Comprehensive Geriatric Assessment Toolkit for Primary Care Practitioners

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about="/resources/resource-series/comprehensive-geriatric-assessment-toolkit-for-primary-care-practitioners" typeof="sioc:Item foaf:Document"> <h1><div class="card-title-field"> Comprehensive Geriatric Assessment Toolkit for Primary Care Practitioners </div> </h1> <span property="dc:title" content="Comprehensive Geriatric Assessment Toolkit for Primary Care Practitioners" class="rdf-meta element-hidden"></span><span property="sioc:num_replies" content="0" datatype="xsd:integer" class="rdf-meta element-hidden"></span> <div class="card-body"> <p>The CGA toolkit for General Practitioners and medical and healthcare professionals working in primary care settings explains what comprehensive geriatric assessment is, in what circumstances to use it and how it is done together with planning and involvement of social services. In addition, the series includes guides on specific medical issues that older patients may present with. These CGA guides cover a range of conditions and situations, from bone health to end of life care.</p> <blockquote><p style="margin-left:40px">The NHS Long Term Plan, published in January 2019, notes that the NHS needs to help older people living with frailty stay healthy and independent for as long as possible. This guide from the BGS is an excellent and comprehensive resource addressing this need. It supports primary care work with older people, and their families, to help them stay well for longer.</p> <p style="margin-left:40px">Dr Dawn Moody, Associate National Clinical Director for Older People and Integrated Person-Centred Care for NHS England</p> </blockquote> <blockquote><p style="margin-left:40px">This comprehensive toolkit will be a very helpful resource for primary care teams in Scotland and across the UK. We are delighted to see increasing awareness of the importance of frailty assessment in the community.</p> <p style="margin-left:40px">Dr Christine McAlpine, Past Chair of the British Geriatrics Society Scotland Council</p> </blockquote> <hr /> <div class="sidebar-nav"><strong>Navigating this toolkit</strong></div> <p class="sidebar-nav">The CGA in Primary Care Settings Toolkit is divided into 18 chapters in <strong>two </strong>main sections:</p> <ul> <li>The <strong>first </strong>section (chapters 1-9 via the links below) explains the <strong>elements of CGA</strong> and how to integrate it into personalised care planning.<br />  </li> <li>The <strong>second </strong>section (chapters 10-18 via the links below) explains how CGA applies to specific situations and <strong>clinical presentations</strong>.</li> </ul> <p>The entire toolkit can also be downloaded as a complete printable PDF on the sidebar of each page.</p> </div> Download a PDF containing <a href="https://www.bgs.org.uk/sites/default/files/content/resources/files/2019-03-12/CGA%20Toolkit%20for%20Primary%20Care%20Practitioners_0.pdf">all the content in this series</a>. </article> </div> </section> </div> </main> <section class="postscript-first"> <div class="postscript_first"> <section class="block block-views postscript-section-row-block"> <div class="view view-resource-series view-id-resource_series view-display-id-node section-row row-max-4 view-card-default-palette view-dom-id-e74ced98cb0e3fda88173683ddb2a6a9"> <div class="view-content view-content-main"> <div class="views-row views-row-1 views-row-odd views-row-first"> <a class="card resource-card" href="/cgatoolkit"><div class="card-text"><div class="card-content"> <div class="card-title"> <h3>1. CGA in Primary Care Settings: Introduction</h3> </div> <div class="card-date-display-override"> <span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2019-01-28T00:00:00+00:00">28 Jan 2019</span> </div> <div class="card-summary"> <div class="card-summary-wrapper"> <div class="card-summary"> An introduction to CGA in primary care settings. This toolkit was developed by the British Geriatrics Society and has been endorsed by the ANCD for Older People and Integrated Person-Centred Care and by the Council of British Geriatrics Society, Scotland. </div> </div> </div> </div><div class="card-footer"> <div class="card-resource-series"> In a series </div> <div class="card-resource-type"> Good practice guide </div> </div></div></a> </div> <div class="views-row views-row-2 views-row-even"> <a