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This episode features Dr Simon Etkind\\xa0(Cicely Saunders Institute, \\xa0King\\u2019s College London, London, UK).
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To be person-centred, care should take into account individual preferences.\\xa0Some influences on care preferences in older people have been described. These\\xa0include the family and care context, individual response and illness-related factors.\\xa0Older people living with frailty are at high risk of acute illness episodes; the\\xa0influences on preferences in the context of frailty and recent acute illness have not been explored.\\xa0Achieving normality, by \\u2018getting back to normal\\u2019 or \\u2018finding a new\\xa0normal\\u2019 influences preferences in frail older people with recent acute illness, as participants seek care that will help them find this normality.\\xa0Preferences are also\\xa0influenced by the way people respond to changing health and care experiences.\\xa0We propose a model of influences on care preferences in the context of recent acute\\xa0illness.\\xa0The influences described in this model can act as a guide for discussion and elicitation of current and future care preferences in this population.\\xa0When\\xa0addressing care preferences with patients and families, clinicians should discuss what may be an achievable normal for them within their social context.\\xa0Prospective\\xa0longitudinal study will allow exploration of influences on the stability of care preferences following acute illness.

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Full paper available from:\\xa0https://journals.sagepub.com/doi/full/10.1177/0269216318817706