Despite the success of these programs for geriatric patients in acute care settings, the application of these guidelines to the injured patient are further complicated by factors such as
severe pain, immobilized limbs, the effects of analgesia and sedatives, and therapies such as continuous dialysis, ventilation, and repeated trips to the operating room. Although these programs could potentially provide benefit for the geriatric trauma population, there is no available evidence demonstrating their use in this setting.