Quality care for older people with urgent and emergency care needs - the 'Silver Book' - is a review of the problems older people encounter when they need emergency medical care. It shows how emergency admissions can be reduced and the experience of those admitted improved.
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.
The aim of this project was to provide high quality evidence on delivering hospital-wide Comprehensive Geriatric Assessment (CGA). Comprehensive Geriatric Assessment (CGA) improves outcomes for frail older people, particularly on specialised wards.
This curriculum is based on the specialty training curriculum for geriatric medicine, formulated in August 2010 (amended in 2016).
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?
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.
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.
Recognising that better conversations lead to better decisions, in 2012 the American Board of Internal Medicine developed an international programme - ‘Choosing Wisely’ - specifically to encourage the dialogue between patients and providers.
Jugdeep Dhesi is Chair of the BGS Perioperative Care of Older People Ungergoing Surgery SIG (POPS) outlines what will be discussed at the BGS Autumn Meeting on 24 November 2016.
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