title: Comprehensive geriatric assessment of a patient with complex needs.
abstract: This is the third in a short series that presents case study examples of the application of comprehensive geriatric assessment (CGA) in different clinical settings. CGA is a holistic assessment model, which is designed to determine a frail older person's medical and mental health status, as well as functional, social and environmental issues. When undertaken by nurses, it can enable individualised care planning. The case study presented explores the application of CGA with an 89-year-old patient with complex health and social care needs. It demonstrates how a hospital admission was avoided and the patient's health outcomes improved, by using a nurse-led systematic approach to assessment and by careful consideration of CGA domains.
authors.affiliation: United Lincolnshire Hospitals NHS Trust, Lincolnshire.
authors.forename: Deborah
authors.initials: D
authors.lastname: Birch
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control; D000369:Aged, 80 and over; D003693:Delirium / Q000139:chemically induced / Q000451:nursing; D005260:Female; D016330:Frail Elderly; D015577:Geriatric Assessment / Q000379:methods*; D006801:Humans; D057187:Independent Living; D059065:Medication Reconciliation; D019338:Polypharmacy
keywords: acute care; comprehensive geriatric assessment; delirium; frailty; older people; polypharmacy