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Quality care for older people with urgent and emergency care needs - the 'Silver Book' - is a review of the problems older people encounter when they need emergency medical care. It shows how emergency admissions can be reduced and the experience of those admitted improved.
Surprising numbers of research projects come to an end without any results. Practical steps you can take to manage your time and keep your research project on schedule.
This chapter of the Silver Book II covers the assessment of older people in an urgent care situation.
This chapter of the Silver Book II sets out the context, scope and purpose of the publication.
The overarching message about successful improvement shows how social relationships in organisations are key for embedding the technical features of change. A lot of time and energy in leading organisational change will require you to uncover and mitigate barriers.
Designing solutions and delivering change is more effective when delivered by a core team of people who invest in engaging with a network of stakeholders. You may wish to start thinking about the advocates of improving care for frail older people in your service early.
You may already have a good idea about the service outcomes you wish to improve. Evidence suggests that integrating assessment and management of frail older patients into your service is more effective than having a consultation geriatric service at arm’s length.
The first challenge on your improvement journey is to identify whether there are areas of the care you provide for frail older patients that could be improved, and then convincing others that the solution to the problem is the right one.
You are an anaesthetist, a surgeon, an oncology specialist, or other acute care physician. Team members’ training may not have focused on the needs of older people and may lack confidence and expertise in managing older people.
The aim of this project was to provide high quality evidence on delivering hospital-wide Comprehensive Geriatric Assessment (CGA). Comprehensive Geriatric Assessment (CGA) improves outcomes for frail older people, particularly on specialised wards.
The aim of the Hospital Wide Comprehensive Geriatric Assessment (HoW CGA) project was to inform NHS managers, clinicians, patients and the public about how best to organise hospital services for frail older people.
Clinical guidelines from the BGS / RCP and the National Institute for Health and Care Excellence (NICE) on advance care planning, multimorbidity and the risks associated with cold homes in winter.
Advance care planning (including end of life discussions) is being promoted as part of the NHS end of life care strategy. Such discussions require great care. The BGS with others have prepared guidelines on advance care planning which we summarise here.
This page brings together studies specifically examining the link between frailty and COVID-19 outcomes in acute care. It is intended that it will be updated every month following a review of the literature to provide an update on any frailty and COVID-19 papers.