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Shared Decision Making to Improve the Emergency Care of Older Adults: A Research Agenda
Author(s) -
Hogan Teresita M.,
Richmond Natalie L.,
Carpenter Christopher R.,
Biese Kevin,
Hwang Ula,
Shah Manish N.,
Escobedo Marcus,
Berman Amy,
Broder Joshua S.,
PlattsMills Timothy F.
Publication year - 2016
Publication title -
academic emergency medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.221
H-Index - 124
eISSN - 1553-2712
pISSN - 1069-6563
DOI - 10.1111/acem.13074
Subject(s) - medicine , emergency department , medical emergency , older people , medline , nursing , gerontology , political science , law
Older emergency department patients have high rates of serious illness and injury, are at high risk for side effects and adverse events from treatments and diagnostic tests, and in many cases, have nuanced goals of care in which pursuing the most aggressive approach is not desired. Although some forms of shared decision making ( SDM ) are commonly practiced by emergency physicians caring for older adults, broader use of SDM in this setting is limited by a lack of knowledge of the types of patients and conditions for which SDM is most helpful and the approaches and tools that can best facilitate this process. We describe a research agenda to generate new knowledge to optimize the use of SDM during the emergency care of older adults.