Tag Archives: Comprehensive Geriatric Assessment (CGA)

Where Best Next Campaign: Reducing Length of Hospital Stay (NHS England)

Posted on August 19, 2019 by Dementia and Elderly Care News

Summary Approximately 350,000 patients spend more than three weeks in a hospital each year, often with poor outcomes: “Many older people, particularly those who are frail and may have dementia, actually deteriorate while in hospital – a stay of more … Continue reading →

Posted in Acute Hospitals, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Local Interest, Management of Condition, National, NHS, NHS England, NHS Improvement, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Practical Advice, Quick Insights, UK, Universal Interest | Tagged Acute Frailty Network (AFN), Acute Frailty Services, Better Care Support Programme, Care Closer to Home, Clinical Criteria for Discharge (CCD), Comprehensive Geriatric Assessment (CGA), Criteria Led Discharge, Deconditioning, Delayed Transfers of Care, Delayed Transfers of Care (DETOCs), Discharge, Discharge at a Reasonable Time, Discharge Coordination, Discharge Coordinators, Discharge From General Inpatient Hospital Settings, Discharge Into the Care Sector, Discharge Patient Tracking List, Discharge Planning, Discharge Support, Dr Taj Hassan: President of Royal College of Emergency Medicine, Emergency Care Intensive Support Team, Emergency Care Intensive Support Team (ECIST), Emergency Medicine and Urgent Care, End PJ Paralysis, Expected Date of Discharge, Expected Date of Discharge (EDD), Foci for Maximum Impact in Reducing Length of Stay, Guide to Reducing Long Hospital Stays: NHS Improvement, Health and Social Care Integration, Healthcare Associated Infections, Healthcare Associated Infections: Patient Safety, Holistic Needs Assessment (HNA), Home First: Supporting Patient Choice, Hospital-Associated Functional Decline: Role of Hospitalisation Processes, Identifying and Managing Frailty at the Front Door, Improving Hospital Discharge Into Care Sector, Improving Patient Care, Integrated Multi-Agency Care, Kettering General Hospital NHS Foundation Trust, Length of Stay (LoS), Local Government Association, Long-Stay Patient Reviews, Long-Stay Patients, Multi-Agency Collaboration, Multi-Agency Integration, Multi-Agency Working, Multi-Disciplinary and Multi-Agency Working, Multiagency Teams, Patient Deconditioning Effect Related to Hospital Bed Rest (aka Pyjama Paralysis / PJ Paralysis), Patient Harms, Patient Harms and Harm Free Care, Patient Safety, PDSA (Plan-Do-Study-Act) Cycles, People First: Manage What Matters, Plan Do Study and Act (PDSA), Professor Stephen Powis: NHS England's National Medical Director, Pyjama Paralysis, Quality Improvement, Reducing Healthcare Associated Infections in Hospitals, Reducing Hospital Length of Stay, Reducing Length of Hospital Stay, Reducing Length of Stay (RLoS) Programme, Reducing Long Stays (Where Best Next Campaign - NHS England) Principle 1: Plan for Discharge From the Start, Reducing Long Stays (Where Best Next Campaign - NHS England) Principle 2: Involve Patients and Families in Discharge Decisions, Reducing Long Stays (Where Best Next Campaign - NHS England) Principle 3: Establish Systems and Processes for Frail People, Reducing Long Stays (Where Best Next Campaign - NHS England) Principle 4: Embed Multi-Disciplinary Team Reviews, Reducing Long Stays (Where Best Next Campaign - NHS England) Principle 5: Encourage a Supported Home First Approach, Reducing Unnecessary Admissions, Reducing Unscheduled Admissions, Reducing Waste in Dementia Care, Reducing Waste in the NHS, Rockwood Clinical Frailty Score, Royal College of Emergency Medicine (RCEM), SAFER Patient Flow Bundle, South Warwickshire NHS Foundation Trust, South Warwickshire NHS Foundation Trust (SWFT), Supported Home First Approaches, What Matters Most (Healthwatch), Where Best Next Campaign (NHS England August 2019), Where Best Next? Campaign (NHS England), Why Not Home: Why Not Today, Why Not Home? Why Not Today? Campaign | Leave a comment

Frailty: Core Capabilities Framework (Skills for Health)

Posted on February 2, 2019 by Dementia and Elderly Care News

Summary Skills for Health have produced the Frailty Core Capabilities Framework. This framework was commissioned by Health Education England and NHS England, and aims to formalise the skills to provide high quality, holistic, compassionate care and support for persons with … Continue reading →

