Physiotherapy contributions to Comprehensive Geriatric Assessment

  • Research type

    Research Study

  • Full title

    What are the skills, expertise and assessment tools physiotherapists use when assessing frail older people as part of a model of care called Comprehensive Geriatric Assessment?

  • IRAS ID

    151957

  • Contact name

    Wendy Walker

  • Contact email

    wendy.walker@nottingham.ac.uk

  • Sponsor organisation

    University of Nottingham

  • Research summary

    The aim of this qualitative study is to establish what skills, expertise and tools are used by physiotherapists when delivering the physiotherapy component of ’Comprehensive Geriatric Assessment’ (CGA). CGA is a model of care employed by a team of clinicians, normally a consultant geriatrician, nurse, physiotherapist and occupational therapist, to assess, identify and manage health and social needs of older patients. Frail older patients account for the majority of emergency and planned admissions to hospitals across the developed world. CGA is widely accepted as the gold standard of care and has been researched in acute pathways. However the research to date has not consistently described what individual clinicians, or healthcare disciplines, contribute to the process. The aim of this study is to understand and describe physiotherapy contributions to CGA in sufficient detail to enable clinicians to consistently deliver high quality care and for CGA to be researched in novel settings. It is anticipated that this will lead to improved outcomes for patients, more efficient allocation of resources and training and for services to be responsive to patient needs.
    Three senior physiotherapists will be observed, each carrying out two clinical assessments on older patients within inpatient and outpatient areas of Nottingham University Hospitals NHS Trust. This will be followed by semi-structured interviews with the physiotherapists to develop a further understanding into why they chose the techniques and assessments employed and what they see as their broader role within CGA.

  • REC name

    South Central - Oxford C Research Ethics Committee

  • REC reference

    14/SC/0273

  • Date of REC Opinion

    6 May 2014

  • REC opinion

    Favourable Opinion