The topic content is divided into the information types below
CGA issues: mental capacity
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.
CGA issues: end of life care
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.
Discussing palliative care for people with dementia living at home and in care homes
Rose Miranda argues that not only researchers, doctors and nurses should be aware of the phenomenon of pain in people with dementia. We need to make the public aware of it too.
BGS 2018 Spring Meeting Conference Report
Ignoring older patients’ potential for personal growth could be a form of ageism, according to Prof John Gladman. “People can still have personal growth independent of the negatives of physical decline and social loss and we should be asking ourselves how we can encourage that.
Dr Eileen Burns looks at how Comprehensive Geriatric Assessment, better communication and palliative care principles can improve the quality of end of life care for older people, and asks: what constitutes a good death?
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.
Dysphagia Management for Older People
Older patients frequently have dysphagia resulting from acute or chronic illnesses. Dysphagia management requires a collaborative approach because of the complexities of older patients' needs, and geriatricians have an important role to play in overseeing this condition.
Living and dying well with frailty
Presentations from our recent conference, Living and dying well with frailty which took place on the 6th March 2018
Clinical guidelines on advance care planning, multimorbidity and winter deaths
Clinical guidelines from the BGS / RCP and the National Institute for Health and Care Excellence (NICE) on advance care planning, multimorbidity and the risks associated with cold homes in winter.
What is John's campaign?
People with dementia are not children. They are adults with a lifetime’s experience. Yet they are not entirely dissimilar. They are vulnerable and they can be as distressed and disoriented as a child.
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.
Physician assisted suicide
Assisted suicide is undoubtedly a controversial issue, with strongly held views on both sides of the argument. Premilla Fade sets out the British Geriatrics Society's position on this issue.
Training in palliative and end-of-life care: Guidance for trainees (and their trainers) in non-palliative medicine training posts
Physicians practising in general internal medicine (GIM) commonly manage illness in patients who may be in the last phase of their lives. It is therefore an important part of the specialist training programme to manage patient and family involvement.
Mental health nurses and older patients’ physical health needs
Physical health problems, particularly chronic health problems such as obesity, diabetes and smoking-related illnesses, are more common in people with long-term mental illness.
Improving healthcare support in care homes
This study describes the model of healthcare support being delivered to nursing homes in South Manchester since 2004.
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.