Posted in Acute Hospitals, Age UK, Commissioning, Community Care, Diagnosis, Falls Prevention, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Guidelines, Health Education England (HEE), Integrated Care, Management of Condition, National, NHS England, Non-Pharmacological Treatments, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest | Tagged Active Listening, Adults at Risk of Harm, Age and Ageing, Ageing and Long-Term Care, Ageing Population, Ageing Research, Baroness Sally Greengross (APPG on Dementia), British Geriatric Society, Care and Support Planning, Care for Vulnerable Older People, Care of Frail Older People With Complex Needs, Carers, Causes and Prevention of Frailty, Clinical Frailty Scale: the Rockwood Score, Co-Morbid Physical and Mental Health Conditions, Collaboration, Collaborative Care, Collaborative Working, Commissioning for Older People, Common Problems of Frailty, Community-Based Care for People With Frailty, Comprehensive Geriatric Assessment (CGA), Cumulative Deficit Frailty Model, Cumulative Deficit Model, Edmonton Frail Scale, Electronic Frailty Index, End of Life Care, Families and Carers, Families and Carers as Partners in Frailty Care, Frailty, Frailty Framework of Core Capabilities: Skills for Health, Frailty Index, Frailty Services, Frailty Syndromes, Frailty: Core Capabilities Framework, Frailty: Mapping to Other Frameworks, Gait (Walking) Speed Test, Health Coaching, HEE: Health Education England, Holistic Approaches, Holistic Assessments, Holistic Care, Holistic Care Assessments, Holistic Needs Assessment, Identification of Frailty, Identifying People Living With Frailty, Identifying Vulnerable People, Improving Care for Frail Older People, Integrated Physical and Mental Health, Involvement of Families and Carers, Long-Term Conditions (LTCs), Long-Term Physical and Mental Health Conditions, Managing Ongoing Physical and Mental Health Conditions, Medication Management, Multi-Morbidities, Multidisciplinary Care, Multidisciplinary Holistic Assessments, Multidisciplinary Teams, Multimorbidity, Older People At Home, Pathways for Frail and Vulnerable People, Patient Activation, People Living With Frailty, Person-Centred Approaches in Healthcare, Personalised Care and Support Planning, Phenotype Model of Frailty, PRISMA 7 Questionnaire, Rockwood Score, Royal College of GPs, Shared Decision-Making, Skills for Care (SfC), Skills for Care and Skills for Health, Skills for Health, Skills for Health (SfH), Targeting Resources on Vulnerable Populations, The Frailty Fulcrum, Time Up and Go (TUG) Test, Vulnerable Adults | Leave a comment

Benefits of Comprehensive Older Person’s Evaluation (COPE) Zones Embedded Within Emergency Assessment Units (Clinical Medicine)

Posted on June 18, 2016 by Dementia and Elderly Care News

Summary Promising results have been reported from Salford Royal NHS Foundation Trust (SRFT): “ …introduction of an embedded frailty unit within the EAU at SRFT has allowed resources to be focused on older patients with the greatest need. We have … Continue reading →

