Geriatrics Pathways

16 pathways

Work through 16 interactive geriatrics decision pathways — branching, guideline-grounded workflows that take you from presentation to assessment, risk stratification and management. Each pathway cites its source (NICE, ESC, AHA and specialty guidance), embeds the relevant calculators, and makes escalation and safety-netting explicit. For decision support only — apply clinical judgement and local protocols.

Comprehensive Geriatric Assessment (CGA)

Structured multidimensional assessment of older adults for hospital and outpatient settings

BGS / NICE
Delirium Assessment and Management

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

NICE CG103 2010
Frailty Recognition and Management

CFS frailty scoring, frailty syndromes, and targeted intervention planning

BGS Frailty Framework / NHS NHSE
Polypharmacy and Medicines Optimisation

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

STOPP/START v2 2014 / NICE NG5
Falls Assessment in Older Adults

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

NICE NG161; BGS Falls Toolkit
Osteoporosis / Fragility Fracture

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

NOGG 2021; NICE NG147; NG224
Hip Fracture Pathway

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

NICE CG124; BPT
Advanced Dementia Care

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

NICE NG97 (2018)
End-of-Life Care Planning

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

NICE NG142 (2019)
Constipation in Older Adults

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

NICE CKS Constipation; BGS
Continence Assessment

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

NICE NG123 (2019)
Pressure Ulcer Prevention + Treatment

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

NICE CG179 (2014, updated)
Stroke Rehabilitation

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

NICE NG236 (2023); RCP Stroke Guidelines
Sarcopenia / Nutritional Decline

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

EWGSOP-2 (2019)
Capacity Assessment (Mental Capacity Act)

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

MCA 2005; Code of Practice
ReSPECT / Advance Care Planning

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

ReSPECT (RCP); NICE NG142