Comprehensive Geriatric Assessment in the Emergency Department
9.6 Summary
This chapter has highlighted the importance of the ED as a key decision-making setting in the health and social care system, which is uniquely placed to influence the care and care pathways of older people with urgent care needs in a cost-effective manner. ED teams are dynamic, adaptable and pragmatic—so ideally placed to meet the needs of an ageing population.
The core care processes required to achieve this transformation are already well established—frailty identification, Comprehensive Geriatric Assessment and trans- ferable competencies to help teams deliver the care needed.
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Not all ED staff will see themselves as having a role in the care of older people.
Some of this will be related to confidence and competence, which can be taught, but some will relate to attitudes. Attitudes can be shifted, through role modelling, incen- tives and rewards, as well as managing individual who does not engage in delivering the behaviours required.
Geriatric Emergency Medicine is already well established in North America; it is now time for Europe to lead the way.
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© Springer International Publishing AG 2018
A. Pilotto, F.C. Martin (eds.), Comprehensive Geriatric Assessment, Practical Issues in Geriatrics, https://doi.org/10.1007/978-3-319-62503-4_10 P. Caillet • E. Paillaud (*)
Département de Gériatrie, Unité de Coordination en Onco-Gériatrique, Hôpital Henri-Mondor, APHP, F94000 Créteil, France
Université Paris Est, A-TVB DHU, Clinical Epidemiology of Ageing (CEpiA) EA4393, F94010 Créteil, France
e-mail: [email protected] F. Pamoukdjian
Unité de Coordination en Onco-Gériatrie, Hôpital Avicenne, Hôpitaux Universitaires de Paris Seine Saint Denis (HU PSSD, APHP), F93000 Bobigny, France
Service de Médecine Gériatrique, Hôpital Avicenne, Hôpitaux Universitaires de Paris Seine Saint Denis (HU PSSD, APHP), F93000 Bobigny, France
e-mail: [email protected] A. Obraztsova
Département de Médecine Interne et de Gériatrie, Université Paris Est-Créteil, Groupe Hospitalier Henri-Mondor, AP-HP, 51 Avenue du
Maréchal-de-Lattre de Tassigny, 94010 Créteil, France