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Older people and urgent care 

Older people and urgent care
Chapter:
Older people and urgent care
Author(s):

Simon Conroy

, and Jay Banerjee

DOI:
10.1093/med/9780198746690.003.0055
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date: 02 March 2021

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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