Perioperative delirium is a major issue - one that will only increase as we do more & more surgery in older people. Teams doing surgery in older people need to examine risk & mitigate this as possible. Also teams doing perioperative care need to assess for delirium before (in

Always, always ask: Why is this person delirious? If they are showing agitation - always check for pain, retention, constipation, thirst, etc. #Delirium #PatientSafety #Geriatrics

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👂 When speaking to a person describing delusional beliefs, listen without dismissing their experiences. Instead of immediately correcting them, say something calm & neutral like: 💚 “That must be very frightening for you.” #delirium

Could Low-Value Diagnostic Tests be Compounding Access Block? A Single-Site, Cross-Sectional Study onlinelibrary.wiley.com/doi/10.1111/17… via vinay gangathimmaiah et al 𒊓𒅂𒁓𒐗𒐕𒐗 Steve the skeptic

..for me, an older woman taking more than 20mg amitriptyline may well have had something bad happen - loss of a child, abuse she doesn’t want to talk about. We need to treat that situation w respect+care. Listen, explain, try to reduce, but sometimes just leave it on the chart.

We have has signed a joint statement with other major UK research funders, committing to better inclusion of older adults in health and care research ✍️ The statement sets out a shared commitment to actively support the inclusion of older adults in research, challenge

1 of 10 key BGS messages on older people's healthcare: Our society is ageing. There are more older people living in the UK than ever before. Life expectancy is increasing, but healthy life expectancy is decreasing. buff.ly/c9pJa6B

2 of 10 key BGS messages on older people's healthcare: Older people are the main users of health and social care services. Despite this, care and support for older people is often disjointed and hard to navigate. buff.ly/By1N3ID

Our national study found that for every one hour with patients, UK resident doctors spend four hours on admin. In The BMJ today, we break down why this isn’t just an inconvenience, it’s a safety risk.  1) Fragmented EHRs → endless copy-paste + re-entering data 2) Trainees

We have produced a report on Hospital at Home services for older people. This report, endorsed by the UK Hospital at Home Society, explains how Hospital at Home services are provided and how they might develop in the future as a key part of community-based healthcare. buff.ly/3ZgRhlo

Words matter BGS (& others) rightly choose to use hospital at home over ‘virtual ward’ with good reason Use of the word ‘virtual’ can imply patients will only receive hands off remote care when we know people with real needs often require care to be delivered fact to face 👇

Emergency Department (ED) staff: screen ALL patients over 65 for delirium. Emergency departments are where it's most missed and most dangerous. Make it as routine as checking blood pressure.

3 of 10 key BGS messages on older people's healthcare: Proactive identification and management of frailty improves outcomes for patients and families, and reduces related health and social care costs. buff.ly/By1N3ID

4 of 10 key BGS messages on older people's healthcare: Most older people are living with two or more long-term conditions. 67% of people aged over 74 have multimorbidity, which means they live with two or more long-term health conditions. buff.ly/By1N3ID

5 of 10 key BGS messages on older people's healthcare: Most deaths occur in later life in people who have dementia, frailty and other long-term health conditions. buff.ly/QStP2AE

This is a key message to nhs managers and ICBs. Older people live with complex needs, multimorbidity, often disability & there is large overlap with frailty as a LTC. To get integrated care & neighbourhood health right, focus on the evidence and key principles within CGA

Good morning everyone. I’m at the #BGSconf this morning talking about delirium. Caught Claire Swarbrick’s excellent talk on the impact of delirium and the results of Snap3. Delirium increases length of stay, mortality and all complications.

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The inability of leaders to delegate is one of the most significant blockers in workforce productivity & in making change happen. So I appreciated this new article by Ro Fernandez that offers a refreshing perspective & practical actions. Teams often don’t see the pressure that their