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Right time, right place: urgent community-based care for older people
- Author:
- BRITISH GERIATRICS SOCIETY
- Publisher:
- British Geriatrics Society
- Publication year:
- 2021
- Pagination:
- 7
- Place of publication:
- London
This document aims to describe the role of urgent care within the ecosystem of older people’s care and details some examples of how urgent care can be provided outside the hospital environment. It provides tips for BGS members who want to start providing this type of care to their older patients and calls on commissioners and governments to make the provision of care at or near to home easier for healthcare professionals and patients. The document outlines the offers and services currently delivered across the country in pursuit of a broadly similar aim to provide appropriate, timely, high-quality care when an older person experiences a crisis or urgent need. Options for alternatives to hospital include: Hospital at Home (H@H); urgent community response (UCR); Same Day Emergency Care (SDEC); Frailty Assessment Units (FAUs); Virtual wards. (Edited publisher abstract)
Nutritional advice in common clinical situations (revised August 2009)
- Author:
- BRITISH GERIATRICS SOCIETY
- Publisher:
- British Geriatrics Society
- Publication year:
- 2009
- Place of publication:
- London
Under-nutrition in older people admitted to hospital is common, and the risk of being malnourished increases during hospitalisation. It is also poorly detected by nursing and medical staff. This good practice guide paper covers nutrition screening, the importance of creating the right environment to support eating and drinking, management of under-nutrition in hospital, ethical and legal considerations, nutrition and stroke, nutrition and dementia, and nutrition in the community and care homes. It includes reference to key resources and guidance about nutritional care in hospital, and makes recommendations covering the advice of dieticians and speech and language therapists, training to enable health professionals to assess and meet nutritional demands, management of dysphagia, policies for review of patients, and development of policies to support nutrition which include auditable standards.
The assessment of pain in older people: national guidelines
- Authors:
- ROYAL COLLEGE OF PHYSICIANS, BRITISH GERIATRICS SOCIETY, BRITISH PAIN SOCIETY
- Publisher:
- Royal College of Physicians
- Publication year:
- 2007
- Pagination:
- 13p.
- Place of publication:
- London
Pain is a subjective, personal experience, and its assessment is particularly challenging in the presence of severe cognitive impairment, communication difficulties or language and cultural barriers. As a result it is often under-recognised and under-treated in older people. These guidelines form part of a series intended to inform those aspects of physicians’ clinical practice which may be outside their own specialist area and are designed to help them make rapid, informed decisions. The advice is based on synthesis of the best available evidence and expert consensus gathered from practising clinicians and service users. The guidelines set out the key components of assessing pain in older people, together with a variety of practical scales that may be used with different groups, including those with cognitive or communication impairment. The purpose is to provide professionals with a set of practical skills to assess pain as the first step towards its effective management. The guidance is relevant to all healthcare and social care staff and can be applied in a wide variety of settings, including the older person’s own home, in care homes, and in hospital.
Guidance on: the assessment of pain in older people
- Authors:
- BRITISH PAIN SOCIETY, BRITISH GERIATRICS SOCIETY
- Publishers:
- British Pain Society, British Geriatrics Society
- Publication year:
- 2008
- Pagination:
- 36p.
- Place of publication:
- London
The British Pain Society has worked with the British Geriatrics Society and the Royal College of Physicians to produce new concise guidance on 'The assessment of pain in older people'. The guidelines have been developed to provide: recommendations in simple and clear terms for assessing pain in all older people; several types of scales that can be photocopied and used to assist in assessments, to monitor progress and evaluate the effect of treatment; and an algorithm for simple implementation of the guidance.
Bringing hospital care home: virtual wards and hospital at home for older people
- Author:
- BRITISH GERIATRICS SOCIETY
- Publisher:
- British Geriatrics Society
- Publication year:
- 2022
- Pagination:
- 10
- Place of publication:
- London
This report explores the potential benefits, limitations, and current scientific evidence to be considered when providing a safe, effective, and person-centred alternative to hospital inpatient care for older adults. It highlights how Virtual Wards are being funded and implemented; explains the various definitions of the term Virtual Wards as used in different parts of the UK; and describes the face-to-face care delivered by a multidisciplinary team, combined with some remote monitoring. The report summarises the current landscape on Virtual Wards and provides advice for decision-makers looking to set up such services for older people living with frailty. Recent scientific research has provided some evidence that hospital-level care in an individual's home environment may improve their care experience and outcomes and deliver benefits for patients, carers and health and care systems. The evidence base highlighting the potential benefits of Virtual Wards is growing but caution is needed when considering widespread implementation. The report recognises that this type of care will not be suitable for all patients and not all older people with acute conditions will want, or be able, to be cared for in such a service. For some patients, hospital will remain the safest place for them to be. However, feedback from older people using existing virtual ward services shows that many people welcome the option of receiving hospital-level care in the comfort of their own home, supported by family care and visiting professionals. Honest communication with patients and families about how the service works and what to do if the patient's condition deteriorates is vital to operating a successful service. (Edited publisher abstract)
The assessment of pain in older people
- Authors:
- ROYAL COLLEGE OF PHYSICIANS, BRITISH GERIATRICS SOCIETY, BRITISH PAIN SOCIETY
- Publisher:
- Royal College of Physicians
- Publication year:
- 2007
- Pagination:
- 13p.
