Depression in older age

It is important to have some kind of knowledge about it in the ED because it affects 5% of older adults from the community, 10% in primary care and up to 37% after critical care hospitalizations (1). Plus, in older age, depression can manifest by an impressive variety of symptoms and is difficult to diagnose. …

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Mobilization TID, really?

Mobilization. When I was on the dark side (not geri-friendly), I used to think that writing orders like mobilization TID would make my practice very senior-friendly. It might make sense on a hospital unit, but in the ED, does it? Our older adults move (I should say, roll) from one test to another, an IV …

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Screening tool at triage for vulnerable elderly

Part of our role as emergency physician is risk stratification. Like for acute coronary syndrome, TIA, pulmonary embolism, frail older adults can be screened in the ED. Not only they can be screened, but the screening can start at triage. Why should we screen frail older adults? Great question! It is important because it has …

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Senior-friendly CARE

Senior-friendly ED, what about senior-friendly CARE? Focussing about changing things our own department or hospital is a certainly great and I would encourage everyone to engage yourself into changing one thing about geriatric care. Great project usually starts with small project. The thing is, this silver tsunami issue is not only happening in the ED, …

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