The topic content is divided into the information types below
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.
Henry Woodford questions the validity of using bladder anticholinergic drugs for frail older people with urinary incontinence. He says it has not been tested in frail older people and may have its own longer-term adverse effects related to adrenergic stimulation.
Delirium can be confused with dementia but is potentially reversible if the causes are identified. Transient loss of consciousness, or blackouts, are very common, but diagnosis of cause is often inaccurate. NICE quality standards on each of these conditions.
Clinical guidelines and tailored resources from NICE on supporting people with dementia, mental wellbeing of older people in care homes and a video illustrating the NICE quality standards for mental wellbeing in care homes.
Clinical guidelines on intravenous fluid therapy in adults in hospital, managing medicines in care homes and medicines optimisation, from the National Institute for Health and Care Excellence (NICE).
Guidelines from NICE and Public Health England on prevention of falls and fractures, and the diagnosis and management of hip fractures.
This section of the BGS guidance on end of life care in older people collates relevant external resources and signposting links for easy reference
This section of the BGS guidance on end of life care in older people looks at the final days of life in people with frailty.
This section of the BGS guidance on end of life care in older people covers legal and ethical implications.
This section of the BGS guidance on end of life care in older people looks at the needs of those approaching the end of their lives in prison.
This section of the BGS guidance on end of life care in older people covers the specific considerations of providing end of life care in care home settings.
This section of the BGS guidance on end of life care in older people looks at how good end of life care in frail older people can be achieved in the community.
This section of the BGS guidance on end of life care in older people looks at specific issues which may arise in people living with dementia towards the end of life.
This section of the BGS guidance on end of life care in older people encourages the multidisciplinary team to consider social, practical and emotional needs.
This section of the BGS guidance on end of life care in older people looks at maintaining independence and function in older people towards the end of life.
Dr Alicja Baczynska considers the association between frailty and poor dietary choices.
The National Institute for Clinical Excellence (NICE) and Social Care Institute for Excellence (SCIE) has published this practical guide for staff providing intermediate care services.
Depression is commonly associated with acquired brain injury (ABI) and can interfere with rehabilitation, leading to poorer outcomes. Management of depression is multi-factorial, and mood may well improve either spontaneously or as a result of rehabilitation and regained independence.
‘Person-centred care’ is a much-used phrase in nursing. According to the Nursing and Midwifery Council (2010), nurses must ‘be responsible and accountable for safe, compassionate, person-centred, evidence-based nursing’.
NICE quality standard on the assessment, care and treatment of urinary incontinence in women.