WESSEX BGS Meeting, October 5th 2001 Comprehensive geriatric assessment Part 1 - eLearning Site of APLCGG

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位置: eLearning Site of APLCGG > e-Learning > International Symposium on Geriatric Medicine: A Focus on Orthogeriatrics > Taipei Sept 8th UK Geriatric Medicine Martin Version

WESSEX BGS Meeting, October 5th 2001 Comprehensive geriatric assessment Part 1 (34:32)

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標題

1. International Symposium on Geriatric MedicineTaipei Veterans’ General HospitalSeptember 8th 2013

2. Summary

3. Health care in UK pre NHS

4. National Health Service 1948

5. A surgeon rides to the rescue

6. Her achievementsWarren MW A case for treating chronic sick in blocks in a general hospital. BMJ 1943.Warren MW . Care of the chronic aged sick. Lancet 1946

7. Early experience at St Pancras, London

8. Look at the age in 1950

9. Progressive patient care – first model designed to optimise use of acute beds

10. Two models emerged in 1970s

11. older people are older ( rectangularisation to elongation of age distribution)

12. Two models emerged in 1970s

13. Where are we now?

14. older people are older ( rectangularisation to elongation of age distribution)

15. As a result…………

16. People with long-term conditions have high health service use, especially hospitals (69% total spend).

17. And older people vary

18. People with long-term conditions have high health service use, especially hospitals (69% total spend).

19. And older people vary

20. Frailty “summarises” prediction of outcomes

21. Implications for health care(Tinetti Am Med J 2004)

22. Age attuning health services

23. Geriatrics as a specialty

24. Training to be a geriatrician

25. The scope of geriatric medicine

26. Acute and episodic illness 1

27. A controlled evaluation of comprehensive geriatric assessment in the emergency department: the ‘Emergency Frailty Unit

28. Acute and episodic illness 2

29. Our Liaison Service in Medicine (OPAL)

30. Focus on geriatric issues

31. GSTT Focus on falls and delirium

32. Focus on geriatric issues

33. GSTT Focus on falls and delirium

34. Falls Care Plan & sticker bundle

35. Delirium

36. Wall poster for awareness

37. Delirium card for systematic approach

38. …and on the other side –keep it simple

39. Implications for SurgeryNCEPOD Report 2010

40. Service mismatch

41. What needs to be done?

42. Example from GSTT: Proactive care of Older People having surgery -“POPS”

43. Benefits demonstrated over 5 years

44. Shared care for patients with fragility fractures - Orthogeriatrics

45. Post acute recovery and rehabilitation

46. Long term conditions and Frailty

47. Support for people living with high dependency

48. End of Life Care

49. Summary - What the NHS can expect from an effective geriatric medicine service

50. Summary

... [more]