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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.
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.
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.
BGS News, May 2018: What is John's campaign?
People with dementia are not children. They are adults with a lifetime’s experience. Yet they are not entirely dissimilar. They are vulnerable and they can be as distressed and disoriented as a child.
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.
Collaborative working with patients and their families
‘Person-centred care’ is a much-used phrase in nursing. According to the Nursing and Midwifery Council (2010), nurses must ‘be responsible and accountable for safe, compassionate, person-centred, evidence-based nursing’.
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.
Improving the dignity of older people in hospital
How Aintree University Hospital NHS Foundation Trust has concentrated on engaging with its staff to help them focus on the essentials of caring. It has come up with simple effective solutions to help improve the treatment, dignity and care of older people.
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.