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Medical Consultation

Geriatrics Program

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G60 is a specialized trauma care program developed by Dr. Alicia Mangram. Since 2009, Dr. Mangram has devoted her career to improving trauma care through advocacy, surgical and critical care research, education and community services.

In the beginning of her career, she quickly realized that a traumatic injury in patients 60 years and older could occur from a simple fall resulting in a hip fracture. The traditional approach was to admit them to a medical physician and await medical clearance for pre-existing conditions such as diabetes, heart disease, etc. prior to any surgery.

While patients waited for medical clearance, other medical related complications could develop. Recognizing the cause of these complications lead to a paradigm shift and implementing an aggressive care approach for our G60 population.

Through evidence-based research, Dr. Mangram and her team developed a care plan to address the needs of G60 trauma patients. These care plans achieved several goals, such as:

 

  • Expedited early identification in the ER

  • Admission to trauma service

  • Alternative pain management modalities, for example, hip block

  • Multidisciplinary care rounds with integration of the Biopsychosocial Model

  • Evaluation of care approach through research and data analysis

  • Achievement of optimal level of functioning and independence upon discharge

It is our vision for the future that everyone aged 60 years and older who has experienced traumatic injury will receive.

Benefits

Waiting Room

FASTER, COORDINATED CARE

An aggressive, team-based model speeds ER identification and trauma admission, reducing delays and complications.

RECOVERY & INDEPENDENCE

Evidence-based plans and the Biopsychosocial Model help patients regain function and independence after discharge.

LOWER RISK OF DISABILITY

Specialized care for older adults improves survival and reduces complications from pre-existing conditions and medications.

PATIENT EDUCATION

Frequently Asked Questions

Why is specialized trauma care important for patients 60 and older?

Older trauma patients often have worse outcomes compared to younger patients with similar injuries due to pre-existing conditions, increased complication risks, and medications that can mask symptoms or worsen injuries. G60’s tailored care helps reduce these risks and improve survival.

How does the G60 Program differ from traditional trauma care?

Unlike traditional approaches that delay surgery while awaiting medical clearance, G60 employs an aggressive, patient-centered model with early trauma service admission, alternative pain management (like hip blocks), and integrated biopsychosocial care to prevent complications and speed recovery.

What is the Biopsychosocial Model used in G60 care?

The Biopsychosocial Model considers the biological, psychological, and social factors affecting a patient’s health. G60 integrates this model to address not only the physical injuries but also the emotional and social needs of patients, promoting overall well-being and quality of life.

Who can benefit from the G60 Program?

Any individual aged 60 or older who has experienced a traumatic injury, such as a fall or accident, can benefit from G60’s specialized, evidence-based care designed to enhance recovery, minimize complications, and improve long-term independence.

What outcomes can patients expect from G60 care?

Patients treated under the G60 Program typically experience faster recovery, fewer complications, and a higher chance of regaining independence, thanks to early intervention, coordinated team care, and continuous evaluation through research and data analysis.

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