Domains of Care for the Older Patient
Older people in the ED require more extensive assessment to determine adequate management of their presenting complaint and to arrange safe and enduring discharge planning.
Hilary Siebens and the Geriatric Emergency Medicine Task Force (SAEM) have grouped the principles of ED care of older patients into four domains. They suggest the need for assessment in each of the four domains:
Click here to view a PDF version of The Domain Management Tool. Acad Emerg Med. 2005; 12(2); 162-168.
The next four pages will work through each of these domains. While Emerg physicians usually feel most comfortable with the physical, we can help our older patients a lot by addressing the others as well.
Discussion: Domains of Care for the Older Patient
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Parfait
Good tool
Good
ok
ok
ok
ok
ok
great
Ohk
ok
–
V
ok
helpful
Ok
Gotchya
.
very true
nice tool
Good tool.
ok
okay
yes
yes
helpful tool
good
good
I like the domain management tool
Yes its an exellent tool. Very helpful in assessing any geriatric patient.
good tool
holistic care
ok
practical
ok
good to review
more holistic approach than physical alone
good tool
excellent tool
siempre hay que pensar que lo que pueden hacer los cuidadores y familiares es fundamental para el paciente
Educar a los familiares y cuidadores
Practical tool
I like the domain mgmt tool model.
the domain management tool is quite comprehensive but it is rather easy to use