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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.
Proactive care of older people undergoing surgery
More older people are undergoing surgery, but postoperative outcomes are worse than for younger patients. This case study looks at the Proactive Care of Older People undergoing Surgery (POPS) team at Guy's and St Thomas's.
Mental Capacity and Deprivation of Liberty
Deprivation of Liberty Safeguards are protections for adults who lack mental capacity to consent to, say, admission to hospital or a care home for treatment or care. Caroline Cooke and Premila Fade assess why they are being reviewed and the Law Commission's proposals.
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.
Clinical guidelines on drugs and prescribing
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).
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.
Making Health and Care Systems fit for an Ageing Population
A seminal King's Fund Report in which David Oliver et. al. describes the steps required to make health and care systems fit for their core patient group - namely older people.
Geriatricians in Medicine
Geriatrics is the largest specialty doing general medicine and providing acute medical care of patients admitted as emergencies. As general physicians, they share with other specialists in Acute/General Medicine the provision of the first 24-48 hours of emergency medical care of all adults.
Frail older people and emergency care
This case study illustrates some best practice solutions to support frail patients, carers and families if admitted to emergency care.