Ethical Issues for Older People in the Emergency Department for EGM revised.pdf (294.14 kB)
0/0

Ethical issues for older people in the emergency department

Download (294.14 kB)
journal contribution
posted on 25.05.2016 by E. L. Maile, J. K. Harrison, G. Chikura, K. Russ, Simon P. Conroy
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.

History

Citation

European Geriatric Medicine, 2016, 7(4), pp. 372–378

Author affiliation

/Organisation/COLLEGE OF MEDICINE, BIOLOGICAL SCIENCES AND PSYCHOLOGY/School of Medicine/Department of Health Sciences

Version

AM (Accepted Manuscript)

Published in

European Geriatric Medicine

Publisher

Elsevier on behalf of European Union Geriatric Medicine Society (EUGMS)

issn

1878-7649

eissn

1878-7657

Acceptance date

12/02/2016

Copyright date

2016

Available date

11/03/2017

Publisher version

http://www.sciencedirect.com/science/article/pii/S1878764916000462

Language

en

Exports

Logo branding

Categories

Exports