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Creating a ‘Frail Friendly’ Acute Medical Unit... 'not rocket science'
Creating a ‘Frail Friendly’ Acute Medical Unit (AMU) at George Eliot Hospital NHS Trust …. or what some specialities in Teresa Dowsing's Trust used to call ‘not rocket science’.
Palliative care provisions are not meeting the needs of an ageing population
A commentary published in Age and Ageing, the scientific journal of the BGS, warns despite the fact that frail older people with multiple illnesses and end stage dementia are the most rapidly growing group in need of palliative care current provisions do not meet their needs.
Using population sub-segmentation to promote tailored end of life care in later life
Frailty is an especially problematic long term condition characterised by declining intrinsic capacity to deal with stressor events such as acute illness or physical accidents. When severe it significantly increases personal annual risk of reaching end of life.
We must do more to ensure no-one misses out on rehab
Whenever Professor Karen Middleton sees the Rehab Matters film she knows that the fictional story depicted is playing out in real life in homes across the country. It cuts her deeply, as a physiotherapist, to hear how a lack of access to rehabilitation has changed a life.
Can a National Frailty Education Programme be a driver of culture change in healthcare?
Much has been written about the need for healthcare systems to adapt to meet the growing demands associated with demographic changes and an ageing population worldwide. For this to truly happen, we need a culture change, says Diarmuid O’Shea, Consultant Geriatrician at St Vincent’s University Hospital in Dublin.
Using a frailty index in the Emergency Department
Emergency departments are often the safety net of the health care system where the mission is to rapidly evaluate, intervene and organise care. With ageing populations and the growing presence of older adults in EDs, this mission represents a significant challenge.
Specialist Care Frailty Network – we need your help!
The Acute Frailty Network has been in existence for a few years, with a focus on acute medical care and emergency care. Simon Conroy describes its work: would you be interested in helping out?
Practical palliative care after stroke
Palliative care is an active, holistic approach to enable those facing life-threatening illness ‘to live as well as possible for as long as possible’. The benefit of palliative care for stroke patients is recognised, but guidelines often only briefly mention palliation for those who will not recover.
November 2017 issue of Age and Ageing journal is out now
What's in the November 2017 issue of Age and Ageing, including links to eight articles which can be downloaded and read for free.
Fitter individuals are at the highest risk of death associated with delirium
It's well-recognised that delirium is associated with increased mortality, but less clear whether this is the case across the spectrum of frailty. It might have bimodal outcomes - worse in frailer people, but protective in fitter individuals by highlighting an underlying problem early.
Older people are living longer than before, but are they healthier?
Despite increasing lifespans, there is little evidence that older people today are living healthier than their predecessors did at the same age. This is a major cause of concern for many. Ruby Yu examines the findings of a long term study of frailty and old age in Hong Kong.
Silent compression fractures: a missed opportunity
Osteoporotic fragility fractures are estimated to cost the UK £2 billion a year. This includes the cost of acute hospital stay, rehabilitation and social care. Only a very small proportion of this is invested in pharmacological management and secondary prevention of osteoporosis.
Exercise during periods of decompensation. What is the current evidence?
Hospital-associated deconditioning is high on the agenda across hospitals in the UK and many hospital trusts have jumped on the ‘endPJparalysis’ bandwagon to encourage patients to get up and get moving. So, what is the current evidence behind exercise in the acute care setting?
Smoking linked to frailty in older adults
A recent paper published in Age & Ageing, the scientific journal of the BGS, finds that current smoking in older people increases the risk of developing frailty, though former smokers did not appear to be at higher risk.
The frailty journey so far: where are we heading?
Martin Vernon has some thoughts in advance of the third National Frailty Conference which was held on 28 September 2017 in Leeds.
Why I’m fine with “frailty”
Past President of the BGS, David Oliver responds to - and disagrees with - Steve Parry’s BGS blog, The Frailty Industry: Too Much Too Soon? published here on 2 August 2017.
If frailty is viewed by some as a “commissioning Trojan Horse” this should be admitted
In response to Steve Parry's recent BGS blog: The Frailty Industry: Too Much Too Soon?, Shibley Rahman sets out some of the strengths and weaknesses in the conceptualisation of frailty, pointing out that there is no international consensus definition of frailty.
Old People's Home for Four Year Olds
Zoe Wyrko recounts her experience of working on the experimental Channel 4 programme: Old People's Home for 4 Year Olds, the success of which surprised her, and moved her, sometimes to tears.
The Frailty Industry: Too Much Too Soon?
Steve Parry wonders whether "frailty" has become a potentially destructive fad, with vast amounts of resources being devoted to the creation of frailty related services for our older population in the absence of a sound evidence base, out of a desire to care for this patient group better.
What is this pill called dance?
Debra Quartermaine enthuses about two pilot projects involving weekly dance and movement sessions run on elderly care, stroke rehabilitation and neuro-rehabilitation wards. They enhanced wellbeing and health of older patients through supporting increased movement, more positive moods, and greater socialisation.