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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.
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.
Integrated care for older people with frailty: innovative approaches in practice
- Authors:
- ROYAL COLLEGE OF GENERAL PRACTITIONERS, BRITISH GERIATRICS SOCIETY
- Publishers:
- Royal College of General Practitioners, British Geriatrics Society
- Publication year:
- 2016
- Pagination:
- 40
- Place of publication:
- London
Joint report showing how GPs and geriatricians are collaborating to design innovative schemes to improve the provision of integrated care for older people with frailty. The report highlights 13 case studies from across the UK which show what an integrated health and social care system looks like in practice and the positive impact it can have. The case studies are grouped into three areas: schemes to help older people remain active and independent, extending primary and community support to provide better services in the community, and integrated care to support patients in hospital. The examples cover a range of locations across the UK, including urban and rural populations, and a range of settings, including services based in the community, in GP practices, in care homes and in hospitals. Whilst the majority of the initiatives led by GPs or geriatricians, they illustrate the vital role that many other professionals play, including nurses, therapists, pharmacists and social workers. The report also outlines some common themes from the case studies, which include person-centred care, multidisciplinary working, taking a proactive approach and making use of resources in the community. (Original abstract)
Depression among older people living in care homes: collaborative approaches to treatment
- Authors:
- ROYAL COLLEGE OF PSYCHIATRISTS, BRITISH GERIATRICS SOCIETY
- Publishers:
- Royal College of Psychiatrists, British Geriatrics Society
- Publication year:
- 2018
- Pagination:
- 28
- Place of publication:
- London
Showcases good practice examples of effective interdisciplinary collaboration between geriatricians, allied health professionals, and psychiatrists who are working with older people with depression living care homes. It identifies key features from the case studies and highlights the importance of addressing the divide between mental and physical healthcare in order to provide the best care for older people living with frailty. Key themes from the case studies included person-centred care; the use of Comprehensive Geriatric Assessment and multidisciplinary working; professional development and training; and voluntary and community sector involvement. The eight examples are from: Gateshead Care Home Initiative, Camden and Islington NHS Foundation Trust’s care home liaison service, Tri-borough in-reach service for care homes in South London, multi-disciplinary care home and community liaison model in Dorset; University Hospital of South Manchester Nursing Home Service; the Integrated care pilot Nazareth House, West London Mental Health Trust. The report aims to promote awareness and understanding of the key features of best practice among practitioners, commissioners and policy-makers. (Edited publisher abstract)