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http://hdl.handle.net/1942/43654
Title: | Person-centred decisions in emergency care for older people living with frailty: principles and practice | Authors: | van Oppen, James David Coats, Tim Conroy, Simon Hayden, Sarah HEEREN, Pieter Hullick, Carolyn Liu , Shan Lucke, Jacinta Lukin, Bill McNamara, Rosa Melady, Don Mooijaart, Simon P. Rosen, Tony Banerjee, Jay |
Issue Date: | 2024 | Publisher: | BMJ PUBLISHING GROUP | Source: | Emergency medicine journal (Print), | Status: | Early view | 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. | Notes: | van Oppen, JD (corresponding author), Univ Sheffield, Ctr Urgent & Emergency Care Res, Sheffield, England.; van Oppen, JD (corresponding author), Univ Leicester, Coll Life Sci, Leicester, England. james.vanoppen@doctors.org.uk |
Keywords: | frailty;emergency departments;ethics;geriatrics | Document URI: | http://hdl.handle.net/1942/43654 | ISSN: | 1472-0205 | e-ISSN: | 1472-0213 | DOI: | 10.1136/emermed-2024-213898 | ISI #: | 001278779700001 | Category: | A1 | Type: | Journal Contribution |
Appears in Collections: | Research publications |
Files in This Item:
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Person-centred .pdf Restricted Access | Early view | 398.2 kB | Adobe PDF | View/Open Request a copy |
ACFrOgBMIYC9HhazI2FFNomIY-NKE29ddOFVthfZUlV5FCdxHEODamPn8u8Aghy5qkquzn1.pdf Until 2025-07-31 | Peer-reviewed author version | 134.32 kB | Adobe PDF | View/Open Request a copy |
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