Clinical guidelines on delirium and loss of consciousness
Delirium can be confused with dementia but is potentially reversible if the causes are identified. Transient loss of consciousness, or blackouts, are very common, but diagnosis of cause is often inaccurate. NICE quality standards on each of these conditions.
Geriatricians in Medicine
Geriatrics is the largest specialty doing general medicine and providing acute medical care of patients admitted as emergencies. As general physicians, they share with other specialists in Acute/General Medicine the provision of the first 24-48 hours of emergency medical care of all adults.
Making Health and Care Systems fit for an Ageing Population
A seminal King's Fund Report in which David Oliver et. al. describes the steps required to make health and care systems fit for their core patient group - namely older people.
Physician assisted suicide
Assisted suicide is undoubtedly a controversial issue, with strongly held views on both sides of the argument. Premilla Fade sets out the British Geriatrics Society's position on this issue.
What is mental capacity? What do we really mean when we ask if a patient has (or lacks) capacity? Capacity often depends on context. The ethical conundrum of mental capacity unravelled.
Hospital Wide Comprehensive Geriatric Assessment (HoW CGA) - History of the project
The aim of the Hospital Wide Comprehensive Geriatric Assessment (HoW CGA) project was to inform NHS managers, clinicians, patients and the public about how best to organise hospital services for frail older people.
Occupational Therapy: putting prevention at the heart of care
In its report Living Not Existing: Putting Prevention at the Heart of Care for Older People, the Royal College of Occupational Therapists seeks to show how doing the right thing for individuals can actually reduce their need for expensive care long-term.
Dignity - supporting toilet access and use in frail older people
The aim of the "Behind Closed Doors" campaign is to raise awareness that people, whatever their age and physical ability, should be able to choose to use the toilet in private in all care settings.
What you should expect from your NHS bladder and bowel service
The Royal College of Physicians published audit findings about the services and quality of care of people with bladder and bowel incontinence in England, Wales and Northern Ireland. The audit was commissioned by the Healthcare Quality and Improvement Partnership.
I often suspect that an older person is depressed, but I cannot persuade colleagues to consider this diagnosis.
Nurses frequently complain to me that when they think an older patient might have depression they have difficulty in convincing colleagues to take action. This could be because of the under-recognition of depression in old age, and also the way in which nurses articulate their concerns.
Productive practice in health care
Productive working is often associated with manufacturing, where being productive results in producing items. Many of the techniques that can be used to assess and improve productivity originated in the car manufacturing industry.