Emergency Departments (EDs) are increasingly seeing more seriously unwell older people living with frailty. In the context of limited resources and increasing demand it’s the ED practitioner’s challenge to unpick this constellation of physical, psychological, functional and social issues.To properly assess older people living with frailty at the ED it is crucial to use an holistic approach. This consists of triage with algorithms sensitive to the higher risk of older people living with frailty, a frailty assessment, and an assessment with the help of the principles of Comprehensive Geriatric Assessment. Multi-disciplinary care, a tailor-made treatment plan, based on what the person values most, will help the ED practitioner to deliver appropriate and valuable care during the ED stay, but also in transition from hospital to home.
- acute care
- emergency department
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Handling editor Mary Dawood
Twitter @J_vanOppen, @APOPLeiden ; @BlomaardLC, @jmwallace84
Contributors VMH, BMB, ADJ and SPC made substantial contributions to the conception and design of the work. VMH did the drafting and revisions. All authors reviewed the article and made contributions to the final version of the article. BMB and SPC did the final approval of the version to be published. All authors had full access to all the data in the study and take responsibility for the integrity and accuracy of the data.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests JB reports personal fees from NHS Elect, England, personal fees from Jay Banerjee Consultancy Ltd, outside the submitted work; and I am the Chair of the Frailty/ Older Person’s Special Interest Group for the Royal College of Emergency Medicine, UK. SPC reports grants from National Institute of Health Research, UK, outside the submitted work. All other authors have nothing to disclose.
Provenance and peer review Not commissioned; externally peer reviewed.
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