Matteo Cesari, MD, PhD is Chargé de Mission at the Gérontopôle of the Centre Hospitalier Universitaire de Toulouse, researcher at the INSERM UMR1027, and Professor at the Université de Toulouse III Paul Sabatier (Toulouse, France). He is Editor-in-Chief of the Journal of Frailty & Aging. Reblogged from the British Geriatrics Society Blog
Our societies are ageing. The number of older people is steadily growing, threatening the sustainability of public services including healthcare. Age-related chronic and disabling conditions not only adversely influence older people’s quality of life, but also represent a burden for public health expenditures. It is a fact that something has to be done in order to prevent the (often irreversible) loss of physical function that occurs with advancing age. If we are to accomplish such an ambitious task, a major revision is needed in our approach to older people and, consequently, in the concept of geriatric medicine. Continue reading →
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 →
Graciela Muniz-Terrera is a Senior Investigator Scientist at the MRC Lifelong Health and Ageing Unit at UCL. Reblogged from the British Geriatrics Society Blog
The terminal decline hypothesis suggests an acceleration of rate of cognitive decline before death, although information about the onset of faster decline is inconsistent and varies by ability examined. The identification of factors that may delay such onset is crucial for policy implementation, as such delay would imply that individuals spend a shorter period of time in the fast declining stages of life. Education is a modifiable risk factor usually considered as a proxy for cognitive reserve that has been shown to be associated with cognitive function and, in a few American studies, has also been shown to be associated with a later onset of pre-clinical dementia. Continue reading →
Professor Pat Schofield leads research around pain, ageing and dementia at the University of Greenwich. She is the Chair of the Pain in Older People SIG at the British Pain Society. She describes the development and initial trial of a new Pain App that is targeted at frail, older patients. This has been re-blogged from the British Geriatrics Society blog
Pain in the older population is a common problem, and can be under-recognised and under-treated. Recent prevalence studies suggest that chronic pain exists in over 50% of community dwelling older adults and this increases to over 80% when we look at those living in long term care. We also know that the incidence of dementia in the UK and the rest of the world is high and set to increase significantly over the next 20 years. Continue reading →