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.
Continence Care in Residential and Nursing Homes
Many of the residents are likely to have some degree of urinary incontinence or dysfunction. Urinary incontinence in this setting should not be viewed as inevitable. With good management it may be preventable. Incontinence is a symptom of underlying problems.
Doreen Norton - How one nurse helped to stop killer bedsores
“Moving a patient relieves bedsores:” it sounds obvious today, but it took the work of an innovative nurse in the 1950s working with a group of elderly patients to realise it. Bedsores, or pressure ulcers are lesions caused by a number of factors including unrelieved pressure.
Is research for me?
What to consider when thinking about doing research, including a personal perspective from a new researcher. The key decisions you'll have to make, and the benefits: to you, and to medical science.
A Map of UK research centres which we hope will enable prospective researchers to find centres offering projects in their areas of interest.
Care of the elderly in hospital/community: the Hospital/Health Advisory Services
“There is no doubt that the occasional scandal does an enormous amount for a social service.”
Sir Keith Joseph in the House of Commons 12/7/1971
Dr Eileen Burns looks at how Comprehensive Geriatric Assessment, better communication and palliative care principles can improve the quality of end of life care for older people, and asks: what constitutes a good death?
Parkinson's Disease is one of the commonest neurological conditions to affect older people. It is a frequent cause of falls, fractures, and hospital admission. As such, it is a costly disease, especially in the later stages.
Vaccination programmes in Older People
Infectious diseases account for a significant proportion of hospital admissions and deaths in the elderly. Unfortunately the immunological response to vaccines in older individuals is less than that in younger adults. We assess best practice in immunisation programmes among older people.
Mental Capacity and Deprivation of Liberty
Deprivation of Liberty Safeguards are protections for adults who lack mental capacity to consent to, say, admission to hospital or a care home for treatment or care. Caroline Cooke and Premila Fade assess why they are being reviewed and the Law Commission's proposals.
Dysphagia Management for Older People
Older patients frequently have dysphagia resulting from acute or chronic illnesses. Dysphagia management requires a collaborative approach because of the complexities of older patients' needs, and geriatricians have an important role to play in overseeing this condition.