A Culture Change in Geriatric Traumatology: Holistic and Patient-Tailored Care for Frail Patients with Fractures.
Henk Jan SchuijtLisa Soleymani LehmannHouman JavedanArvind G von KeudellMichael John WeaverPublished in: The Journal of bone and joint surgery. American volume (2021)
Medical decision-making for frail geriatric trauma patients is complex, especially toward the end of life. The goal of this paper is to review aspects of end-of-life decision-making, such as frailty, cognitive impairment, quality of life, goals of care, and palliative care. Additionally, we make recommendations for composing a patient-tailored treatment plan. In doing so, we seek to initiate the much-needed discussion regarding end-of-life care for frail geriatric patients.
Keyphrases
- palliative care
- decision making
- healthcare
- community dwelling
- trauma patients
- cognitive impairment
- end stage renal disease
- advanced cancer
- case report
- hip fracture
- ejection fraction
- quality improvement
- newly diagnosed
- chronic kidney disease
- peritoneal dialysis
- smoking cessation
- pain management
- combination therapy
- affordable care act
- chronic pain
- patient reported outcomes
- clinical practice
- replacement therapy