Journal Article: Age and Ageing

‘Not safe for discharge’? Words, values, and person-centred care

The phrase ‘not safe for discharge home’ is often heard in relation to an older person in hospital, commonly due to functional limitations or risk of falls. But it remains unclear how such a standard of safety should be set in this context, or who should set it. In addition, labelling someone ‘unsafe’ to return to their own home has significant practical and ethical implications. After briefly exploring these issues, this commentary suggests that a holistic approach and shared decision-making is required in this setting.

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