The Elderly and the Workhouse
The chronicle of care of older people in Britainstretches back hundreds of years. In those early days, illness would be managed within the family, perhaps with aid from local herbalists. When available, almshouses provided free or subsidised housing for frail elderly.
Overseas-trained South Asian doctors and the development of geriatric medicine
The role of immigrants from the Asian sub-continent in the development of geriatric medicine
Collaborative working with patients and their families
‘Person-centred care’ is a much-used phrase in nursing. According to the Nursing and Midwifery Council (2010), nurses must ‘be responsible and accountable for safe, compassionate, person-centred, evidence-based nursing’.
Clinical guidelines on drugs and prescribing
Clinical guidelines on intravenous fluid therapy in adults in hospital, managing medicines in care homes and medicines optimisation, from the National Institute for Health and Care Excellence (NICE).
Clinical guidelines on urinary incontinence in women
NICE quality standard on the assessment, care and treatment of urinary incontinence in women.
Commissioning services for frailty
Focusing community services on those with frailty can improve quality of care and reduce hospital bed usage. This guide provides advice on the commissioning and management of services for people living with frailty and includes the downloadable report Fit for Frailty Part 2.
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.
Think frailty and delirium - the Scottish approach
Ten per cent of patients admitted to hospital as an emergency stay more than two weeks, using 55 per cent of all hospital bed days, and 80 per cent of that group are aged over 65 years. The average age of a hospital inpatient is over 80.
Clinical guidelines on mental health
Clinical guidelines and tailored resources from NICE on supporting people with dementia, mental wellbeing of older people in care homes and a video illustrating the NICE quality standards for mental wellbeing in care homes.
Training in palliative and end-of-life care: Guidance for trainees (and their trainers) in non-palliative medicine training posts
Physicians practising in general internal medicine (GIM) commonly manage illness in patients who may be in the last phase of their lives. It is therefore an important part of the specialist training programme to manage patient and family involvement.
Frailty means patients with what appear to be straightforward symptoms may be masking a more serious underlying problem. How to recognise frailty in a routine situation, emergency situation, or in an outpatient surgical setting, including a range of established tests you can use.