Posted in Acute Hospitals, Commissioning, Community Care, Diagnosis, End of Life Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Local Interest, Management of Condition, Models of Dementia Care, National, NHS, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Quick Insights, Royal College of Physicians, Royal Wolverhampton NHS Trust, Standards, UK | Tagged A&E, Access to Urgent and Emergency Care, Accident and Emergency Doctors, Acute Hospital Care, Acute Hospital Care for Frail Older People, Acute Medical Care of Elderly People, Ageing and Society, Ageing Population, Avoidable Acute Hospital Admission in Older People, Avoidable Admissions, Avoidable Emergency Admissions, Avoidable Hospital Admissions, Avoiding Unplanned Admissions, Benchmarking, British Geriatric Society (BGS), Case Management, CGAs and Medicines Optimisation in Primary Care Settings, CGAs: Comprehensive Geriatric Assessments, Complex Care, Complex Needs, Comprehensive Geriatric Assessment (CGA), Comprehensive Geriatric Assessment Needs Assessment Tool (Nuffield Trust), Comprehensive Older Person's Evaluation (COPE) Zones, COPE Zones Embedded Within Emergency Assessment Units (EAUs), COPE Zones in Emergency Assessment Units (EAUs), COPE Zones: Comprehensive Older Person's Evaluation, Dementia Care in Acute General Hospitals, Dementia Care in Acute Settings, Department for Ageing and Complex Medicine: Salford Royal NHS Foundation Trust, Department of Acute Medicine: Salford Royal NHS Foundation Trust, Department of Biostatistics: Keele University, Department of Elderly Care: University Hospitals of North Midlands NHS Trust, Department of Research and Development: University Hospitals of North Midlands NHS Trust, East Lancashire Hospitals NHS Trust, Embedded Comprehensive Geriatric Assessment in Emergency Assessment Units (EAUs), Emergency Admissions, Emergency and Urgent Care Services, Emergency Assessment Unit (EAU), Emergency Assessment Units, Emergency Assessment Units (EAUs), Emergency Attendances, Emergency Bed Use, Emergency Care, Emergency Centres, Emergency Departments, Emergency Medical Services (EMS), Emergency Medicine Consultants, Emergency Services, Flow Within Hospitals, Frailty, Future Hospital Commission, General Practices, Geriatricians’ Recommendations for Medicines Optimisation (CGAs), Identifying People Living With Frailty, Improving General Practice, Inappropriate Accident and Emergency Department Attendances, Integrated and Community-Based Care, Integrated Emergency Department (A&E), Keele University, MDTs: Multidisciplinary Teams, Medicines Optimisation, Medicines Optimisation in Primary Care, Multi-Disciplinary Team (MDT), Needs Assessment Toolkit for Comprehensive Geriatric Assessment (Nuffield Trust), NHS Benchmarking, NHS Benchmarking Network, NHS Stoke on Trent CCG, North Staffordshire, North Staffordshire and Stoke, Patient flow, Patient Flow Within Hospitals, Preventable Hospital Admissions, Preventing Avoidable Emergency Admissions, Prevention of Avoidable Emergency Admissions: Case Management, Prevention of Avoidable Emergency Admissions: Crisis Resolution Teams, Prevention of Avoidable Emergency Admissions: Intermediate Care, Prevention of Avoidable Emergency Admissions: Proactive Management of Long-Term Conditions, Prevention of Avoidable Emergency Admissions: Team-Based Interventions in A&E, Primary Care: Stoke-on-Trent Clinical Commissioning Group, Professor John Gladman: BGS / East Midlands AHSN Frail Older People’s Programme, Reasons for Short Stay Emergency Admissions, Recognition and Diagnosis of Frailty, Reducing Unnecessary Admissions, Reducing Unplanned Hospital Admissions, Reducing Unscheduled Admissions, Salford, Salford Royal Foundation Trust (SRFT), Salford Royal NHS Foundation Trust, Short Stay Admissions, Staffordshire, Stoke-on-Trent, Team-Based Interventions in A&E, University Hospitals of North Midlands NHS Trust, Unnecessary Hospital Admissions, Unplanned Hospital Admissions, Unscheduled Admissions, Unscheduled Care Pathways, Urgent and Emergency Care, Urgent and Emergency Care Pathways, Urgent and Emergency Care Services, Urgent and Emergency Care Services in England, Vision of Patient Care: Future Hospital Commission | Leave a comment

Commission on Improving Urgent Care for Older People’s Report (BBC News / NHS Confedertation)

Posted on January 28, 2016 by Dementia and Elderly Care News

Summary The NHS Confederation’s Commission on Improving Urgent Care for Older People has provided further evidence that many persons aged over-65 are admitted to hospitals via accident and emergency (A&E) unnecessarily, usually with relatively poor outcomes and incurring higher costs … Continue reading →

Reducing Length of Stay in Hospitals (Nuffield Trust / Monitor)

Posted on September 16, 2015 by Dementia and Elderly Care News

Summary Variations in patients’ length of stay imply there should be significant opportunities to reduce length of hospital stay; whether through improvements to internal processes or development of alternative community-based services. This Nuffield Trust report explores which approaches to reducing … Continue reading →

The Power of Language: Weighing the Pros and Cons of the Term “Frailty” (Nursing Times / Age UK / BGS / BritainThinks)

Posted on July 28, 2015 by Dementia and Elderly Care News

Summary The “Frailty: Language and Perceptions” report, commissioned by Age UK and the British Geriatrics Society, indicates that use of the word “frailty” could deter older people from accessing services. Medical terminology such as “frailty” (and presumably “geriatric” too?) sometimes … Continue reading →

