Geriatrics Pathways

Structured multidimensional assessment of older adults for hospital and outpatient settings

4AT screening, non-pharmacological management, and pharmacological treatment of delirium

CFS frailty scoring, frailty syndromes, and targeted intervention planning

STOPP/START criteria application and structured medication review for older adults

NICE NG161 — multifactorial assessment, address modifiable risks, exercise + environment + medication review.

NOGG / NICE — assess fracture risk (FRAX/QFracture), DEXA, bone-protective therapy, calcium + vitamin D.

NICE CG124 + BPT — early surgery <36h, multidisciplinary, fascia iliaca block, pre-op optimisation, bone protection.

NICE NG97 — recognise terminal phase, comfort care, manage BPSD, advance care planning, family support.

NICE NG142 — recognise dying, anticipatory medications, hydration, family support, after-death care.

Common + debilitating; identify cause, hydration + diet + mobility, laxatives stepwise.

NICE NG123 — distinguish stress / urge / mixed / overflow, conservative + pharmacological + surgical.

NICE CG179 — risk assessment, repositioning, pressure-relieving devices, dressings by stage.

NICE NG236 — multidisciplinary rehab, early mobilisation, goal-setting, secondary prevention.

EWGSOP-2 — assess muscle strength + mass + function, address protein intake, resistance exercise, treat cause.

MCA 2005 — 5 statutory principles, functional + diagnostic test, decision-specific + time-specific.

Personalised emergency care plans — patient values, treatments wanted/not wanted, CPR decision, communication across services.