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.
Should all older adults with type 2 diabetes lower their HbA1c level?
A study has found that among people whose HbA1c was greater than or equal to 7.5 at baseline, those who achieved the glycemic target within a year were associated with higher incidence of dementia in 6 years.
Interested in Sarcopenia? Come and join us in Newcastle in June 2020!
Sarcopenia is a hot topic in research and clinical practice for anyone caring for older people. It is common, and is associated with multiple adverse outcomes that we all see in everyday practice including falls, fractures, prolonged hospitalization, loss of independence and earlier death.
How much do we spend on patients at the end of life, across different care settings?
It is a commonly accepted principle that demand for healthcare always outstrips resources, and so in the UK’s publicly funded health system, it is important to look at how and where costs are being incurred to make sure we are making the best use of limited resources.
Is phenotypical prefrailty all the same? Think again!
Over the past decade, many of us have become interested in the science of frailty. Even if we do not agree on how frailty should be measured in research or clinical practice, we all tend to agree that frailty means vulnerability to decompensation after stressors, as a consequence of cumulative decline in many physiological systems during a lifetime.
In praise of inefficiency
I love being a doctor and hospitals have long been something of a comfort zone; predictable, with protocols, and plans, and SOPs. To me, they often feel more controlled than the unpredictable world outside.
‘He would probably want to help people if he could’: making decisions about research on behalf of people living with dementia
The latest NICE guidelines recommend that opportunities to participate in research should be available to people living with dementia at all stages of the condition.
More is less and less is more? Breaking the cycle of polypharmacy with deprescribing
Long-term conditions are diseases that cannot be cured, just controlled with medications. Over our lifetime we accumulate diagnoses, such that many people experience old age as a state of multimorbidity.
NHSE’s Network Contract Directed Enhanced Service Specifications; What are they, and why do they matter?
Over the Christmas/New Year period, NHS England and NHS Improvement held what must have been one of the shortest and unfortunately ill-timed public consultations ever by publishing the Draft Outline Service Specifications for the Network Contract Direct Enhanced Service on 23 December.
Associations of 4AT (Alertness, Abbreviated Mental Test-4, Attention and Acute change or fluctuating course)
Geriatric Medicine Research Collaborative publish results of first round of delirium audit in BMC Medicine
Book review: Essentials of Dementia
Worldwide, there was an estimated 46.8 million individuals living with dementia in 2015, and this number is growing every day. Therefore it is difficult to pursue a career in modern medicine without encountering a person living with dementia.
Audit is Dead - Long Live Audit
We’re all occasionally tempted to consider ourselves immune to the ageing process. I am a consultant of more than 20 years, yet I can’t help but think of myself as a peer to the new consultants and junior staff I work with.
Book review: Using technology in dementia care
Being both a doctor and a massive geek, healthcare technology is an interest of mine. I’ve attended and organised healthcare-related hack days with the focus on making healthcare IT less bad.
One of the great challenges of gerontology is how to capture the immense complexity of later life and its splendid richness. The studies and sciences of ageing have evolved into an ever-wider range of disciplines, from biology through sociology and health care to policy and culture.
General election – how do the main parties’ manifesto commitments stack up against BGS’s priorities?
We’re two weeks out from a snap general election and the major parties have set out their stall in their election manifestos. The BGS, like many other charities, has also published our manifesto, setting out what the incoming Government must prioritise to improve healthcare for older people in England.
Recording patient co-morbidities: where’s the best place to get the information?
Patients’ self-reported information on their health conditions is often used in clinical practice. It may be used for direct patient care, when patients are asked about their current medical conditions when admitted acutely to hospital or if they move to a new general practice.
Elective Evaluation: Juntendo University Hospital, Tokyo
Having now completed my elective at Juntendo University Hospital, Tokyo, I have had some time to reflect on what I learned under the guidance of Professor Fujiwara in the Rehabilitation Medicine Department.