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- James David van Oppen, Tim Coats, Simon Conroy, Sarah Hayden, Pieter Heeren, Carolyn Hullick, Shan Liu, Jacinta Lucke, Bill Lukin, Rosa McNamara, Don Melady, Simon P Mooijaart, Tony Rosen, and Jay Banerjee.
- Centre for Urgent and Emergency Care Research, The University of Sheffield, Sheffield, UK james.vanoppen@doctors.org.uk.
- Emerg Med J. 2024 Oct 23; 41 (11): 694699694-699.
AbstractOlder 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.© Author(s) (or their employer(s)) 2024. No commercial re-use. See rights and permissions. Published by BMJ.
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