Developing a novel integrated geriatric palliative care consultation program for the emergency department
Abstract With the aging of our population, older adults are living longer with multiple chronic conditions, frailty, and life‐limiting illnesses, which creates specific challenges for emergency departments (EDs). Older adults and those with serious illnesses have high rates of ED use and hospitaliza...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-12-01
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| Series: | Journal of the American College of Emergency Physicians Open |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/emp2.12860 |
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| _version_ | 1850211765644689408 |
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| author | Mark J. Stoltenberg Maura Kennedy Janet Rico Matthew Russell Laura A. Petrillo Kirsten G. Engel Mihir Kamdar Kei Ouchi David H. Wang Rachelle H. Bernacki Kevin Biese Emily Aaronson |
| author_facet | Mark J. Stoltenberg Maura Kennedy Janet Rico Matthew Russell Laura A. Petrillo Kirsten G. Engel Mihir Kamdar Kei Ouchi David H. Wang Rachelle H. Bernacki Kevin Biese Emily Aaronson |
| author_sort | Mark J. Stoltenberg |
| collection | DOAJ |
| description | Abstract With the aging of our population, older adults are living longer with multiple chronic conditions, frailty, and life‐limiting illnesses, which creates specific challenges for emergency departments (EDs). Older adults and those with serious illnesses have high rates of ED use and hospitalization, and the emergency care they receive may be discordant with their goals and values. In response, new models of care delivery have begun to emerge to address both geriatric and palliative care needs in the ED. However, these programs are typically siloed from one another despite significant overlap. To develop a new combined model, we assembled stakeholders and thought leaders at the intersection of emergency medicine, palliative care, and geriatrics and used a consensus process to define elements of an ideal model of a combined palliative care and geriatric intervention in the ED. This article provides a brief history of geriatric and palliative care integration in EDs and presents the integrated geriatric and palliative care model developed. |
| format | Article |
| id | doaj-art-8fcf4daad6b348fbbdededa8ffbf4416 |
| institution | OA Journals |
| issn | 2688-1152 |
| language | English |
| publishDate | 2022-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of the American College of Emergency Physicians Open |
| spelling | doaj-art-8fcf4daad6b348fbbdededa8ffbf44162025-08-20T02:09:29ZengElsevierJournal of the American College of Emergency Physicians Open2688-11522022-12-0136n/an/a10.1002/emp2.12860Developing a novel integrated geriatric palliative care consultation program for the emergency departmentMark J. Stoltenberg0Maura Kennedy1Janet Rico2Matthew Russell3Laura A. Petrillo4Kirsten G. Engel5Mihir Kamdar6Kei Ouchi7David H. Wang8Rachelle H. Bernacki9Kevin Biese10Emily Aaronson11Division of Palliative Care and Geriatric Medicine Massachusetts General Hospital Boston Massachusetts USADepartment of Emergency Medicine Massachusetts General Hospital Boston Massachusetts USADivision of Palliative Care and Geriatric Medicine Massachusetts General Hospital Boston Massachusetts USADivision of Palliative Care and Geriatric Medicine Massachusetts General Hospital Boston Massachusetts USADivision of Palliative Care and Geriatric Medicine Massachusetts General Hospital Boston Massachusetts USADivision of Palliative Care and Geriatric Medicine Massachusetts General Hospital Boston Massachusetts USADivision of Palliative Care and Geriatric Medicine Massachusetts General Hospital Boston Massachusetts USAHarvard Medical School Boston Massachusetts USADivision of Palliative Medicine Scripps Health San Diego California USAHarvard Medical School Boston Massachusetts USAWest Health Institute La Jolla California USADepartment of Emergency Medicine Massachusetts General Hospital Boston Massachusetts USAAbstract With the aging of our population, older adults are living longer with multiple chronic conditions, frailty, and life‐limiting illnesses, which creates specific challenges for emergency departments (EDs). Older adults and those with serious illnesses have high rates of ED use and hospitalization, and the emergency care they receive may be discordant with their goals and values. In response, new models of care delivery have begun to emerge to address both geriatric and palliative care needs in the ED. However, these programs are typically siloed from one another despite significant overlap. To develop a new combined model, we assembled stakeholders and thought leaders at the intersection of emergency medicine, palliative care, and geriatrics and used a consensus process to define elements of an ideal model of a combined palliative care and geriatric intervention in the ED. This article provides a brief history of geriatric and palliative care integration in EDs and presents the integrated geriatric and palliative care model developed.https://doi.org/10.1002/emp2.12860emergency medicinegeriatric medicineintegrated care modelsinterdisciplinary carepalliative carepalliative medicine |
| spellingShingle | Mark J. Stoltenberg Maura Kennedy Janet Rico Matthew Russell Laura A. Petrillo Kirsten G. Engel Mihir Kamdar Kei Ouchi David H. Wang Rachelle H. Bernacki Kevin Biese Emily Aaronson Developing a novel integrated geriatric palliative care consultation program for the emergency department Journal of the American College of Emergency Physicians Open emergency medicine geriatric medicine integrated care models interdisciplinary care palliative care palliative medicine |
| title | Developing a novel integrated geriatric palliative care consultation program for the emergency department |
| title_full | Developing a novel integrated geriatric palliative care consultation program for the emergency department |
| title_fullStr | Developing a novel integrated geriatric palliative care consultation program for the emergency department |
| title_full_unstemmed | Developing a novel integrated geriatric palliative care consultation program for the emergency department |
| title_short | Developing a novel integrated geriatric palliative care consultation program for the emergency department |
| title_sort | developing a novel integrated geriatric palliative care consultation program for the emergency department |
| topic | emergency medicine geriatric medicine integrated care models interdisciplinary care palliative care palliative medicine |
| url | https://doi.org/10.1002/emp2.12860 |
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