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
Even flocks of starlings can teach us about frailty and resilience
Until recently, frailty has been almost entirely seen through the prism of 'deficits', but there has been growing attention to protective factors, or ‘assets’, and the importance of 'resilience'.
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.
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.
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.
The right intervention, at the right time, in the right place…
How Harrogate District Foundation Trust therapists from the community and in-patient wards are tackling the national bed crisis
Identifying older patients with frailty from routinely collected hospital data
Advances in health care have helped people in developed countries live longer than ever before. This is good news for all of us, but it also presents a challenge to our health systems and a need to rethink the way that we provide healthcare.
Creating a ‘Frail Friendly’ Acute Medical Unit... 'not rocket science'
Creating a ‘Frail Friendly’ Acute Medical Unit (AMU) at George Eliot Hospital NHS Trust …. or what some specialities in Teresa Dowsing's Trust used to call ‘not rocket science’.
Can a National Frailty Education Programme be a driver of culture change in healthcare?
Much has been written about the need for healthcare systems to adapt to meet the growing demands associated with demographic changes and an ageing population worldwide. For this to truly happen, we need a culture change, says Diarmuid O’Shea, Consultant Geriatrician at St Vincent’s University Hospital in Dublin.
Using a frailty index in the Emergency Department
Emergency departments are often the safety net of the health care system where the mission is to rapidly evaluate, intervene and organise care. With ageing populations and the growing presence of older adults in EDs, this mission represents a significant challenge.
Ward rounds – are they safe and effective for patients and doctors?
Geriatricians are, in many hospitals, now responsible for more than 50 per cent of in-patients. A recent article in the BMJ suggests that doctors’ way of working would not be accepted by businesses making decisions with far less impact and suggests that the old concept of the ward round is broken.
Specialist Care Frailty Network – we need your help!
The Acute Frailty Network has been in existence for a few years, with a focus on acute medical care and emergency care. Simon Conroy describes its work: would you be interested in helping out?
Comprehensive Care - NIHR themed review of research into older people with frailty in hospitals
There is a real problem with the huge amount of research being published, much of which is not widely read or put into practice, writes John Gladman. How can we overcome this problem?
The frailty journey so far: where are we heading?
Martin Vernon has some thoughts in advance of the third National Frailty Conference which was held on 28 September 2017 in Leeds.
Rapid assessment and frailty
There is a growing emphasis on older people and emergency hospital admissions, with frailty often used as a wrap-around term for ‘older people’. Older people with multiple complex comorbidities are a growing number of emergency attendances, hospital stays and admissions.
“Frailty is the most problematic expression of population ageing”
One of the greatest challenges posed by an ageing population is the ability of healthcare professionals to understand, recognise and manage vulnerable older adults at increased risk of adverse healthcare outcomes writes Diarmuid O'Shea.