Creating a Dementia- Friendly Emergency Department (ED)

Creating a Dementia- Friendly Emergency Department (ED) - #71

Improving the environment and care transitions of older adults in the emergency department.

Improve ED care of older adults through targeted and integrated collaborative history taking and coordinated processes of transitions of care.

  1. Identify specific, actionable ED processes to improve care and care transitions of patients with dementia in the ED.
  2.  Identify the bio-psycho-social needs of an older adult with dementia in the emergency department.
  1. Dementia Care in the Emergency Department Learning Resource. NHS Scotland. 2011. http://www.nes.scot.nhs.uk/media/350995/dementia_emergency_dept_interactive_2011.pdf.
  2. Emergency Room Visits.  Alzheimer’s Foundation of America.  http://www.alzfdn.org/EducationandCare/ervisits.htm.
  3. LaMantia, M, et al. Emergency Department Use Among Older Adults with Dementia.  Alz Dis Assoc Disord. 2016:30(1)35-40.
  4. Lotta, Nikki et al. Experiences of Family Members of Elderly Patients in the Emergency Department: A Qualitative Study. Int Emer Nurs. 2012:20;193-200.
  5. Ouslander, J et al. Potentially avoidable hospitalizations of nursing home residents: frequency, causes, and costs. JAGS. 2010:58;727-35.
  6. Sadavoy, J, et al. Refining Dementia Intervention: The Caregiver-Patient Dyad as the Unit of Care. Can Ger Soc J of CME:2012;2(2)5-10.
  7. Schnitker LM, Martin-Kahn M, Burkett E, Brand CA, Beattie ER, Jones RN, et al.  Structural quality indicators to support quality of care for older people with cognitive impairment in emergency departments.   Acad Emerg Med. 2015;22:273-284.
  8. Lavinia Valeriani, Management of Demented Patients in Emergency Department. International Journal of Alzheimer’s Disease. 2011, Article ID 840312, 5 pages. doi:10.4061/2011/840312
  9. Clevenger, C, et al. Clinical Care of Persons with Dementia in the Emergency Department: A Review of the Literature and Agenda for Research. JAGS.2012:60(9)1742-1748.
This GFF ___ my competence in geriatrics.
  • Adam Perry, MD, Assistant Professor of Medicine, Geisinger Commonwealth Medical College
  • Sean-Xavier Neath, MD, PhD, Associate Clinical Professor, Dept. of Emergency Medicine, University of California, San Diego
  • Allyson Kreshak, MD, Assistant Clinical Professor, Dept. of Emergency Medicine, University of California, San Diego
  • Michael Malone, MD, Medical Director, Aurora Senior Services and Aurora at Home, Geriatrics Fellowship Director, Aurora Sinai Medical Center, Clinical Adjunct Professor, University of Wisconsin School of Medicine and Public Health