Innovative Geriatric Practice Models: Preliminary Data
Care and Respect for Elders in Emergencies Program: A Preliminary Report of a Volunteer Approach to Enhance Care in the Emergency Department
Article first published online: 15 JAN 2014
© 2014, Copyright the Authors Journal compilation © 2014, The American Geriatrics Society
Journal of the American Geriatrics Society
Volume 62, Issue 2, pages 365–370, February 2014
How to Cite
J Am Geriatr Soc 62:365–370, 2014.
- Issue published online: 12 FEB 2014
- Article first published online: 15 JAN 2014
- United Health Fund
- Centers for Medicare and Medicaid Innovations award GEDI WISE. Grant Number: 1C1CMS331055–01–00
- Department of Health and Human Services, Centers for Medicare and Medicaid Services
- American Cancer Society
- Practice Change Leaders in Aging and Health
- Hartford Foundation
- emergency medicine;
- quality improvement;
- models of care
Older adults who present to an emergency department (ED) generally have more-complex medical conditions with complicated care needs and are at high risk for preventable adverse outcomes during their ED visit. The Care and Respect for Elders with Emergencies (CARE) volunteer initiative is a geriatric-focused volunteer program developed to help prevent avoidable complications such as falls, delirium and use of restraints, and functional decline in vulnerable elders in the ED. The CARE program consists of bedside volunteer interventions ranging from conversation to various short activities designed to engage and reorient high-risk, older, unaccompanied individuals in the ED. This article describes the development and characteristics of the CARE program, the services provided, the experiences of the elderly patients and their volunteers, and the growth of the program over time.
CARE volunteers provide elders with the additional attention needed in an often chaotic, unfamiliar environment by enhancing their care, improving satisfaction, and preventing potential decline.