We hope you have added to your knowledge skills and attitudes about Functional Assessment and Discharge Planning in the Older ED Patient. We introduced some of the principles of Geriatric Emergency Medicine and suggested ways to put those principles into practice. We presented a framework that integrates all the components of ED assessment – physical, cognitive, functional, and social – that you can use to structure an approach to both simple and complex cases. Transitioning complex older patients from the community and ideally back again is a demanding component of Emergency Medicine – and ideally one that we work on with an interdisciplinary team. Having a system in place will make everyone’s life better!
Review the Learning Objectives before proceeding to the Knowledge Check.
At the end of this module the learner should be able to:
- List strategies for gathering information about an older patient in the ED
- Identify essential parts of a discharge plan for an older patient (the importance of cognitive and functional assessment, ambulation, ability to provide self-care, safety and establishing a follow-up plan appropriate for the vulnerable older patient.)
- Name the Activities of Daily Living and Instrumental Activities of Daily Living and link them to safe ED discharge
- Establish members of the health-care team with whom to share care tasks; (ED nurse, family physician, community care provider, long-term care providers; ambulance crew)
- List strategies for communicating with “downstream” care providers. (call long-term care; send written information back to LTC; fax a copy of chart or discharge summary to family doctor; provide a legible written copy of clinical record and plan to the patient; notify in writing the community care nurse about changes in care plan.)