Geriatric Emergencies: A Case-based Approach To Improving Acute Care by Lee A. LindquistGeriatric Emergencies: A Case-based Approach To Improving Acute Care by Lee A. Lindquist

Geriatric Emergencies: A Case-based Approach To Improving Acute Care

byLee A. LindquistEditorScott M. Dresden

Hardcover | May 27, 2019

Pricing and Purchase Info


Earn 605 plum® points

Prices and offers may vary in store


In stock online

Ships free on orders over $25

Not available in stores


Care for older adults in Emergency Departments (EDs) has historically been focused on acute medical conditions with little emphasis on geriatric-specific issues. In 2010, emergency departments (EDs) throughout the nation saw almost 130 million patients, 15% of whom were 65 or older.  The number of older adults who visit an ED has doubled in the last decade and continues to grow rapidly. Older adults receiving care in an ED are highly likely to be admitted to the hospital, much more so than their younger counterparts. Preventing a hospital admission saves older adults from frequently encountered adverse events, including hospital-acquired delirium, functional status impairment, cognitive loss, and nursing home admission. 

 It is unknown how many older adults are hospitalized for reasons other than acute medical illness, such as functional decline, polypharmacy, progressive dementia, caregiver stress, or unstable living situation. These non-emergent conditions are rarely addressed during a typical ED visit due to lack of resources, significant patient volumes, and the need for rapid turnover of care spaces. The predominant management strategy of emergency physicians to handle these important but not imminently life-threatening geriatric issues is to recommend hospital admission.

 Northwestern has pioneered the Geriatric Emergency Department through the creation of the Geriatric Emergency Department Innovation model (GEDI), with goals to prevent admissions for older adults by assessing and meeting their geriatric-specific, non-acute care needs in the ED. The GEDI model at Northwestern centers on a multi-disciplinary curriculum composed of clinical, didactic, and practical arms developed by emergency medicine and geriatrics educational experts.

 In this title, we will present case studies of older adults seen in the Emergency Department through the GEDI model and discuss means of identifying/screening for, diagnosing, and treating geriatric syndromes seen in the emergent care of the older adult patient.  In addition, there will be a set of concise "take-home points" for each case study that will be easy to commit to memory and implement in clinical care of older adults.

 As the number of seniors seeking emergent care will continue to increase, the ED setting must become responsive to geriatric-specific needs.  This book will provide a variety of  models detailing how to offer comprehensive, state-of-the-art, optimal care for managing the full range of geriatric syndromes that regularly present in the emergent care setting.

Lee A. Lindquist, MD MPH MBA As sociate Professor of Medicine Section Chief of Geri atrics Northwestern University Feinberg School of Medicine 750 N. Lake Shore Driver>Assistant , 10th Floor  Chicago, IL 60611& lt;p>  Scott Dresden, MD Department of Emergency Medicine Northwestern University Feinberg School of Medicine ...
Title:Geriatric Emergencies: A Case-based Approach To Improving Acute CareFormat:HardcoverDimensions:214 pagesPublished:May 27, 2019Publisher:Springer NatureLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:3030124134

ISBN - 13:9783030124137


Table of Contents

1.     Growing Older in the Emergency Department

Authors: Lee A. Lindquist, MD MPH MBA and Paul A. Nelson, BArch

2.     Components of an effective Geriatric Emergency Department

Author: Scott M. Dresden, MD, MS

3.     Cognitive Impairment in the ED

Authors: Jill M Huded, MD and Todd I Smith, MD, FACP, FHM

4.     Syncope in a rural emergency department setting

Authors: Lucy Morse, BS, MD & Lee A. Lindquist, MD, MPH, MBA

5.     ER referrals and hospitalizations from Post-Acute and Long-Term Care Facilities

Author: Fernanda Heitor, MD

6.     Can Home Visits Make a Difference to Emergency Department Visits? "I will just stop by his place on the way home: Who knew it would be a journey?"

Authors: Dwayne Dobschuetz, APRN, MSN and Katherine O'Brien, MD

7.     Medication Errors in Aging Adults: A Case-Based Approach to Medication Management

Authors: Abbie Lyden, PharmD BCPS and Katherine Allen, PharmD

8.     Pain, Opioid Use, and Palliative Care of Older Adults in the Emergency Department

Author: William P. Burns, MD

9.     Acute Mental Status Changes and Over-the-Counter Medications in Older Adults

Author: Katherine M. Hunold, MD

10.                        Identifying fall risk in the Emergency Department

Author: Chirley M. Rodriguez, MD

11.                        Capacity, Advance Care Planning, and Buying Time.

Author: Hashim Q. Zaidi, MD