31 Understanding of Comprehensive Geriatric Assessment Among Fifth Year Medical Students

2020 ◽  
Vol 49 (Supplement_1) ◽  
pp. i1-i8
Author(s):  
D Perera ◽  
A Jones
Keyword(s):  
Medical Students ◽  
Geriatric Assessment ◽  
Comprehensive Geriatric Assessment ◽  
Hospital Admissions ◽  
Geriatric Medicine ◽  
Target Population ◽  
Daily Basis ◽  
North East ◽  
The North ◽  
Initial Questionnaire

Abstract Introduction There are 191 foundation programme jobs in geriatrics in the North East.1 Students often don’t receive teaching sessions on the comprehensive geriatric assessment (CGA). It is an assessment foundation trainees use on a daily basis on the geriatric ward and the acute take. Methods We designed a series of teaching sessions for fifth year medical students, delivered by different members of the multidisciplinary team. A pre- and post-session questionnaire assessed their understanding. Results Nine students completed the pre-session questionnaire:22% were able to define CGA11% identified the different components22% identified the target population, the benefits of CGA and the members involved44% offered solutions to obtaining a history from patients with confusion100% identified the barriers to carrying out CGA Seven students carried out the post session questionnaire; the table below represents the number that answered correctly. Conclusions The majority of foundation trainees will have at least one job in geriatric medicine and participate in the acute take. The average age of hospital admissions has been rising for years,2 highlighting the importance of being able to accurately and thoroughly assess the older population. The initial questionnaire demonstrated the limited understanding that fifth year students had on the comprehensive geriatric assessment. Following sessions by different members of the MDT there was clear improvement. The sessions covered: general overview of CGA; session by the frailty pharmacist; functional assessment by physiotherapy team; cognitive assessment by the dementia and delirium team; and life as an F1 on geriatric medicine. Positive feedback was received, emphasising the improvement in confidence in preparation for foundation training. References 1. Oriel website: https://www.oriel.nhs.uk/Web/FND. 2. NHS digital Hospital Admitted Patient Care Activity 2015–16.

scholarly journals Feminist approach to geriatric care: comprehensive geriatric assessment, diversity and intersectionality

2021 ◽  
Author(s):  
Merle Weßel
Keyword(s):  
Standardized Testing ◽  
Geriatric Assessment ◽  
Comprehensive Geriatric Assessment ◽  
Older Patients ◽  
Geriatric Medicine ◽  
Assessment Tools ◽  
Assessment Process ◽  
Social Category ◽  
Social Categories ◽  
The Social

AbstractDespite being a collection of holistic assessment tools, the comprehensive geriatric assessment primarily focuses on the social category of age during the assessment and disregards for example gender. This article critically reviews the standardized testing process of the comprehensive geriatric assessment in regard to diversity-sensitivity. I show that the focus on age as social category during the assessment process might potentially hinder positive outcomes for people with diverse backgrounds of older patients in relation to other social categories, such as race, gender or socio-economic background and their influence on the health of the patient as well as the assessment and its outcomes. I suggest that the feminist perspective of intersectionality with its multicategorical approach can enhance the diversity-sensitivity of the comprehensive geriatric assessment, and thus improve the treatment of older patients and their quality of life. By suggesting an intersectional-based approach, this article contributes to debates about justice and diversity in medical philosophy and advocates for the normative value of diversity in geriatric medicine.

scholarly journals Comprehensive Geriatric Assessment in the perioperative setting; where next?

2019 ◽  
Vol 48 (5) ◽  
pp. 624-627 ◽  
Author(s):  
Jugdeep Dhesi ◽  
S Ramani Moonesinghe ◽  
Judith Partridge
Keyword(s):  
Geriatric Assessment ◽  
Comprehensive Geriatric Assessment ◽  
Geriatric Medicine ◽  
Cultural Barriers ◽  
Face Validity ◽  
Surgical Patients ◽  
National Audit ◽  
Services Research ◽  
Services Implementation ◽  
The Uk

Abstract Comprehensive Geriatric Assessment (CGA) is being employed in the perioperative setting to improve outcomes for older surgical patients. Traditionally CGA is delivered by a geriatrician led multidisciplinary team but with the acknowledged workforce challenges in geriatric medicine, it has been suggested that non-geriatricians may be able to deliver CGA. HOW-CGA developed a toolkit to facilitate the delivery of CGA by non-geriatricians in the perioperative setting. Across two hospital sites uptake and implementation of this toolkit was limited by a potential lack of face validity, behavioural and cultural barriers and an acknowledgement that geriatric medicine expertise is key to CGA and optimisation. In-keeping with this finding there has been an observed expansion in geriatrician led CGA services for older surgical patients in the UK. In order to demonstrate the effectiveness of perioperative CGA services, implementation science should be combined with health services research methodology and the use of big data through linked national audit.

