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

by de Groot, Bas , van Oppen, James David , Nickel, Christian Hans , Conroy, Simon Paul , De Jonghe, Annemarieke , Lucke, Jacinta , Buurman, Bianca M , Blomaard, Laura C , Banerjee, Jay , Wallace, James , Hogervorst, Vera M , Mooijaart, Simon P , Thaur, Arjun

in acute care / assessment / Blood tests / Clinical decision making / Cognitive ability / Delirium / Dementia / emergency department / Emergency medical care / Frailty / Geriatrics / Heart failure / Hospitals / Infections / Mortality / Older people / Patients / Polypharmacy / Practice review / Sepsis

2021

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2021

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

2021

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Journal Article

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

de Groot, Bas,

van Oppen, James David,

Nickel, Christian Hans,

Conroy, Simon Paul,

De Jonghe, Annemarieke,

Lucke, Jacinta,

Buurman, Bianca M,

Blomaard, Laura C,

Banerjee, Jay,

Wallace, James,

Hogervorst, Vera M,

Mooijaart, Simon P,

Thaur, Arjun

2021

Overview

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.

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Publisher

BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine,BMJ Publishing Group LTD

Subject

acute care

/ assessment

/ Blood tests

/ Clinical decision making

/ Cognitive ability

/ Delirium

/ Dementia