RT Journal Article
SR Electronic
T1 Emergency department management of older people living with frailty: a guide for emergency practitioners
JF Emergency Medicine Journal
JO Emerg Med J
FD BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine
SP emermed-2020-210014
DO 10.1136/emermed-2020-210014
A1 Vera M Hogervorst
A1 Bianca M Buurman
A1 Annemarieke De Jonghe
A1 James David van Oppen
A1 Christian Hans Nickel
A1 Jacinta Lucke
A1 Laura C Blomaard
A1 Arjun Thaur
A1 Simon P Mooijaart
A1 Jay Banerjee
A1 James Wallace
A1 Bas de Groot
A1 Simon Paul Conroy
YR 2021
UL http://emj.bmj.com/content/early/2021/04/21/emermed-2020-210014.abstract
AB 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.