11. CGA in Primary Care Settings: Bone health
Older people with frailty, those with reduced mobility and those with multiple co-morbidities are all susceptible to problems with bone health.
12. CGA in Primary Care Settings: Patients at risk of falls and fractures
Often a key component of Comprehensive Geriatric Assessment in primary care, this guide examines step-by-step how to carry out a multifactorial risk assessment for falls.
How can I provide person-centred care for older people living with frailty?
As frailty progresses, individuals become more susceptible to developing conditions known as frailty syndromes, which may include multiple falls, acute confusion/delirium, sudden loss of mobility and incontinence.
How would I recognise if someone with dementia was experiencing anxiety or depression?
Depression and anxiety can severely affect the quality of life of those living with dementia but the overlap of symptoms can present challenges.
BGS Falls and Postural Stability Meeting - 2018 Conference Report
Rachel Tarling reports on the 2018 BGS Falls and Postural Stability conference.
Hospitals fulfilling patients’ end of life care wishes win national award
A report on awards to hospitals who have completed the Gold Standards Framework (end of life care) and have received awards for the improvements this has wrought in their services.
Cochrane review: Multifactorial & multicomponent interventions for preventing falls in the community, care facilities and hospitals
Two separate Cochrane reviews published in 2018 looked at multifactorial and multiple component interventions for preventing falls in older people living in the community, and care facilities and hospitals
HoW-CGA - Introduction to the service level toolkit
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.
HoW-CGA Chapter 1: Using data to identify problem and convince others about the solution
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.
How-CGA Chapter 2: Self-assessment
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.
HoW-CGA Chapter 3: Team approach to change
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.
HoW-CGA Chapter 4: Barriers to implementation
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.