Applying comprehensive geriatric assessment to investigate falls
Geraldine Rodgers Nurse consultant for frailty and long-term conditions, North East London NHS Foundation Trust, Essex
Geraldine Rodgers argues that systematic evaluation of older patients’ conditions can empower them and their families to retain control over care and quality-of-life decisions
This is the second article in a short series that presents case study examples of the use of comprehensive geriatric assessment (CGA) in different clinical settings. CGA is a holistic assessment model designed to determine frail older people’s medical and mental health status, as well as functional, social and environmental issues. When applied by nurses, it can enable individualised planning for health, safety and wellbeing.
This article presents the case of an older man who had a three-month history of falls. After his most recent fall he was admitted to an emergency department, where examination identified no significant abnormal pathology, and subsequently to a nurse-led older person’s clinic. The article describes how a CGA approach was adopted to assess the man, establish an underlying diagnosis of Parkinson’s disease, and develop a personalised care plan to address immediate falls risk and long-term planning.
Nursing Older People. 28, 3, 27-31. doi: 10.7748/nop.28.3.27.s24Correspondence
This article has been subject to double-blind review and has been checked using antiplagiarism softwareConflict of interest
Received: 09 October 2015
Accepted: 02 February 2016