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EMCrit Podcast 208 – Felipe Teran on Why We are Doing CPR Wrong

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martes, 22 de marzo de 2016

How to Spot Elder Abuse and Neglect

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WASHINGTON, March 22, 2016 /PRNewswire-USNewswire
"When older adults in severely debilitated states show up for treatment in the emergency department, emergency physicians and staff must be able to identify and document their symptoms and decide whether to report their concerns to adult protective services. This is a difficult decision as the patient's symptoms may stem from willful neglect, unintentional neglect or sub-acute symptoms caused by an underlying illness than manifest as neglect. Two papers published online last Friday in Annals of Emergency Medicine highlight a problem that promises to grow rapidly with the aging of the Baby Boom generation.
"Given the aging of the population, emergency physicians need to be prepared to balance their obligations to the patient by documenting findings, reporting suspicions and referring patients to appropriate agencies," said Marguerite DeLiema, Ph.D, of the Stanford University Center on Longevity in Stanford, Calif., the lead study author of "The Forensic Lens: Bringing Elder Neglect into Focus in the Emergency Department." "Emergency physicians can also help prevent misunderstandings about elder neglect by encouraging patients to document care preferences, involve others in care planning and communicate with their caregivers about how to fulfill their wishes"