Comprehensive geriatric assessment: outcomes of an advanced nurse practitioner-led service for older people requiring emergency surgery
Intended for healthcare professionals
Evidence and practice    

Comprehensive geriatric assessment: outcomes of an advanced nurse practitioner-led service for older people requiring emergency surgery

Ana Maria Irimia Clinical fellow, care of the older person, Musgrove Park Hospital, Taunton, England
Anna Tennant Advanced nurse practitioner, care of the older person, Musgrove Park Hospital, Taunton, England
Alexandria Waldron Clinical fellow, care of the older person, Musgrove Park Hospital, Taunton, England
Nahida Bashir Consultant, care of the older person, Musgrove Park Hospital, Taunton, England

Why you should read this article
  • To understand the concepts of frailty and geriatric syndromes

  • To enhance your awareness of the value and use of comprehensive geriatric assessments

  • To acknowledge the role advanced nurse practitioners can play in the care of older people

A comprehensive geriatric assessment (CGA) is a holistic multidimensional review of older people living with frailty or at risk of frailty. In emergency surgical settings, CGAs can be used to identify medical issues and geriatric syndromes among older patients and consequently try to improve their post-operative outcomes. However, there is a lack of geriatrician input in hospitals beyond medical wards, which means that older people who need emergency surgery do not always undergo a CGA, with potential negative repercussions for their post-operative outcomes. One solution to this issue is to employ advanced nurse practitioners (ANPs) to deliver equivalent services.

This article presents and discusses the results of an audit of an ANP-led CGA service for older people admitted to hospital for emergency surgery. The ANP reviewed 147 patients during the audit period and identified frailty in 37% and new medical issues in 89% of patients. Interventions initiated by the ANP based on the CGA included requests for additional investigations, referral to allied health professionals and discharge planning. The audit results suggest that ANPs can conduct CGAs in emergency surgical settings effectively.

Nursing Older People. doi: 10.7748/nop.2022.e1381

Peer review

This article has been subject to external double-blind peer review and checked for plagiarism using automated software

Correspondence

maria.irimia93@gmail.com

Conflict of interest

None declared

Irimia AM, Tennant A, Waldron A et al (2022) Comprehensive geriatric assessment: outcomes of an advanced nurse practitioner-led service for older people requiring emergency surgery. Nursing Older People. doi: 10.7748/nop.2022.e1381

Published online: 09 February 2022

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