kendis
Uploaded by
9 SLIDES
272 VUES
100LIKES

Geriatric Emergencies

DESCRIPTION

Geriatric emergencies are on the rise, with patients over 65 making up over 50% of ambulance transports, expected to reach 70% by 2030. Older adults face higher severity of illness, longer hospitalizations, and increased mortality rates. This guide covers the physiological changes of aging, effective communication strategies, environmental awareness, and identification of confusional states in elderly patients. By understanding these factors, healthcare providers can enhance care and improve outcomes for this growing population.

1 / 9

Télécharger la présentation

Geriatric Emergencies

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

    1. Geriatric Emergencies

    2. Some Statistics Patients 65 years and older account for over 50 % of all ambulance transports, this is anticipated to grow to 70% by 2030. Patients over the age of 65 have a higher severity of illness and greater morbidity and mortality rates than younger people, this accounts for longer hospitalizations and long term care.

    3. Aging vs. Disease 1% Rule of Aging Disease is an interruption in the physiological function that causes harm to the individual. So, functional performance of any organ system depends upon: The rate of deterioration The level of performance needed

    4. Physiological Changes of Aging Overall appearance: skin, eyes Cardiovascular Pulmonary CNS GI tract Renal function Vision Hearing Genitourinary Endocrine Musculoskeletal Pyschological/Social Immune system

    5. Communication Good history alone will give you the right impression in more than 80% of the patients you treat. Ask one question at a time, give the patient time to answer. The right question will give you the right impression quickly. Clarify what the patient is telling you.

    6. Environmental Awareness Private residence: General cleanliness Availability of food and water Hazards Observe for signs of abuse or neglect Polypharmacy Medic Alert emblem or medical information

    7. Environmental Awareness Extended Care or Nursing Home: Immediate complaints Ambulatory? Level of activity? Medical history, medications, allergies Normal intake and output? DNR, advanced directives, POLST orders? Patients chart best source for information. Observe for signs of abuse or neglect.

    8. Confusional States in the Elderly Delirium: Abrupt onset Reduced attention span Disorganized thinking At least 2 of: DLOC Perceptual disturbance Increased or decreased psychomotor activity Dementia Gradual onset Impaired recent memory Regression At least 2 of: Disjointed thinking Poor judgment Loss of mental function

    9. Assessment Same approach as with any patient, remember they are not large kids. Treat with respect, introduce self & partner. Tell the patient exactly what you are going to dobefore you do it. Respect their privacy, protect their modesty. Remember that someday you just might be in the same situation.

More Related