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Identifying older patients with frailty from routinely collected hospital data
Advances in health care have helped people in developed countries live longer than ever before. This is good news for all of us, but it also presents a challenge to our health systems and a need to rethink the way that we provide healthcare.
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.
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.
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.
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.
Frailty among older persons living with HIV: a new burden for their clinical care
Ever since the 80’s, prevention, early diagnosis, and treatment of human immunodeficiency virus (HIV) infection has captured the attention of the scientific community. Highly active antiretroviral therapy (HAART) radically modified the paradigm of living with HIV by prolonging survival.
What is geriatric rehabilitation? Towards a unifying concept
Although geriatric rehabilitation in most countries is considered to belong to the core tasks of geriatricians, there is no consensus about definition and target groups of patients.
Framing the narrative of frailty differently will help promote wellbeing
It’s great that frailty as a ‘brand’ is getting so much publicity, but is it all the right kind of publicity? asks Shibley Rahman.
Heatwave! Acting on the weather forecast to reduce morbidity in frail older people
Duncan Forsyth noticed that staffing levels in hospital were often inadequate to ensure hydration of his patients during a heat-wave and that admissions due to acute kidney injury were especially prevalent in care home residents. He advocates incorporating weather forecasts in the risk stratification for frail older people .
Identifying frailty in hospital
Kenneth Rockwood looks at screening for frailty considers for a moment why anyone might object to screening for baseline frailty in patients who presented to A&E.
Sarcopenia: a key driver of physical frailty
The BGS Autumn Meeting 2016 saw the launch of the BGS Special Interest Group: the Frailty and Sarcopenia Research SIG. The inaugural session, held in the main auditorium in Glasgow’s SECC was attended by several hundred delegates, and so far, over 100 members have signed up on-line to be part of the new SIG. So why do we need this SIG, and what do we hope it will achieve?
It’s not how old you are that matters, but how you are old...
The NHS England Five Year Forward View notes that support for frail older patients is one of three areas where the NHS faces particular challenges. So it's potentially game-changing to make positive steps towards addressing this through routine frailty identification and promoting interventions on falls risk identification and medication review.