Posted in Acute Hospitals, Age UK, Charitable Bodies, Commissioning, Community Care, Diagnosis, End of Life Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, Models of Dementia Care, Patient Care Pathway, Patient Information, Person-Centred Care, Personalisation, Practical Advice, Quick Insights, RCN, UK, Universal Interest | Tagged Age-Friendly Environments, Ageing and Society, Ageing Population, Articulating the Concept of Frailty, Attitudes About Support to Prevent and Manage Frailty, Attitudes to Ageing, BGS, BritainThinks, British Geriatrics Society (BGS), Caroline Abrahams: Director of Age UK, Comprehensive Geriatric Assessment (CGA), Coping Mechanisms, Coping Strategies, Cultural Perceptions, Dementia Friendly Language, Dementia-Friendly Communities, Dementia-Friendly Environments, Dementia-Friendly Resources, Dementia-Friendly Terminology, Enablement, End-User Experience, Experiences, Fit for Frailty (BGS), Fit for Frailty Guidance (BGS), Frailty: Language and Perceptions, Hidden Influence and Power of Words, Independence, Information and Signposting Services, International Classification of Diseases (ICD), Interventions to Increase Patient Activation, Labelling, Language (Terminology), Long-Term Conditions (LTCs), Misperceptions, Negative Experiences of Care, Nursing Times, Participatory Decision-Making, Patient Activation, Patient and Community Empowerment, Patient and Public Voice, Patient Choice, Patient Empowerment, Patient Empowerment Movement, Patient Engagement, Patient Engagement Strategies, Patient Experience, Patient Involvement, Power of Language, Power of Words, Prescribed Disengagement, Prescribed DisengagementTM (Kate Swaffer), Pros and Cons of Frailty (Terminology), Reablement, Reducing Stigma, Resilience, Self-Care, Signposting Services and Knowledge, Signposting to Sources of Practical Help, Stigma and Discrimination, Stigma-Free Environments, Strategies for Informing Educating and Involving Patients, Support and Coping Mechanisms, Support for People with Complex Needs, Supporting Self-Care, Unmet Needs, Wellness and Resilience | Leave a comment

Scotland’s Updated Care of Older People in Hospital Standards (Healthcare Improvement Scotland)

Posted on July 1, 2015 by Dementia and Elderly Care News

Summary Revised Scottish standards concerning acute care of older people in hospital address all aspects of the patient care pathway, including initial assessment on admission, rehabilitation, care transitions and discharge planning. There are sixteen standards. Section headings comprise: Standard 1: … Continue reading →

Posted in Acute Hospitals, Commissioning, Delirium, Depression, Diagnosis, Falls, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Integrated Care, Management of Condition, Mental Health, Models of Dementia Care, National, NHS, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Quick Insights, Scotland, Standards, UK, Universal Interest | Tagged Acute Care, Acute Hospital Care, Acute Hospitals, Age Scotland, Alzheimer Scotland, Care of Older People in Hospital Standards, Care Transitions, Care Transitions of Older People, Cognitive Capacity and Consent, Comprehensive Geriatric Assessment (CGA), Consent, Dignity, Dignity and Respect, Dignity on the Ward, Discharge Planning, Engagement and Patient Preferences., Frailty, Frailty Syndromes, Healthcare Improvement Scotland, Hospital Pharmacies, Hospital Pharmacy Services, Managing Transitions, NHS Education for Scotland, NHS Fife, NHS Forth Valley, NHS Grampian, NHS Greater Glasgow and Clyde, NHS Institute for Innovation and Improvement, NHS Lanarkshire, NHS Lothian, NHS Tayside, Older People in Acute Care, Patient Flows, Patient Preferences, Patients Charter, Personal Preferences, Pharmaceutical Care, Physical Rehabilitation, Pressure Sores, Pressure Ulcers, Pressure Ulcers: Prevention, Pressure Ulcers: Risk Assessment, Prevention and Management of Pressure Ulcers, Recognition and Diagnosis of Frailty, Recovery and Rehabilitation, Rehabilitation, Rehabilitation Care Pathways, Reshaping Care for Older People, Royal College of Nursing Scotland, Safe Staffing Levels, Scottish Government, Scottish Government’s (2011) Standards of Care for Dementia in Scotland, Scottish Patient Safety Programme, Staffing Levels, Staffing Levels and Skill Mix, Standards for Food Fluid and Nutritional Care, Standards of Care for Dementia in Scotland, Understanding and Improving Transitions of Older People: User and Care Centred Approach, University of Edinburgh, University of Glasgow, Ward Staffing Levels, Whittle Review Group | Leave a comment

Tag Archives: Comprehensive Geriatric Assessment (CGA)

Reducing Length of Stay in Hospitals (Nuffield Trust / Monitor)

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