Ethical issues for older people in the emergency department

Maile, E.L., Harrison, J.K. , Chikura, G., Russ, K. and Conroy, S.P. (2016) Ethical issues for older people in the emergency department. European Geriatric Medicine, 7(4), pp. 372-378. (doi: 10.1016/j.eurger.2016.02.005)

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Abstract

The Emergency Department is a specific setting where the challenges of delivering ethical care are especially pronounced related to time pressures, urgency and acuity. Whilst ethical principles are designed to be used in any setting, this article develops their application in clinical practice in the Emergency Department. We discuss capacity assessment and best interest decisions, as these can be particularly difficult in the Emergency Department setting, for example in patients with confusional states. We offer some practical guidance on how to address such scenarios. We discuss the notion of ‘frail friendly Emergency Departments’ that are ethically designed and capable to deliver frailty attuned care. This is because if European healthcare systems are to respond to the increasing numbers of older people with frailty, there will need to be a step-change in the provision of urgent care.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Burton, Dr Jenni
Authors: Maile, E.L., Harrison, J.K., Chikura, G., Russ, K., and Conroy, S.P.
College/School:College of Medical Veterinary and Life Sciences > Institute of Cardiovascular and Medical Sciences
Journal Name:European Geriatric Medicine
Publisher:Elsevier
ISSN:1878-7649
ISSN (Online):1878-7649
Published Online:11 March 2016

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