By National Research Council, Division of Behavioral and Social Sciences and Education, Commission on Behavioral and Social Sciences and Education, Committee on New Technologies in Cognitive Psychophysiology
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Extra resources for Brain and Cognition: Some New Technologies
It is a component of the process to facilitate the follow-up of inpatient and outpatient care for the terminally ill. This is a proactive stance that promotes the cooperation and accountability of the entire health care team that serves patients at the end of their life . Medical futility Often, an unknown elderly patient may present to the ED on the verge of death. In such a situation, there may be neither the time nor the means to engage in meditative reﬂection regarding a patient’s wishes.
Edlow, MD* Beth Israel Deaconess Medical Center, West Clinical Center 2, Department of Emergency Medicine, One Deaconess Road West CC-2, Boston, MA 02215, USA The aging of the United States population is well publicized. Projections indicate that by 2030, 55 to 65 million people over the age of 65 years will live in this country, approximately 20% of the total population . Elderly patients are more likely to require emergency care and have diﬀerent disease patterns with increased risk for morbidity and mortality.
A more thorough knowledge of this information will also assist in the ethic treatment of critically ill elderly patients toward the end of their life. An evidence-based comprehension of patient prognosis is a key component of an elderly individual’s treatment toward the end of life. This information assists in the interpretation of ADs and patient and family preferences. Ultimately, improving the care of the critically ill geriatric patient hinges on improved communication. EM physicians should actively engage primary care providers, specialists, prehospital providers, patients, and families in this process.