- Title
- Person-centred decisions in emergency care for older people living with frailty: principles and practice
- Creator
- van Oppen, James David; Coats, Tim; Melady, Don; Mooijaart, Simon P.; Rosen, Tony; Banerjee, Jay; Conroy, Simon; Hayden, Sarah; Heeren, Pieter; Hullick, Carolyn; Liu, Shan; Lucke, Jacinta; Lukin, Bill; McNamara, Rosa
- Relation
- Emergency Medicine Journal Vol. 41, Issue 11, p. 694-699
- Publisher Link
- http://dx.doi.org/10.1136/emermed-2024-213898
- Publisher
- BMJ Group
- Resource Type
- journal article
- Date
- 2024
- Description
- 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.
- Subject
- emergency departments; ethics; frailty; geriatrics
- Identifier
- http://hdl.handle.net/1959.13/1518228
- Identifier
- uon:57260
- Identifier
- ISSN:1472-0205
- Language
- eng
- Reviewed
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