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Psychosocial emergencies in the elderly

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    1 15 Michigan St NE 736B, Grand Rapids, MI 49503, United States.
    Lindsey Ouellette
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    1 15 Michigan St NE 736B, Grand Rapids, MI 49503, United States.
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    Michigan State University College of Human Medicine, Department of Emergency Medicine, United States
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    2 15 Michigan St NE Suite 701, Grand Rapids, MI 49503, United States.
    Rachelle Halasa
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    2 15 Michigan St NE Suite 701, Grand Rapids, MI 49503, United States.
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    Michigan State University College of Human Medicine, Department of Emergency Medicine, United States
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  • Author Footnotes
    2 15 Michigan St NE Suite 701, Grand Rapids, MI 49503, United States.
    Andrew Brown
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    2 15 Michigan St NE Suite 701, Grand Rapids, MI 49503, United States.
    Affiliations
    Michigan State University College of Human Medicine, Department of Emergency Medicine, United States
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    2 15 Michigan St NE Suite 701, Grand Rapids, MI 49503, United States.
    Cindy Ong
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    2 15 Michigan St NE Suite 701, Grand Rapids, MI 49503, United States.
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    Michigan State University College of Human Medicine, Department of Emergency Medicine, United States
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    2 15 Michigan St NE Suite 701, Grand Rapids, MI 49503, United States.
    Ryan Beckett
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    2 15 Michigan St NE Suite 701, Grand Rapids, MI 49503, United States.
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    Michigan State University College of Human Medicine, Department of Emergency Medicine, United States
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    2 15 Michigan St NE Suite 701, Grand Rapids, MI 49503, United States.
    Sunny Shah
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    2 15 Michigan St NE Suite 701, Grand Rapids, MI 49503, United States.
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    Michigan State University College of Human Medicine, Department of Emergency Medicine, United States
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    2 15 Michigan St NE Suite 701, Grand Rapids, MI 49503, United States.
    Deven Patel
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    2 15 Michigan St NE Suite 701, Grand Rapids, MI 49503, United States.
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    Michigan State University College of Human Medicine, Department of Emergency Medicine, United States
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    2 15 Michigan St NE Suite 701, Grand Rapids, MI 49503, United States.
    Dale McNinch
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    2 15 Michigan St NE Suite 701, Grand Rapids, MI 49503, United States.
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    Michigan State University College of Human Medicine, Department of Emergency Medicine, United States

    Department of Emergency Medicine, Spectrum Health Hospitals, Grand Rapids, MI, United States
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  • Jeffrey Jones
    Correspondence
    Corresponding author at: 15 Michigan St NE Suite 701, Grand Rapids, MI 49503, United States.
    Affiliations
    Michigan State University College of Human Medicine, Department of Emergency Medicine, United States

    Department of Emergency Medicine, Spectrum Health Hospitals, Grand Rapids, MI, United States
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  • Author Footnotes
    1 15 Michigan St NE 736B, Grand Rapids, MI 49503, United States.
    2 15 Michigan St NE Suite 701, Grand Rapids, MI 49503, United States.
      In the US, it is estimated that the number of Americans over the age of 65 will double from roughly 50 million at present to 100 million by 2060 [
      • Haseltine W.A.
      Aging populations will challenge healthcare systems all over the world. Forbes.
      ]. As the age and size of this group increases, the appropriateness, effectiveness, cost, and outcome of emergency medical care provided to them will be of special concern. Older patients are often more acutely ill than younger patients, many times requiring longer hospital stays with greater risk of readmission upon discharge [
      • Latham L.P.
      • Ackroyd-Stolarz S.
      Emergency department utilization by older adults: a descriptive study.
      ,
      • Yao J.L.
      • Fang J.
      • Lou Q.Q.
      • Anderson R.M.
      A systematic review of the identification of seniors at risk (ISAR) tool for the prediction of adverse outcome in elderly patients seen in the emergency department.
      ]. There are risk factors plaguing the elderly that may contribute to increased utilization of the Emergency Department (ED). These factors include but are not limited to depression, poor self-care, falls, poor memory, the potential for abuse, polypharmacy, and having a fixed or limited income [
      • Chandra A.
      • Crane S.J.
      • Tung E.E.
      • et al.
      Patient-reported geriatric symptoms as risk factors for hospitalization and emergency department visits.
      ,
      • Lau T.E.
      • Russell S.
      • Kozyra E.
      • Benjamin S.
      Psychiatric emergencies in older adults.
      ]. Along with treatment, the ED is an excellent place to introduce secondary prevention. It is a place where elderly persons who have functional, cognitive, and social impairments may be identified and linked to appropriate services for further evaluation and management. The aims of this study were to: 1) identify key social problems among the elderly as they present to an ED; 2) compare the epidemiology, assessment and treatment patterns with results from a similar study performed at this institution in 1989 [
      • May M.
      • Jones J.S.
      • Roobal G.
      Social emergencies in the elderly.
      ].

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      References

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        Aging populations will challenge healthcare systems all over the world. Forbes.
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        Emergency department utilization by older adults: a descriptive study.
        Can Geriatr J. 2014; 17: 118-125
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