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BE THE ED DOC – Illustrating Geriatric Readiness

An independent, right handed 81 year old who lives alone trips and falls while walking with her walker. A thorough evaluation at her local ED reveals only a nonoperative right proximal humeral fracture. Her pain is well controlled with immobilization and oral analgesics.

What is her disposition?

  • Discharge home with shoulder immobilizer and instructions to call orthopedics in the morning.
  • Admit to Telemetry Bed for “Syncope” with orthopedics and cardiology consultations, with subsequent SubAcute Rehabilitation stay.
  • Admit to Observation Status for “Ambulatory Dysfunction”.
  • Discharge home with her daughter, who lives locally, with home care (aids, nursing, PT/OT) and an appointment to see orthopedics in two days.
  • Any of the above, depending on the ED providers and process, and the availability of inpatient and outpatient resources at the time she presents.

Publication Date



The Pennsylvania Emergency Department Geriatric Readiness Project, Thomas Jefferson University, Family and Community Medicine, Jefferson College of Population Health, Division of Geriatric Medicine


Family Medicine | Public Health


Poster presented at: 2016 American Geriatric Society in Long Beach, California.

The Pennsylvania Emergency Department Geriatric Readiness Project