The COVID-19 pandemic makes care coordination and case management more difficult for a variety of reasons. For instance, finding community resources for struggling senior patients is difficult in areas where organizations have closed operations or restricted access to services. Also, senior adults face more loneliness and emotional health challenges. They have lost access to many of their traditional social support networks because of physical distancing during the pandemic.
The COVID-19 pandemic changed routine case management of older patients. Case managers have had to more creative in finding community resources and post-acute referrals for patients since many organizations were closed or limited in their services for months.
Older adult trauma patients present unique challenges for the emergency care provider. Airway anatomic and physiologic changes associated with age may pose difficulties in the setting of trauma and may affect the overall care of the patient. Understanding the geriatric variations and developing alternative strategies is critical in the acute care setting.
Falls in patients older than 65 years of age are an increasingly common presentation in U.S. emergency departments, and intricate knowledge and confidence in the evaluation and management of these patients is vital.
Delirium is a complex disorder marked by the acute onset of mental status change with an associated fluctuating course. Despite the fact that delirium is a common clinical entity in elderly hospitalized patients, the condition may present in any patient regardless of medical comorbidities. Recognition within the emergency setting is becoming increasingly important, as the diagnosis frequently is missed.