Emergency care for the elderly: Compassion meets expertise

As a paramedic, one encounters people from all walks of life in an emergency, and the ability to adapt quickly to their special needs can make all the difference. 

This is often the case when treating the elderly. Michelle Cook, ER24 Western Cape West Branch Manager, shares some interpersonal skills that are often required in these delicate situations.

"Treating and caring for an older patient in an emergency requires a specialised and compassionate approach. A paramedic needs to consider the physiological changes that occur as a person ages. They may have less physiological reserve available to deal with an emergency and possess more comorbidities such as chronic diseases. A detailed medical history is important to obtain to determine any chronic illness and medication the patient is taking. However, one cannot make assumptions about the patient based on age; as each patient requires a thorough examination," Michelle explains.

With the vast number of cultures and languages in South Africa, one thing that they all have in common is the belief that elders should be treated with dignity. Michelle often puts this value at the forefront when treating elderly patients.

"Our training focuses on different age categories and their specific needs and concerns so that we can assess patients of all ages to provide the appropriate care. An important aspect of training and treatment provided is to focus on the emotional needs of the patient and their family's needs and concerns. Empathy and showing concern for the needs of our patients is a vital part of our treatment."

Paramedics also understand that cognitive impairments, such as memory loss or problems making decisions, become more common as people age. These impairments significantly affect an elderly patient's ability to communicate effectively, especially in a high-stress environment like an emergency.

"As a person ages, cognitive impairment involving memory loss and difficulty making decisions may take place, and diseases such as Alzheimer’s and dementia may be present. A paramedic needs to have an overall knowledge of the patient's abilities as we can be sensitive to their situation and assist where needed. The person may have forgotten his/her medication, but we can help find it to assist in their care," Michelle says.

Paramedics may also encounter older patients' reluctance to discuss topics such as pain, medication use, or mental health concerns. One effective strategy Michelle has used is speaking to the patient privately and calmly, reassuring them that discussing specific issues will help the medical team provide the best possible care. She finds that involving family members or caregivers to make them feel comfortable discussing sensitive matters helps, too.

Michelle maintains that confidentiality, honesty, and respect are three things every patient is entitled to, regardless of age.

At ER24, we provide expert emergency care with compassion for every generation. Call 084 124 for help in any emergency. For inquiries about our emergency medical solutions tailored for retirement communities, click here