The topic content is divided into the information types below
End of life care refers specifically to the last few days or hours of life, when maintenance of comfort and dignity, and avoidance of pain and distress take priority. Many of the principles of care at the end of life are shared with CGA.
This chapter provides an overview of rehabilitation as a beneficial intervention for many older people living with frailty, and the current situation across the four nations of the UK.
This report, originally published in June 2015, summarises research commissioned by BGS and Age UK on older people's attitudes and feelings towards language around frailty.
The Centre for Perioperative Care, working in collaboration with the British Geriatrics Society, has published guidance for the care of people living with frailty undergoing elective and emergency surgery that encompasses the whole perioperative pathway.
Geriatrics 4 Juniors (G4J) 2019 was held on 23 November 2019 in Manchester.
This standard has been jointly produced by the British Orthopaedic Association (BOA), the British Geriatrics Society (BGS) and other organisations.
Dr Laura Pugh and Dr Chris Dyer of the BGS Respiratory SIG explain how acute respiratory and geriatric medicine teams can work together on issues of frailty.
This NICE quality standard, published in September 2018, covers the organisation and delivery of emergency and acute medical care in the community and in hospital.
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.
A list of validated tools which may be useful in augmenting clinical history-taking as part of comprehensive geriatric assessment, or as screening tools to trigger the need for an in-depth assessment.
Ten per cent of patients admitted to hospital as an emergency stay more than two weeks, using 55 per cent of all hospital bed days, and 80 per cent of that group are aged over 65 years. The average age of a hospital inpatient is over 80.
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.
Physical health problems, particularly chronic health problems such as obesity, diabetes and smoking-related illnesses, are more common in people with long-term mental illness.