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Patients with physical disability or learning difficulties
Apart from the extremes of age, there will be patients who have particular difficulties. These include those with special needs, poor sight, poor hearing, etc. Persons who can cope quite well in the community under controlled circumstances may have great difficulties in the strange environment of the Emergency Department. Communications again become particularly important, and it may be appropriate for such patients to be seen relatively quickly.

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There is a difference between absolute clinical priority as defined using the method in this book, anti relative priority within and between triage categories. In overview the process of triage as outlined here is quite simple —patients are assigned to a triage category and then managed in order of priority mid time of attendance. However there are many other factors apart from clinical priority which may from time to time influence how the patient is handled within the Emergency Department. This chapter outlines these factors and discusses their importance. Clinical priority and the findings that determine it are dearly very important, but failure to recognize other factors can be detrimental to both departmental function and quality of care for individual patients.

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