class="card resource-card" href="/resources/2-cga-in-primary-care-settings-the-elements-of-the-cga-process"><div class="card-text"><div class="card-content"> <div class="card-title"> <h3>2. CGA in Primary Care Settings: The elements of the CGA process</h3> </div> <div class="card-date-display-override"> <span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2019-01-28T00:00:00+00:00">28 Jan 2019</span> </div> <div class="card-summary"> <div class="card-summary-wrapper"> <div class="card-summary"> An overview of how Comprehensive Geriatric Assessment (CGA) is done in the primary care setting, and what to consider when conducting the assessment. </div> </div> </div> </div><div class="card-footer"> <div class="card-resource-series"> In a series </div> <div class="card-resource-type"> Good practice guide </div> </div></div></a> </div> <div class="views-row views-row-3 views-row-odd"> <a class="card resource-card" href="/resources/3-cga-in-primary-care-settings-physical-assessment"><div class="card-text"><div class="card-content"> <div class="card-title"> <h3>3. CGA in Primary Care Settings: Physical Assessment </h3> </div> <div class="card-date-display-override"> <span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2019-01-28T00:00:00+00:00">28 Jan 2019</span> </div> <div class="card-summary"> <div class="card-summary-wrapper"> <div class="card-summary"> Examination of older patients incorporates all the typical aspects of clinical examination, although there are some general considerations and emphases that should be borne in mind, and specific examinations that may be more relevant in older people. </div> </div> </div> </div><div class="card-footer"> <div class="card-resource-series"> In a series </div> <div class="card-resource-type"> Good practice guide </div> </div></div></a> </div> <div class="views-row views-row-4 views-row-even"> <a class="card resource-card" href="/resources/4-cga-in-primary-care-settings-functional-and-social-assessment"><div class="card-text"><div class="card-content"> <div class="card-title"> <h3>4. CGA in Primary Care Settings: Functional and social assessment</h3> </div> <div class="card-date-display-override"> <span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2019-01-28T00:00:00+00:00">28 Jan 2019</span> </div> <div class="card-summary"> <div class="card-summary-wrapper"> <div class="card-summary"> Functional assessment examines factors like mobility and daily living activities, and social assessment looks at social circumstances. Asking what the older person does and what environment they live in adds context to any Comprehensive Geriatric Assessment. </div> </div> </div> </div><div class="card-footer"> <div class="card-resource-series"> In a series </div> <div class="card-resource-type"> Good practice guide </div> </div></div></a> </div> <div class="views-row views-row-5 views-row-odd"> <a class="card resource-card" href="/resources/5-cga-in-primary-care-settings-psychological-components"><div class="card-text"><div class="card-content"> <div class="card-title"> <h3>5. CGA in Primary Care Settings: Psychological components</h3> </div> <div class="card-date-display-override"> <span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2019-01-28T00:00:00+00:00">28 Jan 2019</span> </div> <div class="card-summary"> <div class="card-summary-wrapper"> <div class="card-summary"> Depression among the over-65s is often under-recognised, so CGA is not complete without assessing mental health. The assessment conversation also offers an opportunity to identify cognitive dysfunction which may be a sign of dementia or delirium. </div> </div> </div> </div><div class="card-footer"> <div class="card-resource-series"> In a series </div> <div class="card-resource-type"> Good practice guide </div> </div></div></a> </div> <div class="views-row views-row-6 views-row-even"> <a class="card resource-card" href="/resources/6-cga-in-primary-care-settings-medication-review"><div class="card-text"><div class="card-content"> <div class="card-title"> <h3>6. CGA in Primary Care Settings: Medication review</h3> </div> <div class="card-date-display-override"> <span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2019-01-28T00:00:00+00:00">28 Jan 2019</span> </div> <div class="card-summary"> <div class="card-summary-wrapper"> <div class="card-summary"> Medication review is a core component of CGA. Older patients can have indications for