Approximately 40 percent of people living with dementia discharged from the hospital will experience an adverse event (ED revisits, other hospitalizations, or death) in the 30 days following discharge, a rate significantly higher than for those without dementia.
Dementia may add layers of complexity to current ED communication strategies, but this complexity must be addressed to ensure the patient, as well as care partners, feel that they are part of the care process.
Emergency care for older adults is suboptimal, and care is especially poor for older adults with dementia, even though these adults seek ED-based care more regularly than matched controls. The GEAR Detection Work Group examines the potential role of the ED in dementia detection.
The Geriatric Emergency Department Collaborative (GEDC) research data warehouse (RDW) is a cloud-based, multi-site research infrastructure supporting patient-centered data for evaluation of interventions and characteristics aimed at providing improved care for older adults in the ED.
The GEAR Network identified 49 stakeholders from a variety of disciplines and backgrounds, including emergency physicians, geriatricians, nurses, social workers, pharmacists, and patient advocates, and engaged them in a consensus review of methods for identification, intervention, and prevention of delirium episodes in older adults.
This GEAR Network review of current literature on the identification of elder abuse among patients receiving care in emergency departments and the interventions to address elder abuse was used to prioritize research questions.