Emergency Department Staff Perceptions of Emergency Department Interventions for Frailty (EDIFY)

The Geriatric-Focused Emergency Department: Opportunities and Challenges

“…What is needed is more collaboration between hospitals, emergency departments, long-term care settings, and other outpatient providers; increased resources and activity around staff training in geriatric principles; and more research in this understudied and critical area of medical care. Incorporation of elements of geriatric assessment into routine emergency department practice around such issues as frailty assessment, 14e17 and tailoring of service delivery to persons with high frailty scores 18 Prognosis, risk, and functional trajectories of older persons who present for emergency care 19,20 Who, when, and under what circumstances to conduct diagnostic testing 21 Geriatric-specific guidelines for medication use 14 Appropriate use of emergency departments by long-term care facilities, and improved methods of acute care in the facility 13,22e25 Under what circumstances and how best to fold in discussion of and decision making regarding limitation of treatment, advance directives, and palliative care 26e28 Care of persons with Alzheimer's disease and related dementias in emergency department settings 29…”