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.
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.
BGS News, Aug 2018: 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.
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.
Benzodiazepines and falls risk
Falls are a frequent and frightening issue for patients and staff, and they have physical and psychological consequences for individuals and society. They are costly in human and financial terms (National Institute for Health and Clinical ExceIlence 2004).
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.
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.
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).
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.