BE THE ED DOC – Illustrating Geriatric Readiness
An independent, right handed 81 year old who lives alone trips and falls while walking with her walker. A thorough evaluation at her local ED reveals only a nonoperative right proximal humeral fracture. Her pain is well controlled with immobilization and oral analgesics.
What is her disposition? Discharge home with shoulder immobilizer and instructions to call orthopedics in the morning. Admit to Telemetry Bed for “Syncope” with orthopedics and cardiology consultations, with subsequent SubAcute Rehabilitation stay. Admit to Observation Status for “Ambulatory Dysfunction”. Discharge home with her daughter, who lives locally, with home care (aids, nursing, PT/OT) and an appointment to see orthopedics in two days. Any of the above, depending on the ED providers and process, and the availability of inpatient and outpatient resources at the time she presents.https://jdc.jefferson.edu/jcphposters/1003/thumbnail.jp
