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Community Medicine Rants – Geriatric Patients in the ED

Al Sacchetti, MD and Rob Anderson, MD
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19:39
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Nurses Edition Commentary

Mizuho Spangler, DO, Lisa Chavez, RN, and Kathy Garvin, RN
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04:48

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EM:RAP 2015 May Written Summary 1 MB - PDF

Sometimes the presenting complaint in an elderly patient has little to do with what they really need.

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Rachael G. -

Wow, this was really interesting to me as an Aussie. If we have falls or functional issues we would have home assessments and complex social assessments performed by our Allied Health Team, which include physiotherapists for the mobility elements, and occupational therapist who assess home environment, equipment requirements etc. pharmacist can perform a medications review, rationalize mess or initiate Webster blister packs to reduce medication errors. The family physician, "GP" can provide ongoing medical supervision. Where I work, we can initiate from our Emergency Department, often with a short admission to our Short Stay Unit, with the ultimate goal of preventing a "bounce back". When any complex issues arrise a referral for ACAS, to assess and address increased care needs. Family meetings may often occur as required to assist disposition plans. I'd hope we didn't discharge elderly patient without exploring these issues. The emergency physician would not need to complete the assessment themselves, only identify the risk and initiate the referral.

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A Totally Mental Month of Education! Full episode audio for MD edition 285:23 min - 332 MB - M4AEM:RAP 2015 May Canadian Edition Canadian 17:44 min - 24 MB - MP3EM:RAP 2015 Peut Résumé en Francais Français 59:38 min - 82 MB - MP3EM:RAP 2015 Mayo Resumen Español Español 74:07 min - 85 MB - MP3EM:RAP 2015 May Aussie Edition Australian 62:22 min - 86 MB - MP3EM:RAP 2015 May MP3 329 MB - ZIPEM:RAP 2015 May Written Summary 1 MB - PDFEM:RAP 2015 May Board Review Answers 415 KB - PDFEM:RAP 2015 May Board Review Questions 416 KB - PDFEM:RAP Español Mayo 2015 1 MB - PDF

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