- Place of publication:
- London
Pain is under-recognised and under-treated in older people, and the assessment of pain is particularly challenging in the presence of severe cognitive impairments, communication difficulties or language and cultural barriers. This guidance sets out the key components of assessing pain in older people, together with a range of practical scales that can be used with different groups, including those with cognitive or communication impairment. It aims to provide professionals with a set of practical skills to assess pain as the first step towards its effective management. It describes the background and methodology used, key components of an assessment of pain, and types of scale used to assess pain. It also provides a summary of recommendations in the full guidelines covering: pain awareness, pain enquiry, pain description, pain location and intensity, communication, assessment in people with impaired cognition/communication, cause of pain, and re-evaluation. It notes that the basic guidelines should be a routine part of the training and care provision of all healthcare professionals. The appendices include the guideline development process, an algorithm for the assessment of pain in older people, a pain map, and examples of pain scales.
Hospital discharge of older people with cognitive impairment to care homes
- Author:
- BRITISH GERIATRICS SOCIETY
- Publisher:
- British Geriatrics Society
- Publication year:
- 2006
- Pagination:
- 2p.
The scope of this document is confined to the safe and appropriate discharge of older people with cognitive impairment from hospital to a care home. It is a given, within the context of this document, that discharge to any other care setting has been deemed inappropriate as the result of a comprehensive geriatric assessment (CGA). A separate British Geriatrics Society (BGS) compendium document deals with the wider context of hospital discharge of frail older people.
Fit for frailty: part 2: developing, commissioning and managing services for people living with frailty in community settings
- Authors:
- BRITISH GERIATRICS SOCIETY, ROYAL COLLEGE OF GENERAL PRACTITIONERS
- Publisher:
- British Geriatrics Society
- Publication year:
- 2015
- Pagination:
- 35
- Place of publication:
- London
Provides advice and guidance on the development, commissioning and management of services for people living with frailty in community settings. The first section introduces the concept of frailty and sets out the rationale for developing frailty services. The second section explores the essential characteristics of a good service. The third section considers the issue of performance and outcome measures for frailty services. The appendix to the report includes eight case studies of services which are operating in different parts of the UK. The audience for this guidance comprises GPs, geriatricians, health service managers, social service managers and commissioners of services. It is a companion report to an earlier BGS publication, Fit for Frailty Part 1 which provided advice and guidance on the care of older people living with frailty in community and outpatient settings. (Edited publisher abstract)
Quality care for older people with urgent and emergency care needs: the silver book
- Authors:
- BRITISH GERIATRICS SOCIETY, et al
- Publisher:
- British Geriatrics Society
- Publication year:
- 2012
- Pagination:
- 102p.
- Place of publication:
- London
Despite the majority of urgent care being delivered in the primary care setting, an increasing number of older people are attending emergency departments and accessing urgent care services. There is a pressing need to address how older people are cared for over the first 24 hours of an urgent care episode. The aim of this book is to address the care for older people, specifically frail older people, during the first 24 hours of an urgent care episode. It recommends ways in which emergency admissions can be reduced and the experience of those admitted improved. It considers all the clinical contacts which a patient might have during an emergency and suggests minimum standards and responses for each service. A core focus is the skills and competencies needed by healthcare staff to ensure they are better able to assess and manage frail older people. This includes: appropriate communication skills (both with patients and other health and social care professionals); clinical reasoning and assessment skills in respect of complex co-morbidities, poly-pharmacy and altered physiological response to trauma and illness; and risk management skills surrounding discharge planning with knowledge of community services. The book suggests that in acute medical units, greater use of geriatric liaison services should increase the proportion of older people able to be managed in community settings.
Quest for quality: British Geriatrics Society joint working party inquiry into the quality of healthcare support for older people in care homes: a call for leadership, partnership and quality improvement
- Author:
- BRITISH GERIATRICS SOCIETY
- Publisher:
- British Geriatrics Society
- Publication year:
- 2011
- Pagination:
- 46p.
- Place of publication:
- London
Residents of Care homes have complex healthcare needs, reflecting multiple long-term conditions, significant disability and frailty. However, the social care model is insufficient to meet residents‟ health needs. This report describes current NHS support for care homes. It describes unmet need, unacceptable variation and often poor quality of care provided by the NHS to the estimated 400,000 older people resident in UK care homes. It also describes what should and could be done and calls for national action by government and local action by NHS commissioners, planners and clinical services to improve the quality of NHS support to care homes. It highlights the need to build joint professional leadership from the health, social, and care home sectors, statutory regulators and patient advocacy groups to find the solutions that none of these can achieve alone. The report recommends that local NHS planners/commissioners should ensure that clear and specific service specifications are agreed with their local NHS providers. These need to link with quality standards based on patient experience and appropriate clinical outcomes.