Audit of unplanned hospital admissions for patients with neuromuscular disorders in Cumbria and the north east of England

2017 ◽  
Vol 27 ◽  
pp. S241
Author(s):  
E. Elliott ◽  
M. Guglieri ◽  
T. Evangelista ◽  
H. Lochmüller ◽  
V. Straub ◽  
...  
Keyword(s):  
Hospital Admissions ◽  
Neuromuscular Disorders ◽  
North East ◽  
The North ◽  
Unplanned Hospital Admissions

Audit of unplanned hospital admissions for patients with neuromuscular disorders in the North East

2017 ◽  
Vol 27 ◽  
pp. S38
Author(s):  
E. Elliott ◽  
H. van Ruiten ◽  
M. Guglieri ◽  
T. Evangelista ◽  
H. Lochmüller ◽  
...  
Keyword(s):  
Hospital Admissions ◽  
Neuromuscular Disorders ◽  
North East ◽  
The North ◽  
Unplanned Hospital Admissions

scholarly journals Influence Of Product Quality And Price Competitiveness On Repeat PATRONAGE SMEs In The North East Of Nigeria

2021 ◽  
Vol 03 (02) ◽  
pp. 25-32
Author(s):  
Umar Mohammed Ali ◽  
Keyword(s):  
Product Quality ◽  
Significant Relationship ◽  
Sampling Technique ◽  
Target Population ◽  
Cluster Sampling ◽  
Price Competitiveness ◽  
North East ◽  
The North ◽  
East Region ◽  
Food And Beverage

This paper is devoted to determine the influence of products quality and price competitiveness on repeat patronage of goods and beverage exporting SMES in North-East Nigeria. Delta were obtained from 244 entrepreneurs in the North-East region of Nigeria. Cluster sampling method was used to determine the sample size since the target population is heterogeneous. Stratified random sampling technique was used to select the respondents for the study. A structured on a 4 point modified IKert scale. The person Product moment correlation was used for data analysis. The findings revealed that there is positive and significant relationship between product quality and repeat patronage of food and beverage exporting SMES in North-East region of Nigeria. The study also found a positive and significant relationship between price competitiveness and repeat patronage of food and beverage exporting SMES in North-East region of Nigeria. From the above findings, it was concluded that product quality and price competitiveness have a positive and significant influence on repeat patronage of food and beverage exporting SMES in Nort-East Nigeria, based on the endings and conclusion, it was recommended that Nigerian SMES particularly those exporting food and beverage products should improve their product quality and price competitiveness as it would enhance repeat patronage among international customers.

scholarly journals Comprehensive geriatric assessment and home-based rehabilitation for elderly people with a history of recurrent non-elective hospital admissions

2006 ◽  
Vol 35 (5) ◽  
pp. 487-491 ◽  
Author(s):  
David J. Stott ◽  
Amanda K. Buttery ◽  
Adam Bowman ◽  
Rona Agnew ◽  
Katriona Burrow ◽  
...  
Keyword(s):  
Elderly People ◽  
Geriatric Assessment ◽  
Comprehensive Geriatric Assessment ◽  
Hospital Admissions ◽  
Home Based ◽  
History Of

scholarly journals Caring for nursing home residents with COVID-19: a “hospital-at-nursing home” intermediate care intervention

2021 ◽  
Author(s):  
Enrico Benvenuti ◽  
Giulia Rivasi ◽  
Matteo Bulgaresi ◽  
Riccardo Barucci ◽  
Chiara Lorini ◽  
...  
Keyword(s):  
Nursing Home ◽  
Geriatric Assessment ◽  
Comprehensive Geriatric Assessment ◽  
Hospital Admissions ◽  
Nursing Home Residents ◽  
Nursing Home Care ◽  
Intermediate Care ◽  
Healthcare Model ◽  
Set Up ◽  
The Impact

Abstract Background Nursing home (NH) residents have been dramatically affected by COVID-19, with extremely high rates of hospitalization and mortality. Aims To describe the features and impact of an assistance model involving an intermediate care mobile medical specialist team (GIROT, Gruppo Intervento Rapido Ospedale Territorio) aimed at delivering “hospital-at-nursing home” care to NH residents with COVID-19 in Florence, Italy. Methods The GIROT activity was set-up during the first wave of the pandemic (W1, March–April 2020) and became a structured healthcare model during the second (W2, October 2020–January 2021). The activity involved (1) infection transmission control among NHs residents and staff, (2) comprehensive geriatric assessment including prognostication and geriatric syndromes management, (3) on-site diagnostic assessment and protocol-based treatment of COVID-19, (4) supply of nursing personnel to understaffed NHs. To estimate the impact of the GIROT intervention, we reported hospitalization and infection lethality rates recorded in SARS-CoV-2-positive NH residents during W1 and W2. Results The GIROT activity involved 21 NHs (1159 residents) and 43 NHs (2448 residents) during W1 and W2, respectively. The percentage of infected residents was higher in W2 than in W1 (64.5% vs. 38.8%), while both hospitalization and lethality rates significantly decreased in W2 compared to W1 (10.1% vs 58.2% and 23.4% vs 31.1%, respectively). Discussion Potentiating on-site care in the NHs paralleled a decrease of hospital admissions with no increase of lethality. Conclusions An innovative “hospital-at-nursing home” patient-centred care model based on comprehensive geriatric assessment may provide a valuable contribution in fighting COVID-19 in NH residents.

