Resources

Downloads

• Delirium Pre-Printed Order Set – PDF

Links

• The Mini-Cog as a Screen for Dementia – Borson, Scanlan et al. JAGS, October 2003, 51 (10)  1451–1454
• Four Sensitive Screening Tools to Detect Cognitive Dysfunction in Geriatric Emergency Department Patients: Brief Alzheimer’s Screen, Short Blessed Test, Ottawa 3DY, and the Caregiver-completed AD8 – Carpenter, et al  Acad Emerg Med; 2011, 18: 374-384
• The Assessment and Treatment of Delirium in Older Adults – Pocket Version from the Canadian Coalition for Seniors’ Mental Health. 
  
• AFP Screening Tools for Cognitive Impairment – CARLAT, Am Fam Physician. 1998 Nov 1;58(7):1617-1624.
• Validation of a Brief Screening Tool to Detect Depression in the Older Patient – from Science Direct: Fabacher et al Am J Emerg Med 2002;20:99-102

Recommended Readings

• Altered Mental Status in Older Emergency Department Patients. Wilber, Scott T. Elsevier Saunders – View the article
• Does this Patient Have Delirium? The Value of Bedside Instruments. Wong, CL et. al. 2011 – PDF

Downloads

• The Beers Criteria Review 2012 – PDF
• Evidence for the Beers Criteria – PDF
• Pharmacologic Issues in Geriatric Emergency Medicine – Elsevier Saunders
• STOPP-START criteria – PDF
• Baseline Functional Assessment Tool – PDF

Links

• AGS Beers Criteria Pocket Card – American Geriatrics Society link to PDF
• If your department is interested in improving Medication Reconciliation you may be interested in the Best Possible Medication History Initiative from saferhealthcarenow.ca.
• Two patient education sheets about Safe Medications from HealthInAging.org
  1. Ten Medications Older Adults Should Avoid or Use with Caution – HealthInAging.org link to PDF
  2. Avoiding Overmedication and Harmful Drug Reaction – HealthInAging.org link to PDF

Recommended Readings

• Pharmacologic Issues in Geriatric Emergency Medicine – Blanda, Michelle P. Elsevier Saunders – View the Article
• American Geriatrics Society, Updated Beers Criteria for Potentially Inappropriate Medication Use in Older Adults – View the Article
• Prescribing to Older ED Patients, Terrell KM et al. – American Journal of Emergency Medicine
• Volume 24, Issue 4; pg. 468-478, July 2006 – View the NCBI Journal Article
•  Inappropriate prescribing in elderly ED patients. Heard K, Wilber S, Shah MN. Am J Emerg Med 2008 Mar;26(3):372-373. – View the NCBI Journal Article
•  Inappropriate prescribing in an older ED population. Hustey FM, Wallis N, Miller J. Am J Emerg Med 2007 Sep;25(7):804-807. – View the NCBI Journal Article
•  Potentially inappropriate medication utilization in the emergency department visits by older adults: analysis from a nationally representative sample. Meurer WJ, Potti TA, Kerber KA, Sasson C, Macy ML, West BT, Losman ED. Acad Emerg Med. 2010 Mar;17(3):231-7. – View the NCBI Journal Article

Downloads

• Pre-Printed Order Set for Older Patients with Hip Fracture – PDF

Links

Recommended Readings

• Trauma and Falls in the Elderly – Emergency Medicine Clinics of North America, Elsevier Saunders – View the Article
• ATLS chapter on Geriatric Trauma

Recommended Readings

• Generalized Weakness in the Geriatric Emergency Department Patient. Anderson Jr, Robert S., Hallen, Sarah A.M. Elsevier Saunders – View the Article
• Abdominal Pain in the Elderly. Martinez, Joseph P., Mattu, Amal. Elsevier Saunders – View the Article

Downloads

• Baseline Functional Assessment Tool – PDF
• Checklist for Older Patient Transfers to Long-Term Care Home – PDF
• Hold Overnight Pre-Printed Order Set – PDF
• Long-Term Care Home Transfer Protocol – PDF
• Nursing Assessment with ISAR – PDF

Links

• Emergency Care of the Elder Person, Arthur B. Sanders, Society for Academic Emergency Medicine Buy on Amazon.ca
• Identifying seniors at Risk (ISAR) (McCusker et al, 1999) – View the NCBI Journal Article
• Timed Get and Go Test, Podsiadlo, JAGS; 1991, 39(2):142-148 – View the EuroPMC article

Recommended Readings

• Transitions of Care for the Geriatric Patient in the Emergency Department – PDF
• The Domain Management Model – A Tool for Teaching and Management of Older Adults in Emergency Departments. Siebens, H. – PDF

Downloads

• Karnofsky Performance Scale Index – PDF
• ECOG Performance Status – PDF
• Victoria Hospice Society, Palliative Performance Scale Guidelines – PDF
• M. Downing, Victoria Hospice Society, 1952 – 10 Steps to Better Prognostication – PDF
• The Gold Standards Framework, Prognostic Indicator Guide – PDF
• What to Expect in the Last Days of Life: A Guide for Caregivers – PDF
• Hospice and Palliative Medicine: New Subspeciality, New Opportunities – ACEP – PDF

Links

• Cancer Care Ontario – Toolbox for Symptom Management

Recommended Readings

• Clinics of North America – Palliative Medicine and Geriatric Emergency Care, Elsevier Saunders – View the article.