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

被引：9

作者：

Bell, Daniel ^{[1
]}

Ruttenberg, Margaret Brungraber ^{[2
]}

Chai, Emily ^{[3
]}

机构：

[1] Emory Univ, Sch Med, Dept Emergency Med, Emory Palliat Care Ctr, 1821 Clifton Rd Northeast,Suite 1017, Atlanta, GA 30322 USA

[2] Icahn Sch Med Mt Sinai, Brookdale Dept Geriatr & Palliat Med, One Gustave L Levy Pl,Box 1070, New York, NY 10029 USA

[3] Icahn Sch Med Mt Sinai, Brookdale Dept Geriatr & Palliat Med, Geriatr & Palliat Med Inpatient Serv, One Gustave Levy Pl,Box 1970, New York, NY 10029 USA

来源：

CLINICS IN GERIATRIC MEDICINE | 2018年 / 34卷 / 03期

关键词：

Palliative care; Geriatrics; Emergency medicine; Palliative care in the emergency department; Goals of care; PALLIATIVE CARE; SERIOUSLY ILL; CANCER; CONSULTATION; PHYSICIANS; FUTURE; DEATH;

D O I：

10.1016/j.cger.2018.04.008

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

Older 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 the level of medical intervention which the 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.

引用

页码：453 / +

页数：16

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