scholarly journals Impact of COVID-19 on Hospital Admissions for COPD Exacerbation: Lessons for Future Care

Medicina ◽  
2022 ◽  
Vol 58 (1) ◽  
pp. 66
Author(s):  
Michael Lawless ◽  
Mark Burgess ◽  
Stephen Bourke
Keyword(s):  
Hospital Admissions ◽  
Matched Control ◽  
Control Period ◽  
Substantial Reduction ◽  
Chronic Obstructive ◽  
Post Discharge ◽  
Obstructive Pulmonary Disease ◽  
North East ◽  
The North ◽  
Future Care

Background and Objectives: Chronic obstructive pulmonary disease (COPD) is a leading cause of death worldwide. Acute exacerbations (AECOPD) are common and often triggered by viral infection. During the COVID-19 pandemic social restrictions, including ‘shielding’ and ‘lockdowns’, were mandated. Multiple, worldwide studies report a reduction in AECOPD admissions during this period. This study aims to assess the effect of the pandemic and Lockdown on the rates of admission with AECOPD and severity of hospitalised exacerbations in the North-East of England. Materials and Methods: Data were extracted for patients presenting with a diagnosis of AECOPD or respiratory failure secondary to AECOPD during the ‘COVID-19 period’ (26/3/20–31/12/20) and a date-matched control period from the year previous. We present descriptive statistics and regression analysis of the effects of the COVID-19 period on the rates of hospital admission. Results: Compared to the matched control period, the COVID-19 period was associated with fewer AECOPD admissions (COVID-19 = 719, control = 1257; rate ratio 0.57, p < 0.001) and shorter length of stay (COVID-19 = 3.9 ± 0.2, control = 4.78 ± 0.2 days; p = 0.002), with similar in-hospital plus 30-day post-discharge mortality. Demographics were similar between periods. Only six patients had a positive COVID-19 PCR test. Conclusion: During the COVID-19 period there was a substantial reduction in AECOPD admissions, but no increase in overall severity of exacerbations or mortality. Rather than fear driving delayed hospital presentation, physical and behavioural measures taken during this period to limit transmission of COVID-19 are likely to have reduced transmission of other respiratory viruses. This has important implications for control of future AECOPD.

scholarly journals Systemic arterial hypertension and hospital admissions: improving care in primary care / Hipertensão arterial sistémica e internamentos hospitalares: melhorar os cuidados nos cuidados primários

2021 ◽  
Vol 7 (10) ◽  
pp. 95738-95752
Author(s):  
Luís Roberto Da Silva ◽  
Laís Eduarda Silva De Arruda ◽  
Jonathan Willams Do Nascimento ◽  
Rafaela Maria de Sousa Queiroz ◽  
Felipe Maia Tardieux ◽  
...  
Keyword(s):  
Arterial Hypertension ◽  
Health System ◽  
Hospital Admissions ◽  
National Health System ◽  
Indirect Costs ◽  
The Elderly ◽  
Female Population ◽  
Systemic Arterial Hypertension ◽  
North East ◽  
The North

BACKGROUND: Systemic Arterial Hypertension is a chronic disease that affects the global population and can cause serious harm when not controlled. The prevalence is high and it is one of the conditions that most leads people to death. Therefore, multiprofessional care ensures a better integrality of care and avoids high direct and indirect costs. OBJECTIVE: Describe the context of hospital admissions for Systemic Arterial Hypertension and its consequences for the brazilian national health system. MATERIAL AND METHODS: Descriptive epidemiological study, which used public domain data of the authorization of hospital admissions for hypertension, available in the Hospital Information System of the Brazilian regions, in the period from 2014 to 2020. RESULTS: Were reported, 403,181 hospitalizations for Systemic Arterial Hypertension with an annual mean of 57,597 (?=12,319.9). The North east region (?=39.3, ?=9.0 per 100,000 inhabitants, significant temporal decrease) and North region (?=37.3, ?=8.9 per 100,000 inhabitants, significant temporal decrease) expressed the highest coefficients. Stood out the female population (?=58.5%, ?=1.01%, significant temporal decrease), the elderly (?=56.7%, ?=0.79%, stable) and brown people (?=39.1%, ?=1.2%, stable). The national annual average costs are close to $3.6 million (?=736.7 thousand). CONCLUSION: Improving the actions of Primary Health and knowing the consequences can support the planning and implementation of actions, impact the costs to the health system, as well as ensure that other levels of care perform the respective care, avoiding worsening of the clinical Picture.

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