RT Journal Article
SR Electronic
T1 Person-centred decisions in emergency care for older people living with frailty: principles and practice
JF Emergency Medicine Journal
JO Emerg Med J
FD BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine
SP emermed-2024-213898
DO 10.1136/emermed-2024-213898
A1 van Oppen, James David
A1 Coats, Tim
A1 Conroy, Simon
A1 Hayden, Sarah
A1 Heeren, Pieter
A1 Hullick, Carolyn
A1 Liu, Shan
A1 Lucke, Jacinta
A1 Lukin, Bill
A1 McNamara, Rosa
A1 Melady, Don
A1 Mooijaart, Simon P
A1 Rosen, Tony
A1 Banerjee, Jay
YR 2024
UL http://emj.bmj.com/content/early/2024/07/26/emermed-2024-213898.abstract
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.