Older people with urgent care needs: new advice will aid nurses’ clinical decision-making

Updated guidance aims to help minimise hospital stays and spot the signs of frailty

British Geriatrics Society’s Silver Book II guidance aims to help prevent or minimise hospital stays, reduce unnecessary interventions and spot the signs of frailty

  • Focus is on the first 72 hours after an urgent care episode, with the need for more skills and training highlighted
  • Nurses need to be able to form balanced decisions on care required by older people, minimising investigations and interventions
  • Advice is to look holistically at the presenting complaint, the psychological aspect, and functionality and movement

Nurses across emergency, community and surgical care need to be able to unpick the complexity of non-specific presentations in older people living with frailty who have urgent care needs, according to new


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