More older people are undergoing surgery, but postoperative outcomes are worse than for younger patients. This case study looks at the Proactive Care of Older People undergoing Surgery (POPS) team at Guy's and St Thomas's.
Definitions of a disease typically revolve around finding a pathological process in a part of the body that produces an identifiable combination of symptoms and signs. Which parts of this are true for NPH?
Delirium is categorised by a sudden onset of fluctuating altered consciousness with changes to perception and cognitive function.
The rate of older people undergoing surgical procedures is increasing faster than the rate of population ageing . Despite this progress, older surgical patients remain at increased risk.
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.
It starts with a dream – in each case, someone thinking that we need to do something to provide better care for older people undergoing surgery. I recently had the fortune of doing clinical observerships and experiencing what perioperative geriatrics is like in three different places.
Unsurprisingly many of us have more medical needs as we get older. While some people manage to stay remarkably fit, for others it is getting more difficult to get around town or worse across country.
Geriatricians talk a lot about post-operative delirium. It is common after surgeries, especially in people with a lot of risk factors (or we could say, especially in the presence of frailty), and even with recovery it makes for a bad experience.
Jenny Neuburger discusses her research paper, published Age and Ageing, showing that geriatrician involvement in hip fracture care can improve patient outcomes. Patients treated on wards with higher numbers of geriatrician hours tended to have lower mortality within the 30 days after presentation.
The conference will cover the latest scientific research and the best clinical practice in healthcare of older people. Our ageing population is stimulating extensive NHS service redesign to deal with the challenge of caring for larger numbers of older people both in and out of hospitals.
The BGS Autumn meeting will cover the latest scientific research and the best clinical practice in careof older people. Our ageing population is stimulating extensive NHS service redesign to deal with the challenge of caring for larger numbers of older people both in and out of hospitals.
6th annual Wessex CRN ageing research meeting and regional BGS
Topics covered include