Fracture Liaison Service Database Annual Report 2018
The FLS Database Annual report 2018 from the Royal College of Physicians' Fracture Liaison Service Database (FLS-DB) provides the second national benchmark for the performance of FLSs at the patient level.
13. CGA in Primary Care Settings: Patients presenting with depression
Dealing with the management of depression as part of Comprehensive Geriatric Assessment including the treatments to consider.
14. CGA in Primary Care Settings: Patients presenting with confusion and delirium
The prevalence of delirium in the community is 1-2 per cent but this rises to 14 per cent in people over 85, and in nursing homes or post acute care settings, can be up to 60 per cent. This guide deals with risk factors, diagnosis and management of this condition.
15. CGA in Primary Care Settings: Mental capacity issues
Assessment of mental capacity should be a routine part of Comprehensive Geriatric Assessment. This guide lays out the principles which govern testing mental capacity, advance care decisions and powers of attorney, along with the safeguards.
16. CGA in Primary Care Settings: Patients presenting with urinary incontinence
Bladder control problems are a common problem in older people and result from a variety of causes. Continence issues are an essential part of any Comprehensive Geriatric Assessment, and this guide examines the causes, assessment, management and treatments available.
17. CGA in Primary Care Settings: Weight loss and nutrition issues
Nutritional status can be easily assessed, and problems can often be addressed quickly. Key questions about diet, appetite and weight should be on the menu of any Comprehensive Geriatric Assessment.
18. CGA in Primary Care Settings: End of life care issues
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.
1. CGA in Primary Care Settings: Introduction
An introduction to CGA in primary care settings. This toolkit was developed by the British Geriatrics Society and has been endorsed by the ANCD for Older People and Integrated Person-Centred Care and by the Council of British Geriatrics Society, Scotland.
2. CGA in Primary Care Settings: The elements of the CGA process
An overview of how Comprehensive Geriatric Assessment (CGA) is done in the primary care setting, and what to consider when conducting the assessment.
3. CGA in Primary Care Settings: Physical Assessment
Examination of older patients incorporates all the typical aspects of clinical examination, although there are some general considerations and emphases that should be borne in mind, and specific examinations that may be more relevant in older people.
4. CGA in Primary Care Settings: Functional and social assessment
Functional assessment examines factors like mobility and daily living activities, and social assessment looks at social circumstances. Asking what the older person does and what environment they live in adds context to any Comprehensive Geriatric Assessment.
5. CGA in Primary Care Settings: Psychological components
Depression among the over-65s is often under-recognised, so CGA is not complete without assessing mental health. The assessment conversation also offers an opportunity to identify cognitive dysfunction which may be a sign of dementia or delirium.