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Frailty status is essential in CGA as it identifies individuals at increased risk of adverse outcomes like falls, hospitalisation, disability, and mortality.
With the national agenda to create virtual wards has come an increasing demand to develop Hospital at Home (hospital@home, H@H) services. Guys and St Thomas’ H@H, operational since 2014, “takes the ward to the patient’s home”.
This is the seventh blog in the BGS’s ‘Timely Discharge’ series. We aim to raise awareness of the detrimental effects on older people of being stuck in hospital when they are 'medically fit for discharge'. Our blog series explores the causes of delayed discharges, the knock-on effects to the wider health and social care system, and what needs to change.
We are only as good as the sum of our parts – person-centred care for older people with complex needs is not the task of any profession alone.
In my experience I have found three types of doctors; Those who work very fast, very slow or somewhere in the middle. This is obvious and logical as human behaviour is divided on the basis of a normal distribution, with most being average.
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.
A selection of case presentations on community geriatric services and initiatives which were first presented at the BGS Autumn Meeting 2021 (24-26 November).
This document describes the care home sector across the UK as it currently stands, how health and wellbeing has traditionally been supported in care homes and sets out what good healthcare provision in a care home environment should look like.
A joint report by the BGS and RCPsychs which collates and showcases examples of the best practice which flow from effective interdisciplinary collaboration and practice in treating depression in older people living in care homes.
In a pioneering step, Wales has developed a comprehensive core curriculum of competencies for intermediate care for SpRs in geriatric medicine. While designed for SpRs in Wales, the curriculum has UK-wide relevance.
What is mental capacity? What do we really mean when we ask if a patient has (or lacks) capacity? Capacity often depends on context. The ethical conundrum of mental capacity unravelled.
In 2008 a letter was sent to 826 residential homes in one state in Australia asking them what information was available that addressed issues of intimacy and sexuality.
Many of the residents are likely to have some degree of urinary incontinence or dysfunction. Urinary incontinence in this setting should not be viewed as inevitable. With good management it may be preventable. Incontinence is a symptom of underlying problems.
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).
This study examined the impact of the residential environment, measured by the Healthy Ageing/Vulnerable ENvironment (HAVEN) Index, on risk of mortality or entry into Permanent Residential Aged Care (PRAC).
BGS Community and Geriatrics Special Interest Group announces Dr Shelagh O'Riordan as its new Chair.
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.
The Loneliness Strategy is Government’s first step in tackling the long-term challenge of loneliness. Loneliness is a complex issue that affects many different groups of people, and the evidence base on it is still developing.
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.