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General hospitals are designed to deliver safe, effective and often highly technological care. For people with dementia, however, these unfamiliar clinical environments can be frightening, disorientating and a threat to independence and wellbeing.

This issue includes a report from the BGS Spring Meeting 2018 and covers the geriatric '5 Ms' and hydrocephalus.

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.

Despite significant advances in diagnosis and management, coronary artery disease remains a significant worldwide cause of morbidity and mortality, particularly in older adults, with a steep increase in mortality in those aged ≥70 years old.

Ignoring older patients’ potential for personal growth could be a form of ageism, according to Prof John Gladman. “People can still have personal growth independent of the negatives of physical decline and social loss and we should be asking ourselves how we can encourage that.