Hip fracture management - plenty of guidelines, not enough evidence
Roger Jay argues that there is a plethora of guidelines governing hip fracture, but very little evidence. He contrasts this with stroke where evidence has been the focus, to good effect. Stroke has led the way - we need evidence for managing the hip fracture patient.
Clarification of training requirements for higher specialist trainees in Geriatric Medicine in Orthogeriatrics
This curriculum is based on the specialty training curriculum for geriatric medicine, formulated in August 2010 (amended in 2016).
Normal pressure hydrocephalus: treatment seeks disease
Definitions of a disease typically revolve around finding a pathological process in a part of the body that produces an identifiable combination of symptoms and signs. Which parts of this are true for NPH?
How do I improve delirium care for older surgical patients?
Delirium is categorised by a sudden onset of fluctuating altered consciousness with changes to perception and cognitive function.
Peri-operative Care for Older Patients Undergoing Surgery
The rate of older people undergoing surgical procedures is increasing faster than the rate of population ageing . Despite this progress, older surgical patients remain at increased risk.
Proactive care of older people undergoing surgery
More older people are undergoing surgery, but postoperative outcomes are worse than for younger patients. This case study looks at the Proactive Care of Older People undergoing Surgery (POPS) team at Guy's and St Thomas's.
Care of patients with fragility fracture (Blue Book)
Fracture services often fail to respond to the true complexity of their older patients’ needs. The Care of Patients with Fragility Fracture (the 'Blue Book', available as a download) sets out best practice in the care and prevention of fragility fractures.