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Comprehensive geriatric assessment of a patient with complex needs
1United Lincolnshire Hospitals NHS Trust, Lincolnshire.
Nursing Older People
|April 30, 2016
Summary
Comprehensive geriatric assessment (CGA) by nurses helps frail older adults with complex needs. This case study shows nurse-led CGA avoided hospitalization and improved health outcomes for an 89-year-old patient.
Area of Science:
- Gerontology
- Geriatric Medicine
- Nursing Practice
Background:
- Comprehensive Geriatric Assessment (CGA) is a holistic model for evaluating frail older adults.
- It addresses medical, mental health, functional, social, and environmental factors.
- Nurse-led CGA facilitates individualized care planning.
Purpose of the Study:
- To present a case study on applying CGA in a clinical setting.
- To demonstrate the effectiveness of nurse-led CGA for complex patient needs.
- To highlight how CGA can prevent hospital admissions.
Main Methods:
- A case study approach was used.
- Focus on a nurse-led, systematic assessment of an 89-year-old patient.
- Consideration of all domains within Comprehensive Geriatric Assessment.
Main Results:
- Hospital admission was avoided for the patient.
- The patient's overall health outcomes were improved.
- Demonstrated the value of a systematic, nurse-led assessment.
Conclusions:
- Nurse-led Comprehensive Geriatric Assessment is effective for managing complex geriatric cases.
- Systematic application of CGA domains can lead to positive patient outcomes and healthcare resource optimization.
- This case study supports the integration of CGA into routine nursing practice for frail older adults.
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