multiple medications, some of which may be based on sound evidence, but others may do more harm than good. The evidence base for guideline based prescribing may not be so relevant to frail older people. </div> </div> </div> </div><div class="card-footer"> <div class="card-resource-series"> In a series </div> <div class="card-resource-type"> Good practice guide </div> </div></div></a> </div> <div class="views-row views-row-7 views-row-odd"> <a class="card resource-card" href="/resources/7-cga-in-primary-care-settings-creating-a-problem-list"><div class="card-text"><div class="card-content"> <div class="card-title"> <h3>7. CGA in Primary Care Settings: Creating a problem list</h3> </div> <div class="card-date-display-override"> <span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2019-01-28T00:00:00+00:00">28 Jan 2019</span> </div> <div class="card-summary"> <div class="card-summary-wrapper"> <div class="card-summary"> Creating a problem list as part of Comprehensive Geriatric Assessment can help identify all the issues to consider and will be helpful in drawing up a care plan. </div> </div> </div> </div><div class="card-footer"> <div class="card-resource-series"> In a series </div> <div class="card-resource-type"> Good practice guide </div> </div></div></a> </div> <div class="views-row views-row-8 views-row-even"> <a class="card resource-card" href="/resources/8-cga-in-primary-care-settings-care-and-support-planning"><div class="card-text"><div class="card-content"> <div class="card-title"> <h3>8. CGA in Primary Care Settings: Care and support planning</h3> </div> <div class="card-date-display-override"> <span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2019-01-28T00:00:00+00:00">28 Jan 2019</span> </div> <div class="card-summary"> <div class="card-summary-wrapper"> <div class="card-summary"> A reference guide to care and support planning within Comprehensive Geriatric Assessment for primary care and community clinicians, including the recommended components and tips for creating a care plan. </div> </div> </div> </div><div class="card-footer"> <div class="card-resource-series"> In a series </div> <div class="card-resource-type"> Good practice guide </div> </div></div></a> </div> <div class="views-row views-row-9 views-row-odd"> <a class="card resource-card" href="/resources/9-cga-in-primary-care-settings-involving-social-services"><div class="card-text"><div class="card-content"> <div class="card-title"> <h3>9. CGA in Primary Care Settings: Involving Social Services</h3> </div> <div class="card-date-display-override"> <span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2019-01-28T00:00:00+00:00">28 Jan 2019</span> </div> <div class="card-summary"> <div class="card-summary-wrapper"> <div class="card-summary"> CGA needs to consider the impact of social factors on the health and wellbeing of individuals and vice versa. Here we look at working with Social Services and the differences in the four nations of the UK. </div> </div> </div> </div><div class="card-footer"> <div class="card-resource-series"> In a series </div> <div class="card-resource-type"> Good practice guide </div> </div></div></a> </div> <div class="views-row views-row-10 views-row-even"> <a class="card resource-card" href="/resources/10-cga-in-primary-care-settings-patients-presenting-with-mobility-and-balance-issues"><div class="card-text"><div class="card-content"> <div class="card-title"> <h3>10. CGA in Primary Care Settings: Patients presenting with mobility and balance issues</h3> </div> <div class="card-date-display-override"> <span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2019-01-28T00:00:00+00:00">28 Jan 2019</span> </div> <div class="card-summary"> <div class="card-summary-wrapper"> <div class="card-summary"> Improving older people’s walking and balancing improves quality of life, reduces dependence on health and social care and prevents  falls. This guide looks at the importance of taking a full history, assessing gait and balance, and referral to physiotherapy. </div> </div> </div> </div><div class="card-footer"> <div class="card-resource-series"> In a series </div> <div class="card-resource-type"> Good practice guide </div> </div></div></a> </div> <div class="views-row views-row-11 views-row-odd"> <a class="card resource-card" href="/resources/11-cga-in-primary-care-settings-bone-health"><div class="card-text"><div class="card-content"> <div