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Emergency department management of older people living with frailty: a guide for emergency practitioners

Hogervorst, VM; Buurman, BM; De Jonghe, A; van Oppen, JD; Nickel, CH; Lucke, J; Blomaard, LC; ... Conroy, SP; + view all (2021) Emergency department management of older people living with frailty: a guide for emergency practitioners. Emergency Medicine Journal 10.1136/emermed-2020-210014. Green open access

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Abstract

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.

Type: Article
Title: Emergency department management of older people living with frailty: a guide for emergency practitioners
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1136/emermed-2020-210014
Publisher version: https://doi.org/10.1136/emermed-2020-210014
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: acute care, assessment, emergency department, geriatrics
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Cardiovascular Science
URI: https://discovery.ucl.ac.uk/id/eprint/10132549
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