Geriatric medicine is a speciality that has historically relied on team working to best serve
patients. The nature of frailty in older people means that people present with numerous …

In this paper, we outline the relationship between the need to put existing applied health
research knowledge into practice (the 'know-do gap') and the need to improve the evidence …

Background Studies investigating outcomes of delirium using large-scale routine data are
rare. We performed a two-centre study using the 4 'A's Test (4AT) delirium detection tool to …

Background 'Frailty crises' are a common cause of hospital admission among older people
and there is significant focus on admission avoidance. However, identifying frailty before a …

The OPTIMAL study argued that it is probable that there are key activities within different
models of health-care provision that are important for residents' health care. Objectives: To …

Research Design in Aging and Social Gerontology provides a review of methodological
approaches and data-collection methods commonly used with older adults in real-life …

Background: To maintain good standards of care, evaluations of policy interventions or
potential improvements to care are required. A number of quality of life (QoL) measures …

ABSTRACT The Royal College of Physicians and its Future Hospitals Commission has a
renewed focus on general internal medicine. But in 2015, most is in effect either acute …

Background In older people, chronicity is associated with delirium, which in turn increases
the risk of developing poor clinical outcomes like nursing home admission and death. The …

Background Despite recent focus on improving health care in care homes, it is unclear what
role general practitioners (GPs) should play. To provide evidence for future practice we set …