Video case study: Comprehensive geriatric assessment in an acute setting

The first video case study in our two-part series on frailty illustrates the value of a comprehensive geriatric assessment for older people admitted to A&E.

This is the first in a two-part series that presents video case study examples of the use of comprehensive geriatric assessment in different clinical settings

Produced as part of our resource collection on frailty, the first case study illustrates the value of a comprehensive geriatric assessment (CGA) for older people during emergency admission.

It explores how the use of CGA in acute hospitals can provide patients with a higher standard of care and enable individualised planning for older people's health, safety and wellbeing.

Part 1: Introduction

In the introduction, Vicki Leah, consultant nurse for older people at University College London Hospitals NHS Foundation Trust, highlights the importance of identifying frailty on presentation and the indicators used to recognise frailty in an acute setting.

Part 2: Patient referral and assessment

Vicki Leah introduces Mrs Scott, a 70-year-old patient who was referred to her for a CGA after being admitted to hospital via the emergency department after a fall at home.

Part 3: Comprehensive geriatric assessment

A CGA is carried out, including a physical assessment of the patient, and the consultant nurse’s recommendations are outlined.

Physical assessment

Treatment plan

Part 4: Patient perspective

Mrs Scott shares her perspective of the care she has received and the difference it has made to her health and wellbeing.

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