The Mount Sinai Medical Center
Nearly half of the patients over 75 years of age who come to Mount Sinai’s emergency department arrive unattended and have no family or friend to support them during their visit. These patients are at especially high risk of preventable complications—such as falls, delirium, and agitation—that may require the use of pharmaceutical or physical restraints and may lead to avoidable hospital admissions. With this grant, Mount Sinai will implement the Care and Respect for Elders with Emergencies (CARE) program, adapting a program that has been successful in an inpatient setting. Volunteers will interact with these elders, provide them with activities such as puzzles and books that provide tactile and visual stimulation, offer emotional support, and help the seniors communicate their needs to hospital staff. To measure the project’s impact, data on falls and medication usage for CARE participants will be compared to a matched group of patients who did not participate in the program.
Resources for family caregivers and health care providers are available at our Next Step in Care website.