- Section 1 Patients and their treatment
- Section 2 Background to medicine
- Section 3 Cell biology
- Section 4 Immunological mechanisms
- Section 5 Principles of clinical oncology
- Section 6 Old age medicine
- 6.1 Ageing and clinical medicine
- 6.2 Frailty and sarcopenia
- 6.3 Optimizing well-being into old age
- 6.4 Older people and urgent care
- 6.5 Older people in hospital
- 6.6 Supporting older peoples’ care in surgical and oncological services
- 6.7 Drugs and prescribing in the older patient
- 6.8 Falls, faints, and fragility fractures
- 6.9 Bladder and bowels
- 6.10 Neurodegenerative disorders in older people
- 6.11 Promotion of dignity in the life and death of older patients
- Section 7 Pain and palliative care
- Section 8 Infectious diseases
- Section 9 Sexually transmitted diseases
- Section 10 Environmental medicine, occupational medicine, and poisoning
- Section 11 Nutrition
- Section 12 Metabolic disorders
- Section 13 Endocrine disorders
- Section 14 Medical disorders in pregnancy
- Section 15 Gastroenterological disorders
- Section 16 Cardiovascular disorders
- Section 17 Critical care medicine
- Section 18 Respiratory disorders
- Section 19 Rheumatological disorders
- Section 20 Disorders of the skeleton
- Section 21 Disorders of the kidney and urinary tract
- Section 22 Haematological disorders
- Section 23 Disorders of the skin
- Section 24 Neurological disorders
- Section 25 Disorders of the eye
- Section 26 Psychiatric and drug-related disorders
- Section 27 Forensic medicine
- Section 28 Sport and exercise medicine
- Section 29 Biochemistry in medicine
- Section 30 Acute medicine
(p. 539) Older people and urgent care
- Chapter:
- (p. 539) Older people and urgent care
- Author(s):
Simon Conroy
, and Jay Banerjee
- DOI:
- 10.1093/med/9780198746690.003.0055
Older people, especially those with frailty, are increasingly becoming the main users of urgent care services, despite efforts to promote care at home. This is a global issue. Older people with frailty will usually present with non-specific presentations, multiple morbidities, functional decline, and differential challenge (those most in need are least able to access the services they require) a constellation that challenges the traditional paradigm of urgent care responses. Comprehensive geriatric assessment is a useful evidence-based, overarching framework to guide assessment and management of older people with frailty presenting with crises. Geriatric teams should be excellent at delivering comprehensive geriatric assessment, but all clinicians throughout the health and social care system need to be able to apply its principles.
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- Section 1 Patients and their treatment
- Section 2 Background to medicine
- Section 3 Cell biology
- Section 4 Immunological mechanisms
- Section 5 Principles of clinical oncology
- Section 6 Old age medicine
- 6.1 Ageing and clinical medicine
- 6.2 Frailty and sarcopenia
- 6.3 Optimizing well-being into old age
- 6.4 Older people and urgent care
- 6.5 Older people in hospital
- 6.6 Supporting older peoples’ care in surgical and oncological services
- 6.7 Drugs and prescribing in the older patient
- 6.8 Falls, faints, and fragility fractures
- 6.9 Bladder and bowels
- 6.10 Neurodegenerative disorders in older people
- 6.11 Promotion of dignity in the life and death of older patients
- Section 7 Pain and palliative care
- Section 8 Infectious diseases
- Section 9 Sexually transmitted diseases
- Section 10 Environmental medicine, occupational medicine, and poisoning
- Section 11 Nutrition
- Section 12 Metabolic disorders
- Section 13 Endocrine disorders
- Section 14 Medical disorders in pregnancy
- Section 15 Gastroenterological disorders
- Section 16 Cardiovascular disorders
- Section 17 Critical care medicine
- Section 18 Respiratory disorders
- Section 19 Rheumatological disorders
- Section 20 Disorders of the skeleton
- Section 21 Disorders of the kidney and urinary tract
- Section 22 Haematological disorders
- Section 23 Disorders of the skin
- Section 24 Neurological disorders
- Section 25 Disorders of the eye
- Section 26 Psychiatric and drug-related disorders
- Section 27 Forensic medicine
- Section 28 Sport and exercise medicine
- Section 29 Biochemistry in medicine
- Section 30 Acute medicine