# Dementia Research in ED Settings

About This Podcast

Dr. Chris Carpenter is a GEDC faculty member who has previously been a guest on two episodes of GEMCast “Five Ways to Geriatricize Your ED” in June 2016 and “New Geriatric ED Accreditation – Why You Should Care” in May 2017. Since then, so much has happened in the world of Geriatric Emergency Medicine, and Dr. Carpenter has made significant contributions to the development of clinical policies, guidelines, and educational resources. One activity that is particularly pertinent to this episode is Dr. Carpenter’s role as co-Investigator on the NIA-funded Geriatric Emergency care Applied Research Network 1.0 (GEAR 1.0) and Geriatric Emergency care Applied Research Network 2.0 – Advancing Dementia Care (GEAR 2.0 – ADC).

Listen to this episode of GEMCast to learn about GEAR 2.0 – ADC and how they identified and prioritized research gaps in emergency care for persons living with dementia and their care partners.

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https://youtu.be/XXYfsbjpqgE

Key Points

Practice change will require generating evidence.

Understand how to justify to skeptics that dementia research is possible in the ED; there are ethical ways to recruit these patients and obtain their consent.

There is a need for more researchers in this field to test different interventions, theories, and approaches. Then there will be substance to build interventions that will change patient outcomes and ED operations worldwide.

Recognize what we know, where our gaps are, and what areas are important to focus on to improve care for older patients.

“It ain’t what you don’t know that gets you into trouble. It’s what you know for sure that ain’t so.”

– Mark Twain

Resources

WashU Medicine | January 21, 2023

Recognizing, caring for dementia patients in the emergency department

This episode of Washington University School of Medicines 'Show Me the Science' looks at steps being taken to make it easier for people with dementia to navigate emergency room visits. 

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August 31, 2022

Reflections of an Alzheimer’s spouse

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Introduction to GEAR 2.0-ADC (https://www.jamda.com/article/S1525-8610(22)00418-2/fulltext)

GEAR Protocol (https://bmjopen.bmj.com/content/12/4/e060974.long)

Detecting Cognitive Impairment (https://www.jamda.com/article/S1525-8610(22)00297-3/fulltext)

Communication/Decision-Making (https://www.jamda.com/article/S1525-8610(22)00300-0/fulltext)

Best Practices (https://www.jamda.com/article/S1525-8610(22)00426-1/fulltext)

Care Transitions (https://www.jamda.com/article/S1525-8610(22)00154-2/fulltext)

Detecting ED dementia diagnostic meta-analysis (https://onlinelibrary.wiley.com/doi/10.1111/acem.13573)

Structural Quality Indictors for ED Care of Older Adults with Cognitive Impairment (https://onlinelibrary.wiley.com/doi/10.1111/acem.12617)

Process Quality Indicators for ED Care of Older Adults with Cognitive Impairment (https://onlinelibrary.wiley.com/doi/10.1111/acem.12616)

Free CME for ED Care of Persons Living with Dementia (https://gedcollaborative.com/course/cognitive-impairment-in-the-older-ed-patient/)

Other GEMCast episodes with Dr. Chris Carpenter

PODCAST | June 29, 2016

5 Ways to Geriatricize Your ED

In this episode, Chris Carpenter presents five high-yield, low-cost ways that those of us working in non-senior EDs can take some of the principles of geriatric emergency medicine and apply them either to our own practice or implement them in our own EDs, without a lot of funding.

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PODCAST | May 23, 2017

New Geriatric ED Accreditation – and why you should care

Chris Carpenter discusses the new ACEP accreditation of Geriatric EDs and what your ED would need to do to become accredited.

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Next, listen to The Winding Road to Geriatric EM with  Dr. Teresita Hogan.

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