GEAR 2.0-ADC Winter ’25 Newsletter
GERIATRIC EMERGENCY CARE APPLIED RESEARCH NETWORK 2.0- ADC NEWSLETTER Winter 2025
Category: Manuscripts & Publications
Emergency Department Care Transitions for Patients With Cognitive Impairment
This scoping review examines the literature on care transition interventions for patients with cognitive impairment receiving ED care and what measures of quality transitions are important for older
adults with impaired cognition and their care partners
Optimal Emergency Department Care Practices for Persons Living With Dementia
This scoping review demonstrates the state of research on ED care
practices for PLWDs. This review demonstrates that studies of components of ED care and emergency care needs for PLWDs are wide ranging with little depth on any topic.
Emergency Department Communication in Persons Living With Dementia and Care Partners
Communication factors that influence satisfaction with the hospital experience for PLWD included valuing of the person through staff actions, interactions, and person-centered care; activities of empowerment; and interactions of the environment with patient well-being (physical environment, social and organizational). Robust communication between hospital staff, PLWD and their care partners improves the hospital experience.
Detecting Cognitive Impairment and Dementia in the Emergency Department
Over the last 2 decades, there have been multiple studies evaluating ED detection of cognitive impairment specifically focused on
dementia. Our scoping review identified more than 45 manuscripts
addressing accuracy of detection of cognitive impairment or dementia, 66 addressing pragmatic and practical ways for this detection, and
21 manuscripts overlapping in both.
Adapting Emergency Care for Persons Living With Dementia
In an aging world, the emergency department (ED) is the front porch of the 21st century health care system, straddling the inpatient world of medical and surgical practice with the outpatient environment of office visits, home health, and long-term care.1 Geriatric emergency medicine has emerged as a subspecialty within emergency medicine with a focus on the large and rapidly growing segment of ED patients with unique health care and social service needs: older adults. Geriatric emergency medicine, and the associated geriatric EDs take a more holistic approach to emergency care that revolves around the identification of common age-related syndromes and evidence-based approaches to align management recommendations with patient preferences and patient-reported outcomes that matter.
GEAR Methods
The Geriatric Emergency Care Applied Research (GEAR) network approach: a protocol to advance stakeholder consensus and research priorities in geriatrics and dementia care in the emergency department
This manuscript describes our approach to developing the GEAR Network infrastructure, the scoping reviews to identify research and clinical gaps and its use of consensus-driven research priorities with a transdisciplinary taskforce of stakeholders that includes patients and care partners.
GEAR Care Transitions
The Geriatric Emergency care Applied Research (GEAR) Network aimed to identify care transition interventions, particularly addressing social needs, and prioritize future research questions.
Moving the Needle on Fall Prevention
Falls among older adults are common and costly, and, much of the time, preventable. In this study the GEAR Network set out to find research areas to improve fall identification and prevention practices that can be used in the emergency department.
Delirium Prevention, Detection, and Treatment in Emergency Medicine Settings
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.