapter will also review the processes which make the geriatric patient susceptible to disease yet lack the typical symptoms and signs of life-threatening illnesses. Principles of geriatric emergency medicine. Emergency medicine (EM) is a specialty focused on chief complaints to identify life- or limb-threatening problems as well as urgent disease processes that require immediate attention. A focused history and physical exam, as is the norm for most emergency department (ED) visits, may not be adequate for many elders. Generally, the aging population presents with less specific and localized complaints. Adding to this difficulty is that of obtaining a history in some elder patients who may have cognitive or hearing impairment [1]. Geriatric patients are at increased risk for return visits, misdiagnosis, hospitalization, morbidity, and death [2]. Mortality due to acute coronary syndrome (ACS), appendicitis, sepsis, and trauma, as well as many other conditions, is significantly increased in elders compared with that of the younger population [3]. An appreciation of the importance of the multiple factors, related acute exacerbations of chronic disease, and social and functional issues is required to address the elder in the ED in a meaningful way [4].

Original languageEnglish (US)
Title of host publicationGeriatric Emergency Medicine: Principles and Practice
PublisherCambridge University Press
Pages20-30
Number of pages11
ISBN (Print)9781139250986, 9781107677647
DOIs
StatePublished - Jan 1 2014

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Geriatrics
Hospital Emergency Service
Emergency Medicine
Appendicitis
Acute Coronary Syndrome
Diagnostic Errors
Hearing Loss
Population
Signs and Symptoms
Sepsis
Hospitalization
Emergencies
Chronic Disease
Extremities
History
Morbidity
Mortality
Wounds and Injuries

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Rhodes, S. M., & Sanders, A. B. (2014). General approach to the geriatric patient. In Geriatric Emergency Medicine: Principles and Practice (pp. 20-30). Cambridge University Press. https://doi.org/10.1017/CBO9781139250986.004

General approach to the geriatric patient. / Rhodes, Suzanne Michelle; Sanders, Arthur B.

Geriatric Emergency Medicine: Principles and Practice. Cambridge University Press, 2014. p. 20-30.

Research output: Chapter in Book/Report/Conference proceedingChapter

Rhodes, SM & Sanders, AB 2014, General approach to the geriatric patient. in Geriatric Emergency Medicine: Principles and Practice. Cambridge University Press, pp. 20-30. https://doi.org/10.1017/CBO9781139250986.004
Rhodes SM, Sanders AB. General approach to the geriatric patient. In Geriatric Emergency Medicine: Principles and Practice. Cambridge University Press. 2014. p. 20-30 https://doi.org/10.1017/CBO9781139250986.004
Rhodes, Suzanne Michelle ; Sanders, Arthur B. / General approach to the geriatric patient. Geriatric Emergency Medicine: Principles and Practice. Cambridge University Press, 2014. pp. 20-30
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