Simple ER Changes Could Help Millions With Dementia

A neurologist once told Gabriela Khazanov not to bring her mother to the emergency room unless she was turning blue. Her mom has dementia, and that stark warning came after a difficult ER visit that exposed serious gaps in care.

The stakes are higher than most people realize. Studies show that patients with dementia face greater risks in emergency rooms, including longer hospital stays, repeat visits, and even increased chances of dying.

Khazanov's experience isn't unique. Emergency departments aren't designed for patients whose memory and cognitive abilities are declining. The bright lights, noise, confusion, and long waits can trigger distress and worsen their condition.

But here's the promising part: relatively minor changes could make emergency rooms dramatically safer for these patients. Simple adjustments to lighting, noise levels, and communication could prevent many of the problems families like Khazanov's face.

The number of Americans living with dementia is growing rapidly. That means more families will face the terrifying decision of whether to seek emergency care for their loved ones. Right now, many feel forced to choose between getting medical help and protecting their family member from a potentially harmful environment.

Khazanov shared her story in a medical journal essay, joining other doctors and caregivers calling for change. Dr. Jay Baruch wrote a similar piece last week, adding momentum to the conversation about dementia-friendly emergency care.

The Ripple Effect

When emergency rooms become safer for dementia patients, everyone benefits. Families get peace of mind knowing they can seek help without fear. Hospitals see fewer complications and readmissions. Medical staff can provide better care when the environment supports their most vulnerable patients.

The changes needed aren't expensive overhauls. They're thoughtful modifications like quieter spaces, clearer communication with families, and staff training on dementia care. Some hospitals are already testing these approaches with promising results.

As more voices join this conversation, pressure is building for hospitals nationwide to rethink emergency care for cognitive conditions. What started as one family's frustration is becoming a movement to ensure that no one has to wait until they're "turning blue" to get the care they need.