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.
CGA issues: mobility and balance
Improving older people’s walking and balancing improves quality of life, reduces dependence on health and social care and prevents falls. This guide looks at the importance of taking a full history, assessing gait and balance, and referral to physiotherapy.
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.
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.
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?
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.
National Frailty Conference Presentations
Twelve downloadable presentations given at the Third National Frailty Conference in 2017.
Commissioning services for frailty
Focusing community services on those with frailty can improve quality of care and reduce hospital bed usage. This guide provides advice on the commissioning and management of services for people living with frailty and includes the downloadable report Fit for Frailty Part 2.
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?
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.
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.
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.