R Lisk, K Yeong, A Nasim, B Mandal, R Nari, Z Dhakam presented their research at the Autumn conference of the British Geriatrics Society. Reblogged from the British Geriatrics Society blog
Residents of Care Homes with Nursing tend to be frail, have multiple diagnoses and high levels of dependency. This results in complex care needs. Many experience multiple admissions to hospital, often with long lengths of stay.
This initiative was aimed at reducing the number of emergency admissions to our Trust from local Care Homes with Nursing, by working in partnership with staff in the homes and local GPs. The aim was to help provide more bespoke care for this vulnerable patient group, keeping them out of hospital whenever it was possible and appropriate to do so. The project was also part of a Trust-wide response to the new emergency admission cap introduced through the National Operating Framework 2010/11. Continue reading →
Professor Tom Downes is consultant geriatrician and has expertise in the design of acute interface geriatric care. He is the Clinical Lead for Quality Improvement at Sheffield Teaching Hospitals. Saira Ghafur is a Quality Improvement and Leadership Fellow and Respiratory Registrar at Sheffield Teaching Hospitals NHS Foundation Trust. Reblogged from the British Geriatrics Society blog.
‘Something as mundane as a checklist can be a powerful tool for simplifying the complexity of the world and, in the context of medical procedures, save lives’ Atul Gawande 2010
International studies have indicated that approximately 10% of all patients who are admitted to hospital suffer some form of adverse event (AE)- defined as an unintended harm to a patient resulting in injury, death or a prolonged admission. Older people are more likely to suffer AEs and the consequences of these are often more severe in frail, older patients. Continue reading →
Chief Executive of Airedale NHS Foundation Trust; Bridget Fletcher discusses how this Yorkshire Hospital is delivering unique, new and bespoke video consultation services to support patients in their own home and preventing unnecessary admissions to ED and inpatient beds. Reblogged from the British Geriatrics Society blog
Overburdened A&E departments and hospital wards full to capacity are almost daily news items currently. It is likely that the individual human stories behind those news items involve very many people over the age of 65 living with one or more long term conditions. In fact statisticians tell us around 70% of our NHS resources in general are spent caring for patients living with long term conditions, much of which is re-active care rather than proactive. Continue reading →
Prof Margda Waern, psychiatrist and professor at the Sahlgrenska Academy, University of Gothenburg. This has been re-blogged from the British Geriatrics Society blog
Health benefits related to mild to moderate alcohol consumption include better cardiac and cerebrovascular health, decreased risk of dementia and improved quality of life. This might help to explain why we are nowadays less likely to discontinue drinking as we age. There may, however, be a down side. Over-consumption of alcohol can increase risk of cognitive impairment, self-neglect and falls. Considering this, it is surprising that we know so little about the extent to which older people engage in potentially harmful drinking.
I was part of a group of researchers at the University of Gothenburg in Sweden who set out to study at-risk alcohol consumption in older people. We did this using data from two long-running surveys on health and ageing: theH70 study and the Prospective Population Study of Women. We compared at-risk drinking in two groups of 75-year-olds: 303 persons born in 1901, and 753 born three decades later in 1930. Participants were asked about their intake of beer, wine and spirits; at-risk drinking was defined as ≥ 100g/week (corresponding roughly to more than 2 drinks/day). We found at-risk drinking in 19% of men who took part in the mid-seventies study, compared with 27% of those who participated in 2005. There was a tenfold increase in at-risk drinking in women, from 0.6 % in 1976 to 10% in 2005.
We concluded that alcohol consumption has changed markedly in 75 year olds, especially in women. It is important to note that the study was set in Scandinavia, where gender differences may be less pronounced than in other parts of Europe. Studies are needed in varied settings in order to evaluate the health implications of changing trends in alcohol consumption in later life.
Anne Ekdahl is a geriatrician at the Vrinnevihospital in Sweden and the president of the Swedish Association of Geriatric Medicine.
As in many other countries in Europe it is not always easy to be a geriatrician. I came back from the EUGMS 2013 Congress in Venice full of power, spirit and pride in being a geriatrician: and then it was suddenly back to reality. Continue reading →