The topic content is divided into the information types below
Hospital-Wide Comprehensive Geriatric Assessment
A Nuffield Trust led collaboration is part of an NIHR-funded project to research acute hospital care for frail older people. The aim of the work is to inform NHS managers, clinicians, patients and the public about how best to organise hospital services for frail older people.
Quality care for older people with urgent and emergency care needs - the 'Silver Book' - is a review of the problems older people encounter when they need emergency medical care. It shows how emergency admissions can be reduced and the experience of those admitted improved.
Hospital Wide Comprehensive Geriatric Assessment Overview
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.
Tools for Clinical History-Taking
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.
Although much progress has been made in defining best practice, setting standards for delivery and improving the processes of care, there is still variability; there is no consistent delivery or outcomes.
Hospital Wide Comprehensive Geriatric Assessment - the Project
The aim of the Hospital Wide Comprehensive Geriatric Assessment (HoW CGA) project is to inform NHS managers, clinicians, patients and the public about how best to organise hospital services for frail older people.
Think frailty and delirium - the Scottish approach
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.
Frailty means patients with what appear to be straightforward symptoms may be masking a more serious underlying problem. How to recognise frailty in a routine situation, emergency situation, or in an outpatient surgical setting, including a range of established tests you can use.
Introduction to Frailty
What is frailty and why should you look for it in the older patient? We outline the causes and possible ways to prevent frailty, as well as asking if there is any value in screening for frailty on a population or practice-wide basis.
Fit for Frailty Part 1
Once you've identified that an older person has frailty, what steps you can take to undertake a holistic review, or Comprehensive Geriatric Assessment, in order to manage frailty. And can frailty be reversed?
Integrated care for older people
Ian Philp of the South Warwickshire NHS Foundation Trust examines a model of integrated car which has seen reduced admissions of older people for acute hospital care and a significant fall in deaths of older people in hospital.