Comprehensive geriatric assessment – a guide for the non‐specialist

Welsh, Tomas; Gordon, Adam L; Gladman, John

doi:10.1111/ijcp.12313

Cited by 164 publications

(100 citation statements)

References 10 publications

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“…Significantly, older patients are likely to survive admission to hospital and return home if they undergo CGA, while they are inpatients [11], and, if indicated, it should be initiated as soon as possible after admission by a skilled, senior member of the multidisciplinary team and used to identify reversible medical problems, target rehabilitation goals and plan all the components of discharge and post-discharge support needs [12].…”

Section: The Concept Of Cgamentioning

confidence: 99%

“…pressure injury risk screening) and enable detection of serial changes, but they can also be time-consuming and clinically constraining. Clinicians undertaking CGA should consider the extent to which standardised approaches are helpful in their setting [12]. Core components of CGA that should be considered during the assessment process are outlined in (3) advanced activities of daily living (AADLs).…”

Section: Dimensions Of Comprehensive Geriatric Assessmentmentioning

confidence: 99%

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Comprehensive Geriatric Assessment from a Nursing Perspective

Spirgienė

Brent²

2018

Perspectives in Nursing Management and Care for Older Adults

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As the incidence of fragility fractures continues to rise, healthcare professionals will encounter patients with fractures in a variety of clinical settings such as falls clinics, intermediate care services and acute medical wards. Older people with fragility fractures are a diverse group, and their care needs are complex. Although some have comparatively few health problems, many have a series of interconnected illnesses and psychological and social problems requiring a range of therapeutic interventions. The primary focus of care is to meet the needs of the older person following skeletal trauma throughout their care pathway and ensure that they receive the same high standard of specialist care within orthopaedic services as they would within a setting specialising in the care of older people. The central philosophy should be holistic care using a person-centred approach that brings the various aspects of specialist care together.'Geriatric syndrome' is a term often used to refer to common health problems in older adults that do not fit into distinct organ-specific disease categories and that have multifactorial causes; this includes problems such as frailty, cognitive impairment, delirium, incontinence, malnutrition, falls, gait disorders, pressure ulcers, sleep disorders, sensory deficits, fatigue and dizziness. These are common in older adults and can have a major impact on quality of life (QoL) and disability [1]. Geriatric syndromes can best be identified by a comprehensive multidisciplinary

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Section: The Concept Of Cgamentioning

confidence: 99%

Section: Dimensions Of Comprehensive Geriatric Assessmentmentioning

confidence: 99%

Comprehensive Geriatric Assessment from a Nursing Perspective

Spirgienė

Brent²

2018

Perspectives in Nursing Management and Care for Older Adults

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“…31 Its evidence-base has predominantly derived from acute hospital settings, but it also improves outcomes in community settings. 32 CGA has been described for the non-specialist reader in other publications 33 but is, in brief, a model of care driven by comprehensive assessment taking account of medical, psychological, functional, social and environmental issues. It uses a multi-disciplinary team with a nurse, doctor, physiotherapist and occupational therapist at its core and draws upon broader expertise as required.…”

Section: Complexity Of Care Home Residentsmentioning

confidence: 99%

What is the case for care home medicine? The geriatrician’s perspective

Gordon

2015

J R Coll Physicians Edin

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“…Medical training, in particular, has historically focused on a reductionist medical diagnostic paradigm which is inadequate when faced with multi-morbidity and frailty [2]. Evidence-based care for older people with frailty, by contrast, requires a multi-domain, multi-disciplinary approach, feeding into iterative and case-managed care [3].…”

Section: Introductionmentioning

confidence: 99%