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7. CGA in Primary Care Settings: Creating a problem list
Creating a problem list as part of Comprehensive Geriatric Assessment can help identify all the issues to consider and will be helpful in drawing up a care plan.
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.
COVID-19: Stress, coping and resilience
Scottish Quality & Safety Fellows, NHS Scotland, have put together some easy-to-follow tips on stress, coping and resilience during this difficult time which they have kindly allowed us to share.
Nursing Perspectives on the Confusion Assessment Method
The Confusion Assessment Method (CAM) is used to detect delirium but its sensitivity is low when used in real-world settings. A study explored reasons for this through a series of focus groups with orthopaedic nurses at two academic hospitals in Hamilton, Canada.
Simulated practice to improve care
This Practice Question has been published with the kind permission of the Royal College of Nursing.
Could simulated practice with registered nurses improve the delivery of healthcare for older people in hospital?
Continence Care in Residential and Nursing Homes
Many of the residents are likely to have some degree of urinary incontinence or dysfunction. Urinary incontinence in this setting should not be viewed as inevitable. With good management it may be preventable. Incontinence is a symptom of underlying problems.
Doreen Norton - How one nurse helped to stop killer bedsores
“Moving a patient relieves bedsores:” it sounds obvious today, but it took the work of an innovative nurse in the 1950s working with a group of elderly patients to realise it. Bedsores, or pressure ulcers are lesions caused by a number of factors including unrelieved pressure.
Improving oral health in older people
The Faculty of Dental Surgery at the Royal College of Surgeons of England is concerned about the significant impact that poor oral health is having on older people’s general health and quality of life.
Safe Nurse Staffing Levels on Wards
Can it be used by nurses to determine whether staffing levels are safe on their wards?
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.
Productive practice in health care
Productive working is often associated with manufacturing, where being productive results in producing items. Many of the techniques that can be used to assess and improve productivity originated in the car manufacturing industry.
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.