The topic content is divided into the information types below
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.
Driving with dementia or mild cognitive impairment: Consensus guidelines for clinicians
The assessment of driving risk can be difficult for clinicians. These Guidelines set out the responsibilities of clinicians to their patients, and provide a framework for thinking about the management of their driving safety.
Frailty in older people and the stay safe initiative
The website 'Staysafe' has been created to signpost people to the wealth of resources and advice available to help them as they get older – including support on nutrition, exercise and accident prevention.
A quality improvement programme that uses specially trained nurses to introduce an evidence based care bundle to reduce inpatient falls
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.
Clinical guidelines on falls and fractures
Guidelines from NICE and Public Health England on prevention of falls and fractures, and the diagnosis and management of hip fractures.
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.
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).
Safe Nurse Staffing Levels on Wards
Can it be used by nurses to determine whether staffing levels are safe on their wards?
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.
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.
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.
Care of patients with fragility fracture (Blue Book)
Fracture services often fail to respond to the true complexity of their older patients’ needs. The Care of Patients with Fragility Fracture (the 'Blue Book', available as a download) sets out best practice in the care and prevention of fragility fractures.