The BGS blog aims to presents issues relevant to people working to improve the health and care of older people. It will highlight the latest news and activities from across all the BGS campaigns, events, publications and activities as well as original articles commissioned by leaders in geriatric medicine.
We have an exciting range of guest bloggers and welcome news and commentary on geriatric medicine from all those working in the field of geriatric medicine. Read our guidelines on submitting a blog for more details.
All content is moderated by the blog editor. Opinions expressed are those of the author(s) and not necessarily the British Geriatrics Society
Autumn Speakers Series: “Interface medicine”
“Interface medicine” has a number of definitions in different contexts—it seemed an appropriate title to describe primary care-trained doctors working in community or hospital settings whose aim is to maximise quality of life for older frail patients using skills and knowledge from both general practice and geriatric medicine.
Reflections of an Editor
The learning opportunities that the editor’s role has afforded have been quite phenomenal. When you get to see over 1000 articles per annum you are pushed into thinking about all aspects of the speciality and clinical research methods
Are you really as old as your arteries?
In recent years, the architecture and actions of arteries have gained increasing importance in understanding the cardiovascular system, with arterial stiffness emerging as a robust, non-invasive technique for assessing cardiovascular risk
Tribalism Kills; The Journey Towards Genuine Integration
Tribalism does not work. We exist in a world where the cost of care for older people living with frailty, multi-morbidity, and dementia is threatening the very existence of our NHS.
Cardiovascular risk factors and frailty in a cross-sectional study of older people
Screening older people to identify frailty could include opportunities to review lifestyle advice and medication to optimise levels of Cardiovascular risk factors for prevention of disability and death in frail older people.
The link between pain and frailty revealed: it’s time to move towards more effective pain management in older people
The presence of pain may contribute to and/or accelerate the process of frailty in older adults through the following mechanisms: reduction of mobility and physical activity, depression, social isolation and reduction of nutritional intake. These changes could leave older adults more vulnerable and less able to effectively adapt to physiologic stressors.
Managing Frailty and Delayed Transfers of Care in the Acute Setting: A call to get involved!
This project provides a unique data set on the pathway of frail older people through secondary care, from assessment in A&E, assessment units, inpatient wards and supported discharge. The project gives insight into why this cohort of patients appear to be more prone to delayed transfers of care. The BGS has also worked with the NHS Benchmarking Network to develop a short service user audit which will be included in the project.
Department of Facebook Cats
Now that the vote on the name of our Society has been concluded – and regardless of the result this was the most successful exercise in participatory democracy the Society has ever carried out – I would like to suggest another way of looking at the issue.
10 days in a hospital bed leads to 10 years’ worth of lost muscle mass in people over age 80
I have lost count of the number of times I have quoted this fact, I use it when teaching on frailty, and I have used it when assessing people in the emergency department to explain the risks of hospital induced deconditioning. I regularly hear other Geriatricians use this fact. It is emblazoned across much of the #EndPJParalysismaterial, and is quoted (unreferenced) on the NHS improvement website.
Improving Continence Care for Older People
1 in 3 women and 1 in 7 men over the age of 65 experience urinary incontinence. It is a significant problem associated with falls, fractures, social isolation, depression, urinary tract infections and moisture lesions. Faecal incontinence affects up to 10% of the population, although its prevalence is much higher in older people, nursing home residents (up to 60%), patients with cognitive impairment and neurological conditions.
Yoga-based exercise can improve well-being for older people
Yoga-based exercise offers a safe and accessible way to improve health-related quality of life and mental well-being for people over 60. Evidence for a moderate benefit of yoga in later life now extends beyond improved balance and flexibility.
How to … be a jolly good fellow
Taking a step off the conveyer belt of medical training can be a daunting move for trainees, who have become accustomed to the continued encouragement for career progression. It’s a choice that is not actively encouraged, but does allow(s) space to refocus through dedicated time doing a different kind of work.
Forging international links, sharing ideas and developing friendships
Over the course of five days we worked together under the supervision of our Brazilian and UK mentors to share ideas, learn from each other and work on developing new collaborative research projects.
Are we really representing the BGS?
The Hospital to Home (H2H) Programme is one of six programmes within the UEC Delivery Programme, led and governed by NHS England and NHS Improvement.
The Paper Boat
One strategy that I have found useful over the years, especially when talking to relatives of the patients under my care, is to paint a picture that they can relate to by using a simple analogy.
How should healthcare services to care homes be configured
The UK care home sector, with 425,000 beds, is just over three times the size of the acute hospital sector. It is home to some of the oldest and most vulnerable members of UK society.
Autumn Speakers Series: The boundary between health and social care
Care home residents in the UK receive their healthcare predominantly through the National Health Service. Or at least that’s how it looks on paper.
Living and Working as a geriatrician in Wales
Why train, work and live in Wales and why do Geriatric medicine here? It isn’t an easy decision to choose a specialty or move to a different part of the country.
Older people are not only living longer
Despite the rapid gain in life expectancy in the last century, it is not clear if the added years consist of healthy years or years lived in poor health and disability.