Emergency Care for Alzheimer's Patients

Help Us Help Them

Those afflicted with Alzheimer's disease often require emergency care. However, the needs and dynamics of providing such care differs vastly from other care calls. Please help provide feedback and let's develop recommendations - that perhaps progresses into protocol - for emergency workers to best help those with AD.

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* 1. Which best describes who YOU are:

Caregiver - spouse

Caregiver - adult daughter

Caregiver - adult son

Caregiver - college aged (18-25 - son or daughter)

caregiver - minor child (son or daughter)

Family member - non-caregiver

Person with AD - Early onset

Person with AD -

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* 2. How do you feel emergency services do OVERALL caring for someone with AD:

	Great	Better than average	Fair	Below average	Poor	Not Applicable
Ambulance/EMT staff	Ambulance/EMT staff Great	Ambulance/EMT staff Better than average	Ambulance/EMT staff Fair	Ambulance/EMT staff Below average	Ambulance/EMT staff Poor	Ambulance/EMT staff Not Applicable
Triage/Admission staff	Triage/Admission staff Great	Triage/Admission staff Better than average	Triage/Admission staff Fair	Triage/Admission staff Below average	Triage/Admission staff Poor	Triage/Admission staff Not Applicable
Emergency room nurses/staff	Emergency room nurses/staff Great	Emergency room nurses/staff Better than average	Emergency room nurses/staff Fair	Emergency room nurses/staff Below average	Emergency room nurses/staff Poor	Emergency room nurses/staff Not Applicable
Emergency room doctors	Emergency room doctors Great	Emergency room doctors Better than average	Emergency room doctors Fair	Emergency room doctors Below average	Emergency room doctors Poor	Emergency room doctors Not Applicable
Other hospital personnel	Other hospital personnel Great	Other hospital personnel Better than average	Other hospital personnel Fair	Other hospital personnel Below average	Other hospital personnel Poor	Other hospital personnel Not Applicable

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* 3. What do you want ambulance/EMT staff to know, do, or be aware of?

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* 4. What do you want triage/admission staff to know, do, or be aware of?

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* 5. What do you want emergency room nurses/staff to know, do, or be aware of?

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* 6. What do you want emergency room doctors to know, do, or be aware of?

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* 7. What do you want other hospital staff to know, do, or be aware of?

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* 8. If you could change the way the person with AD is cared for, what would that look like?

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* 9. What else do you want healthcare workers to know when treating people with AD?

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* 10. OPTIONAL: Please provide contact information if you would be willing to provide additional information.

Name

City/Town

State/Province

Country

Email Address

Phone Number