PT  - JOURNAL ARTICLE
AU  - van Oppen, James David
AU  - Coats, Tim
AU  - Conroy, Simon
AU  - Hayden, Sarah
AU  - Heeren, Pieter
AU  - Hullick, Carolyn
AU  - Liu, Shan
AU  - Lucke, Jacinta
AU  - Lukin, Bill
AU  - McNamara, Rosa
AU  - Melady, Don
AU  - Mooijaart, Simon P
AU  - Rosen, Tony
AU  - Banerjee, Jay
TI  - Person-centred decisions in emergency care for older people living with frailty: principles and practice
AID  - 10.1136/emermed-2024-213898
DP  - 2024 Jul 26
TA  - Emergency Medicine Journal
PG  - emermed-2024-213898
4099  - http://emj.bmj.com/content/early/2024/07/26/emermed-2024-213898.short
4100  - http://emj.bmj.com/content/early/2024/07/26/emermed-2024-213898.full
AB  - 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.