class="card-title"> <h3>11. CGA in Primary Care Settings: Bone health</h3> </div> <div class="card-date-display-override"> <span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2019-01-28T00:00:00+00:00">28 Jan 2019</span> </div> <div class="card-summary"> <div class="card-summary-wrapper"> <div class="card-summary"> Older people with frailty, those with reduced mobility and those with multiple co-morbidities are all susceptible to problems with bone health. </div> </div> </div> </div><div class="card-footer"> <div class="card-resource-series"> In a series </div> <div class="card-resource-type"> Good practice guide </div> </div></div></a> </div> <div class="views-row views-row-12 views-row-even"> <a class="card resource-card" href="/resources/12-cga-in-primary-care-settings-patients-at-risk-of-falls-and-fractures"><div class="card-text"><div class="card-content"> <div class="card-title"> <h3>12. CGA in Primary Care Settings: Patients at risk of falls and fractures</h3> </div> <div class="card-date-display-override"> <span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2019-01-29T00:00:00+00:00">29 Jan 2019</span> </div> <div class="card-summary"> <div class="card-summary-wrapper"> <div class="card-summary"> Often a key component of Comprehensive Geriatric Assessment in primary care, this guide examines step-by-step how to carry out a multifactorial risk assessment for falls. </div> </div> </div> </div><div class="card-footer"> <div class="card-resource-series"> In a series </div> <div class="card-resource-type"> Good practice guide </div> </div></div></a> </div> <div class="views-row views-row-13 views-row-odd"> <a class="card resource-card" href="/resources/13-cga-in-primary-care-settings-patients-presenting-with-depression"><div class="card-text"><div class="card-content"> <div class="card-title"> <h3>13. CGA in Primary Care Settings: Patients presenting with depression</h3> </div> <div class="card-date-display-override"> <span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2019-01-29T00:00:00+00:00">29 Jan 2019</span> </div> <div class="card-summary"> <div class="card-summary-wrapper"> <div class="card-summary"> Dealing with the management of depression as part of Comprehensive Geriatric Assessment including the treatments to consider. </div> </div> </div> </div><div class="card-footer"> <div class="card-resource-series"> In a series </div> <div class="card-resource-type"> Good practice guide </div> </div></div></a> </div> <div class="views-row views-row-14 views-row-even"> <a class="card resource-card" href="/resources/14-cga-in-primary-care-settings-patients-presenting-with-confusion-and-delirium"><div class="card-text"><div class="card-content"> <div class="card-title"> <h3>14. CGA in Primary Care Settings: Patients presenting with confusion and delirium</h3> </div> <div class="card-date-display-override"> <span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2019-01-29T00:00:00+00:00">29 Jan 2019</span> </div> <div class="card-summary"> <div class="card-summary-wrapper"> <div class="card-summary"> The prevalence of delirium in the community is 1-2 per cent but this rises to 14 per cent in people over 85, and in nursing homes or post acute care settings, can be up to 60 per cent. This guide deals with risk factors, diagnosis and management of this condition. </div> </div> </div> </div><div class="card-footer"> <div class="card-resource-series"> In a series </div> <div class="card-resource-type"> Good practice guide </div> </div></div></a> </div> <div class="views-row views-row-15 views-row-odd"> <a class="card resource-card" href="/resources/15-cga-in-primary-care-settings-mental-capacity-issues"><div class="card-text"><div class="card-content"> <div class="card-title"> <h3>15. CGA in Primary Care Settings: Mental capacity issues</h3> </div> <div class="card-date-display-override"> <span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2019-01-29T00:00:00+00:00">29 Jan 2019</span> </div> <div class="card-summary"> <div class="card-summary-wrapper"> <div class="card-summary"> Assessment of mental capacity should be a routine part of Comprehensive Geriatric Assessment. This guide lays out the principles which govern testing mental capacity, advance care decisions and powers of attorney, along with the safeguards. </div> </div> </div> </div><div class="card-footer"> <div class="card-resource-series"> In a series </div> <div