Assessment of Older Adults with Abdominal Pain in the Emergency Department: 10 Key Points

Assessment of Older Adults with Abdominal Pain in the Emergency Department: 10 Key Points - #57

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Develop a comprehensive approach to the timely evaluation of older adults with abdominal pain in the ED.

Older adults presenting to the emergency department with abdominal pain.

Apply key concepts in the evaluation of older adults with abdominal pain.

  1. Recognize acute abdominal pain in older adults as a common, distinct, high risk clinical entity.

  2. Develop a comprehensive approach to the timely evaluation of older adults with abdominal pain.

  3. Minimize delayed diagnosis and misdiagnosis when evaluating older adults with abdominal pain.

1.  Biese, Kevin, et al. “Abdominal Pain in the Elderly”. The American Geriatrics Society.  Slideshow. (https://www.google.com/search?client=safari&rls=en&q=kevin+biese+abdominal+pain+slide&ie=UTF-8&oe=UTF-8)

2. Blaha, Steven, et al. “Abdominal Pain in the Elderly”.  AHC media.com.  Sept, 2008. (http://www.ahcmedia.com/articles/14962-abdominal-pain-in-the-elderly)

3. Bryan, David, et al. “Abdominal Emergencies in Elderly Persons”.Medscape. December, 2015. (http://emedicine.medscape.com/article/776663-overview)

4.  Esser, et al. “Ability of CT to Alter Decision Making in Elderly Adults with Acute Abdominal Pain”.  Am J Emerg Med. 2004 Jul:22(4)270-2.

5. “Emergency Department Measures Data Guide”. Emergency Dept. Benchmarking Alliance.  2012.

6. Green, Gemma, et al. “Emergency Laparotomy in Octogenarians: A 5 year study of Morbidity and Mortality”.  World J Gastroint Surg 2013 Jul:5(7):216-21.

7.  Lewis, Lawrence. “Etiology and Clinical Course of Abdominal Pain in Senior Patients: A Prospective, Multicenter Trial”.  J Gerontology 2005 Aug:60(8)1071-6.

8. Mattu, Amal. “Abdominal Pain in the Elderly”.  EM:RAP.  Episode 56.  May, 2006.

9. McNamara, Robert. “Abdominal Pain in the Elderly- Part I”.  EM:RAP. Episode 92. May, 2009.

10.  McNamara, Robert. “Abdominal Pain in the Elderly- Part II”.  EM:RAP. Episode 93. June, 2009.

11.  McNamara, Robert. “Abdominal Pain in the Elderly- Part III”.  EM:RAP. Episode 93. June, 2009.

12.  Sachs, Carolyn. “Tips Help Evaluation of Abdominal Pain in the Elderly”. ACEP News.  July, 2008.

13. Shenvi, Christina. “Geriatric Abdominal Pain”. EM:RAP. Episode 153.  June, 2014.

14. Shenvi, Christina. “Ten Tips for Approaching Abdominal Pain in the Elderly”. ALIEM.com. Oct, 2013. (http://www.aliem.com/2013/ten-tips-for-approaching-abdominal-pain-in-the-elderly/)

15.  Spangler, Ryan. “Abdominal Emergencies in the Geriatric Patient”. Int J Emerg Med 2014 Oct:7:43.

16. “Urinary Tract Infections May Be Inappropriately Diagnosed and Treated in Nursing Home Residents Evaluated in Emergency Departments”. AGS 2014 Annual Scientific Meeting July 2014.

17.  Warden, V. et al. “Development and Psychometric Evaluation of the Pain Assessment in Advanced Dementia (PAINAD) Scale”. JAMDA. 2003 Jan-Feb:4(1)9-15.

You voted '2'.
This GFF ___ my competence in geriatrics.

Adam Perry, MD

Geriatrics Fellow, Division of Geriatric Medicine and Palliative Care

Thomas Jefferson University, Philadelphia, PA

 

Michael Malone, MD

Medical Director, Aurora Senior Services & Aurora at Home

Geriatrics Fellowship Director, Aurora Sinai Medical Center

Clinical Adjunct Professor, University of Wisconsin School of Medicine & Public Health