About this Webinar
Morgan Daven, Dr. Adam Perry, Dr. Chris Carpenter, Dr. Linda Schnitker, Dr. Michelle Moccia and Pamela Martin discuss quality care for older adults with dementia in the ED.
Webinar Details
Expert Panel
Adam Perry, MD
GEDC Faculty, Emergency Physician, Geriatrician
Chris Carpenter, MD
GEDC Faculty, Emergency Physician
Linda Schnittker, RN, PhD
Nurse clinician, Researcher
Pam Martin, RN, MN
GEDC Faculty, Geriatric ED Nurse
Michelle Moccia, RN DNP, ANP-BC,CCRN, GS-C
Special Guest
Morgan Daven
Vice President, Health Systems, Alzheimer’s Association
Moderated By
Goals
- To reinforce the importance of dementia in the care of older ED patients.
- To review strategies for identifying dementia among older ED patients, including screening tools and processes.
- To suggest some quality indicators for excellent care of ED patients with dementia.
- To provide resources for improving the patient experience of ED patients with dementia and their carers.
Supporting Materials
Presentation Slides
September 14, 2020
Copyright 2020 The Geriatric Emergency Department Collaborative
Chat Notes
September 14, 2020
Main Learning Points
Morgan Daven at 8:55
Mr. Daven gave some practical examples of how community-based Alzheimer’s Associations can support your work in the ED.
Dr. Adam Perry at 16:10
Dr. Perry described the multiple ways in which dementia is important in the ED encounter: ability to get an accurate history and physical; ability for the patient to engage in and consent to treatment; ability to prepare a successful transition of care/discharge plan; ability to prevent behavioural problems. He provided some tips on how to improve our recognition of cognitive impairment
Dr. Chris Carpenter at 25:10
Dr. Carpenter reviewed three top tools – AD8, AMT4, Ottawa 3DY — for screening for cognitive impairment and critiqued them and made some suggestions for ways to integrate them into workflow.
Dr. Linda Schnitker at 34:00
Dr. Schnitker reviewed some of her work on establishing quality indicators for both structures and processes of care for ED patients with dementia. She summarized ten strategies for meeting those standards of quality.
Dr. Michelle Moccia & Pamela Martin at 47:00
Dr. Moccia and Pam Martin gave practical tips for improving the care experience of older ED patients with dementia, including the TADA method (Tolerate; Anticipate; Don’t Agitate); attempting to understand the meaning of “problematic” behaviours; avoiding infantilizing ageist speech.