class="card-resource-type"> Good practice guide </div> </div></div></a> </div> <div class="views-row views-row-16 views-row-even"> <a class="card resource-card" href="/resources/16-cga-in-primary-care-settings-patients-presenting-with-urinary-incontinence"><div class="card-text"><div class="card-content"> <div class="card-title"> <h3>16. CGA in Primary Care Settings: Patients presenting with urinary incontinence</h3> </div> <div class="card-date-display-override"> <span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2019-01-29T00:00:00+00:00">29 Jan 2019</span> </div> <div class="card-summary"> <div class="card-summary-wrapper"> <div class="card-summary"> Bladder control problems are a common problem in older people and result from a variety of causes. Continence issues are an essential part of any Comprehensive Geriatric Assessment, and this guide examines the causes, assessment, management and treatments available. </div> </div> </div> </div><div class="card-footer"> <div class="card-resource-series"> In a series </div> <div class="card-resource-type"> Good practice guide </div> </div></div></a> </div> <div class="views-row views-row-17 views-row-odd"> <a class="card resource-card" href="/resources/17-cga-in-primary-care-settings-weight-loss-and-nutrition-issues"><div class="card-text"><div class="card-content"> <div class="card-title"> <h3>17. CGA in Primary Care Settings: Weight loss and nutrition issues</h3> </div> <div class="card-date-display-override"> <span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2019-01-29T00:00:00+00:00">29 Jan 2019</span> </div> <div class="card-summary"> <div class="card-summary-wrapper"> <div class="card-summary"> Nutritional status can be easily assessed, and problems can often be addressed quickly. Key questions about diet, appetite and weight should be on the menu of any Comprehensive Geriatric Assessment.  </div> </div> </div> </div><div class="card-footer"> <div class="card-resource-series"> In a series </div> <div class="card-resource-type"> Good practice guide </div> </div></div></a> </div> <div class="views-row views-row-18 views-row-even views-row-last"> <a class="card resource-card" href="/resources/18-cga-in-primary-care-settings-end-of-life-care-issues"><div class="card-text"><div class="card-content"> <div class="card-title"> <h3>18. CGA in Primary Care Settings: End of life care issues</h3> </div> <div class="card-date-display-override"> <span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2019-01-29T00:00:00+00:00">29 Jan 2019</span> </div> <div class="card-summary"> <div class="card-summary-wrapper"> <div class="card-summary"> End of life care refers specifically to the last few days or hours of life, when maintenance of comfort and dignity, and avoidance of pain and distress take priority. Many of the principles of care at the end of life are shared with CGA. </div> </div> </div> </div><div class="card-footer"> <div class="card-resource-series"> In a series </div> <div class="card-resource-type"> Good practice guide </div> </div></div></a> </div> </div> </div> </section> <section class="block block-views"> <div class="view view-sections view-id-sections view-display-id-postscript view-dom-id-fd5e8ae88267ec316d9070878b171b70"> <div class="view-content view-content-main"> <div class="views-row views-row-1 views-row-odd views-row-first views-row-last section-row palette-default "> <div class="section-inner"> <div class="card-view-5"> <div class="view view-faqs view-id-faqs view-display-id-qa_postcript view-dom-id-b260399acbf181fd5e92daa1621620b3"> <div class="view-content view-content-main"> <div class="views-row views-row-1 views-row-odd views-row-first views-row-last"> <div class="faq-question"> <div class="card-qa-question"> Acknowledgments and history </div> <div class="card-qa-answer"> <p>The editorial panel for the toolkit consisted of:  Dr Gill Turner (Chair of the editorial panel), Dr Adam Gordon, Dr Maggie Keeble, Dr Adrian Blundell, Dr James Fisher, Dr Sean Ninan, Dr Colin Mitchell, Dr Sanja Thompson, Dr Helen Chamberlain, Dr Helen Lyndon, Soline Jerram, Gary Cleeve, Dr Melody Chawner, Dawne Garrett and Dr Adrian Blundell.</p> <p>Dr Angelo Grazioli, a GP based in County Limerick, Ireland, had the original vision for this toolkit. 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Comprehensive Geriatric Assessment Toolkit for Primary Care Practitioners | British Geriatrics Society