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.
Evaluation of an Otago Exercise Programme and behaviour change techniques to ensure adherence
In this study, the Otago Exercise Programme is enhanced with behaviour change techniques with a view to improving adherence to home exercise in frail older people
Nursing Perspectives on the Confusion Assessment Method
The Confusion Assessment Method (CAM) is used to detect delirium but its sensitivity is low when used in real-world settings. A study explored reasons for this through a series of focus groups with orthopaedic nurses at two academic hospitals in Hamilton, Canada.
Does pain increase delirium risk in people with dementia during a hospital admission?
Alexandra Feast describes a study which highlights how people with dementia experienced pain for a substantial part of their admission without being able to communicate this pain. It explores the relationship between pain, dementia and delirium.
Mirabegron – useful for frail older people?
Henry Woodford questions the validity of using bladder anticholinergic drugs for frail older people with urinary incontinence. He says it has not been tested in frail older people and may have its own longer-term adverse effects related to adrenergic stimulation.
The BGS and the BAD - some good cross-pollination
The British Association of Dermatologists (the BAD) invites other specialist societies to provide a ‘guest parallel session’ at the BAD annual scientific meeting and the BGS was invited to do this at the July 2018 BAD meeting in Edinburgh.
Low vitamin intake is associated with risk of frailty in older adults
Whereas the effects of protein intake to stave off frailty have been studied, the effects of specific nutrients have not, until now.
Frailty in older people and the stay safe initiative
The website 'Staysafe' has been created to signpost people to the wealth of resources and advice available to help them as they get older – including support on nutrition, exercise and accident prevention.
John's Campaign in Scotland and England
People with dementia are not children but the effect of a hospital stay can be catastrophic for a person with dementia . John's Campaign promotes open visiting hours to enable the family of the person with dementia to minimise the confusion and distress of a hospital stay.
Discussing palliative care for people with dementia living at home and in care homes
Rose Miranda argues that not only researchers, doctors and nurses should be aware of the phenomenon of pain in people with dementia. We need to make the public aware of it too.