1. Team-working, Training and Education Rob Morris Pathway Lead Clinician for Older People

2. Agenda Mountain Goats and Garden Goats The Problem(s) Team working and CGA Blended Learning Generic Skills for the Care of Older People

3. Mountain Goats Garden Goats

4. An Ageing population Source: ONS

5. In elderly patients needing urgent surgery careful attention should be given to improving fluid status, reducing unnecessary drug treatment and anticipating nutritional support. Elderly patients undergoing surgery need access to routine daily clinical review from specialists in elderly care. Delays in surgery, which lead to poor outcome, should be subject to rigorous audit and rectified. Pain and its management should have a high priority to avoid patient suffering. The Problem NCEPOD - Key recommendations November 2010

6. CGA is a Health Technology: “a multi-dimensional, interdisciplinary, diagnostic process to determine the medical, psychological and functional capabilities of a frail older person in order to develop a co-ordinated and integrated plan for treatment and long term follow up” Medical EnvironmentMental Health Social Circumstances Functional Capacity Comprehensive Geriatric Assessment – CGA A Team Sport

7. Generic skills training programme for surgical staff caring for older people Ward-based Team Learning Medics Nurses Occupational Therapists Physiotherapists Two Wards Cardiac Surgery Orthopaedic Surgery Blended Learning

14. Blended Generic Skills Course for Caring for Older Adult Inpatients Workbook 2 Comprehensive Geriatric Assessment Course Materials

15. Pre-Course TestPost-Course Test Average Mark %64.8071.11 Objective Testing

16. CGA Audit

17. Thoughts to take away Seek out your own mountain goats Be prepared to innovate Nurture and invest in your team

18. Acknowledgements eLearning Project Group Holly Blake Adrian Blundell Simon Conroy John Gladman Adam Gordon Jeanette Lilley Jean Patterson Health Education East Midlands University of Nottingham

19. CAL PackageFormatLengthHyperlink CAL Packages 1 International Classification of Function Disability and Health On-Line30 http://unow.nottingham.ac.uk/resources/resource.a spx?hid=9e3d2231-d5fb-0905-4789- 43f311d4e980# Population AgeingOn-Line40http://www.nottingham.ac.uk/toolkits/play_8632 CAL Packages 2 DeliriumOn-Line40http://www.nottingham.ac.uk/toolkits/play_8664 PrescribingOn-Line40http://www.nottingham.ac.uk/toolkits/play_8772 CAL Packages 3 FallsOn-Line45http://www.nottingham.ac.uk/toolkits/play_8633 Continence IOn-Line20http://www.nottingham.ac.uk/toolkits/play_8611 Continence IIOn-Line30http://www.nottingham.ac.uk/toolkits/play_8616 Continence IIIOn-Line35http://www.nottingham.ac.uk/toolkits/play_8617 CAL Packages 4 Dementia IOn-Line45http://www.nottingham.ac.uk/toolkits/play_8686 Dementia IIOn-Line60http://www.nottingham.ac.uk/toolkits/play_8694 Dementia IIIOn-Line40http://www.nottingham.ac.uk/toolkits/play_8699 Dementia IVOn-Line30http://www.nottingham.ac.uk/toolkits/play_8771 Supplementary CAL Packages Physical Activity IOn-Line20http://www.nottingham.ac.uk/toolkits/play_8647 Physical Activity IIOn-Line20http://www.nottingham.ac.uk/toolkits/play_8648