We must consider ageing and frailty when sharing decision making in intensive care
Decisions to admit older, frail patients to critical care must pay particular attention to quality of life and the potential burden of care on patients. This burden may extend beyond surviving a critical illness. These decisions are not easy and require careful thought, clinical judgment, and communication. Critical care that enables survival “sans teeth, sans eyes, sans taste, sans everything”1 can go against the wishes of patients and their families, often incurring significant use of health and social care resources and informal care costs. As the UK’s demographics shift, with more ol...