Person-centred decisions in emergency care for older people living with frailty: principles and practice.

Older people living with frailty are frequent users of emergency care and have multiple and complex problems. Typical evidence-based guidelines and protocols provide guidance for the management of single and simple acute issues. Meanwhile, person-centred care orientates interventions around the perspectives of the individual. Using a case vignette, we illustrate the potential pitfalls of applying exclusively either evidence-based or person-centred care in isolation, as this may trigger inappropriate clinical processes or place undue onus on patients and families. We instead advocate for delivering a combined evidence-based, person-centred approach to healthcare which considers the person’s situation and values, apparent problem and available options.

© Author(s) (or their employer(s)) 2024. No commercial re-use. See rights and permissions. Published by BMJ.

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TitelPerson-centred decisions in emergency care for older people living with frailty: principles and practice.
Datum26 juli 2024
Tijdschrift naamEmergency medicine journal : EMJ
Tijdschrift nummerpubmed:39060102
DOI10.1136/emermed-2024-213898
PubMed39060102
Auteursvan Oppen JD, Coats T, Conroy S, Hayden S, Heeren P, Hullick C, Liu S, Lucke J, Lukin B, McNamara R, Melady D, Mooijaart SP, Rosen T & Banerjee J
Trefwoordenemergency departments, ethics, frailty, geriatrics
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