Establishing Geriatric Medication Management in the Emergency Department
1College of Pharmacy and Health Sciences, Western New England University, United States of America
Geriatric patients are at high-risk for adverse events related to medication due to aging, polypharmacy, having more co-morbidities, and having differing responses to medications when compared to their younger cohorts. Elderly patients are also more likely than other groups to be transferred between facilities. Transfers of care often occur with incomplete information, which results in increased morbidity, recidivism, and cost. Failed transitions may be caused by problems like incomplete medication list, medication errors, medication non-compliance, and adverse drug events. Medication reconciliation has been recognized as an important tool to improve transitions of care. However, it should be part of the broader medication management process for elderly patients in the emergency department (ED). Implementation of a concise, goal-oriented, team approach to medication management beginning in the ED can potentially increase awareness of adverse drug events as presenting diagnoses, minimize the use of high-risk medications in the geriatric adult, minimize the use of medications with potential interactions, and positively influence the ED care, hospitalization, and subsequent outpatient care of these patients (The Geriatric Emergency Department Guideline https://www.saem.org/docs/default-source/saem-documents/education/geri_ed_guidelines_final.pdf?sfvrsn=6 ).
This didactic lecture will discuss the concept of geriatric medication management, procedures approaches to establish medication management and performance measures. The lecture serves as a nice review of the Geriatric Emergency Department Guideline published by the American College of Emergency Physician (ACEP), American Geriatrics Society (AGS), Emergency Nurses Association (ENA) and Society for Academic Emergency Medicine (SAEM).