I recently received a late-night phone call from a friend whose mother was in hospital after a fall. Needless to say, there was panic and uncertainty in her voice.
I started asking some questions around the severity of her mom’s fall, if she was being admitted to hospital, and the physician’s diagnosis and possible treatment. I was met on the other end with complete silence followed by, “The last five hours were a blur, and I feel like I don’t know anything more than when we first arrived at the ER!”
Most emergency room (ER) staff likely see this same situation over and over again.
In British Columbia, just fewer than half of all seniors 65 and older make a trip to their local hospital emergency. Risk of hospitalization increases with age, especially for those older than 85.
A fall, stroke, heart attack, viruses and infections, and sudden onset confusion (more commonly referred to as delirium) are the most common reasons for a trip to the ER.
Since we can’t bubble-wrap ourselves or our aging loved ones, the best we can do is keep critical information on hand in the event it’s required, including:
• Information required for hospital admission such as birth date, CareCard and other health insurance numbers, address and telephone numbers;
• List of medications (prescription and non-prescription) and allergies (both to food and medications); One of the easiest ways keep this current is to get a printout each time you visit your pharmacist;
• Medical history, past surgeries and recent hospitalizations also helps to speed up the diagnosis and processes. Otherwise, the hospital personnel are literally starting from scratch;
• Contact information for physician;
• Any type of health care directive;
Of course, with any medical information, it’s best when current! Updating medical information is unlikely to be at the top of your to-do list; consider putting it in your calendar or Blackberry in three- to six-month intervals. Kinda like cleaning the fishbowl!
Make copies of your medical information and keep it in different locations. For example, some people keep a copy taped on the back of their bedroom door or on the fridge. It’s always handy for other family or neighbours to have a copy, too.
The Medicine Shoppe in Comox provides a great tool called Lifesafe, which is a plastic vial that holds all of your medical information, and is stored in your refrigerator. It’s very handy for the paramedics or firemen to quickly locate and provides vital medical information and your medical history.
Finally, most trips to the ER are lengthy, so don’t forget to pack your patience!
This column is one in a series focusing on strategies and tools to survive visits to the ER and extended hospital visits. In two weeks, we’ll tackle what to expect in the ER and how to communicate and establish good relationships with hospital staff.
Wendy Johnstone is a gerontologist and is the founder of Solutions for Seniors Eldercare Planning.
Her column runs in the Comox Valley Record every second Friday.
