The topic content is divided into the information types below
13. CGA in primary care settings: patients presenting with depression
Dealing with the management of depression as part of Comprehensive Geriatric Assessment including the treatments to consider.
15. CGA in primary care settings: mental capacity issues
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.
Depression among older people living in care homes report
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.
Helping older people in our care home stay connected
Joint activities such as art, sewing, knitting, cooking or growing plants help relationships grow between the generations.
This Practice Question has been published with the kind permission of the Royal College of Nursing.
How do I improve delirium care for older surgical patients?
Delirium is categorised by a sudden onset of fluctuating altered consciousness with changes to perception and cognitive function.
Clinical guidelines on delirium and loss of consciousness
Delirium can be confused with dementia but is potentially reversible if the causes are identified. Transient loss of consciousness, or blackouts, are very common, but diagnosis of cause is often inaccurate. NICE quality standards on each of these conditions.
Clinical guidelines on mental health
Clinical guidelines and tailored resources from NICE on supporting people with dementia, mental wellbeing of older people in care homes and a video illustrating the NICE quality standards for mental wellbeing in care homes.
Mental capacity in the face of need for essential treatment
There is lack of clarity in the terminology used, and the difference between ‘holding’ and ‘restraint’. This presents a legal and professional dilemma for nurses.
Spirituality - How should we assess the spiritual needs of our patients?
While it may be unrealistic to celebrate every significant day for every patient, we know that assessment of a person’s spiritual needs should be an integral part of our professional assessment.
I often suspect that an older person is depressed, but I cannot persuade colleagues to consider this diagnosis.
Nurses frequently complain to me that when they think an older patient might have depression they have difficulty in convincing colleagues to take action. This could be because of the under-recognition of depression in old age, and also the way in which nurses articulate their concerns.
Sexual Intimacy in Residential Care
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.
Mental health - Helping an older person who is experiencing anxiety?
Feeling anxious from time to time is a normal human experience. When someone is anxious they might experience feelings of tension, nervousness, heightened awareness, fear or uncertainty, dry mouth and throat, and tightness in the chest.