Table 2 Comprehensive geriatric assessment at the Department of Geriatrics

Dimensions assessed

Somatic health – concurrent injuries or medical conditions, drug regimen, pain, falls, osteoporosis

Mental health - cognition, depression, anxiety

Function - ADL, IADL, mobility, sensory loss, elimination

Social situation - place of residence, network, caregiver burden

Interdisciplinary team work

Dedicated responsibilities

Interdisciplinary team meetings

1^st day postoperatively: plan for individual treatment, goal setting, discharge planning,

4^th day postoperatively: evaluation, discharge planning

Systematic approach

Checklists

Treatment protocols

Assessment scales (Barthel Index, Cumulated Ambulation

Score: Confusion Assessment Method, Verbal Rating Scale)

Mobilization/Rehabilitation

Mobilization out of bed 1^st day postoperatively

Individualised plan for mobilization and participation in ADL being integrated in care plans and ward activities

Discharge planning

Collaboration with patient, caregivers and municipality

Mapping of pre-fracture function, place of residence and social situation

Discuss discharge destination 1^st day postoperatively

Set realistic short- and long-term goals

Organize institutional care, aids, assistance, physiotherapy when appropriate