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.
Creating a problem list for CGA
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.
BGS News, Aug 2018: John's Campaign in Scotland and England
People with dementia are not children but the effect of a hospital stay can be catastrophic for a person with dementia . John's Campaign promotes open visiting hours to enable the family of the person with dementia to minimise the confusion and distress of a hospital stay.
NICE: Intermediate care including reablement
NICE standard covers referral and assessment for intermediate care. It covers bed-based intermediate care, crisis response, home-based intermediate care and reablement. It describes high-quality care in priority areas for improvement.
Hospital Wide Comprehensive Geriatric Assessment Overview
The aim of this project was to provide high quality evidence on delivering hospital-wide Comprehensive Geriatric Assessment (CGA). Comprehensive Geriatric Assessment (CGA) improves outcomes for frail older people, particularly on specialised wards.
Improving the care of patients with dementia in an acute care setting
General hospitals are designed to deliver safe, effective and often highly technological care. For people with dementia, however, these unfamiliar clinical environments can be frightening, disorientating and a threat to independence and wellbeing.
Morbidity - Comorbidity and multimorbidity. What do they mean?
Comorbidity simply means more than one illness or disease occurring in one person at the same time and multimorbidity means more than two illnesses or diseases occurring in the same person at the same time.
John's Campaign - supporting people with dementia
John’s Campaign advocates for the removal of all restrictions on family carers supporting their relatives in hospital and a positive attitude of welcome and collaboration throughout the health and care system.
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.
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.
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.
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.