Person-centred decisions in emergency care for older people living with frailty: principles and practice

Abstract

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.

Metadata

Item Type:	Article
Authors/Creators:	van Oppen, J.D. https://orcid.org/0000-0002-2570-7112 Coats, T. Conroy, S. https://orcid.org/0000-0002-4306-6064 Hayden, S. Heeren, P. Hullick, C. Liu, S. Lucke, J. Lukin, B. McNamara, R. https://orcid.org/0000-0002-7803-0483 Melady, D. Mooijaart, S.P. Rosen, T. Banerjee, J.
Copyright, Publisher and Additional Information:	© 2024 The Authors. Except as otherwise noted, this author-accepted version of a journal article published in Emergency Medicine Journal is made available via the University of Sheffield Research Publications and Copyright Policy under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution and reproduction in any medium, provided the original work is properly cited. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/
Keywords:	emergency departments; ethics; frailty; geriatrics
Dates:	Published: November 2024 Published (online): 26 July 2024 Accepted: 12 July 2024 Submitted: 9 January 2024
Institution:	The University of Sheffield
Academic Units:	The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Medicine and Population Health
Depositing User:	Symplectic Sheffield
Date Deposited:	30 Jul 2024 11:57
Last Modified:	20 Nov 2024 16:43
Status:	Published
Publisher:	BMJ
Refereed:	Yes
Identification Number:	10.1136/emermed-2024-213898
Related URLs:	PubMed URL
Open Archives Initiative ID (OAI ID):	oai:eprints.whiterose.ac.uk:215487

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Person-centred decisions in emergency care for older people living with frailty: principles and practice

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