Geriatric Emergency Medicine (GEM) forms about 20% of our work at MMUH ED. Understanding core components of GEM care is vital for daily practice.
At MMUH ED, we have a dedicated frailty team that works with us to identify and manage older patients issues. We have two Advanced Nurse Practitioners (ANPs) and a dedicated geriatric registrar to the GEM service which is developing all the time.
A Frailty Intervention Therapy Team (FITT) comprising medical social workers, physiotherapy, occupational therapy, dieticians, pharmacists and SALT is based in the ED to improve and expedite elderly patients' care.
We've developed specific pathways of care including rapid ED or virtual follow-up following discharge with the ANP/ GEM registrar. An integrated care team facilitate discharge of vulnerable suitable patients from the ED. Direct access to a lower acuity geriatric off-suite unit in Fairview (PACU) can be arranged with consultation. Rapid access clinics for falls and geriatric work-up operate in St. Mary's Hospital and Charter Clinic, Smithfield.
We're working hard to improve care for older patients in our ED through clinical governance, education and advocacy. If you're interested in getting involved, contact Vinny Ramiah (ED Consultant) or our ANPs, Rico and Roisin.