TY - JOUR
T1 - Emergency department management of older people living with frailty: A guide for emergency practitioners
T2 - a guide for emergency practitioners
AU - Hogervorst, Vera M.
AU - Buurman, Bianca M.
AU - de Jonghe, Annemarieke
AU - van Oppen, James David
AU - Nickel, Christian Hans
AU - Lucke, Jacinta
AU - Blomaard, Laura C.
AU - Thaur, Arjun
AU - Mooijaart, Simon P.
AU - Banerjee, Jay
AU - Wallace, James
AU - de Groot, Bas
AU - Conroy, Simon Paul
N1 - Funding Information: Competing interests JB reports personal fees from NHS Elect, England, personal fees from Jay Banerjee Consultancy Ltd, outside the submitted work; and I am the Chair of the Frailty/ Older Person’s Special Interest Group for the Royal College of Emergency Medicine, UK. SPC reports grants from National Institute of Health Research, UK, outside the submitted work. All other authors have nothing to disclose. Publisher Copyright: © Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ. Copyright: Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2021
Y1 - 2021
N2 - 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.
AB - 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.
KW - acute care
KW - assessment
KW - emergency department
KW - geriatrics
UR - http://www.scopus.com/inward/record.url?scp=85104792012&partnerID=8YFLogxK
U2 - https://doi.org/10.1136/emermed-2020-210014
DO - https://doi.org/10.1136/emermed-2020-210014
M3 - Review article
C2 - 33883216
SN - 1472-0205
VL - 38
SP - 724
EP - 729
JO - Emergency Medicine Journal
JF - Emergency Medicine Journal
IS - 9
ER -