Naming frailty but not grading it risks ageism. Frailty is heterogeneous; lumping people living with mild frailty and those with severe frailty (and enacting policies for "the frail") fails on its face. The goal is not rationing, but reducing risk that accords with preferences.

For every RT of this post, Ubisoft UK will donate £1 to Alzheimer's Research UK, up to £30k! Sharing my fav dance pic with Pash to support Alzheimer's Research UK & celebrate 10 years of Just Dance. Let’s help them protect memories dancing creates 💕💃🏼🕺🏼🧠🍊 #JustDanceMemories #Strictly

Older patients often prefer other outcomes than survival... need to discuss this at multidisciplinary meetings!! #SIOG19 #gerionc Enrique Soto

1/9 Was asked good questions re: the Clinical Frailty Scale, so this Tweetorial. Case 1: 84 year old woman; hypertensive, hypothyroid (meds for each) IADLs OK. Walks 5-7 km/day + 15km/week to visit her sister. "Would you still classify her as CFS =3 due to her chronic diseases?"

The ONLY way more functionally dependent people get home is if home care is available. Increase ‘capacity’ yes, but NOT in the hospital.

“Treating each disease in a patient as if it exists in isolation will lead to less good outcomes and complicate and duplicate interactions with the healthcare system” bmj.com/content/368/bm…

Delirium: highly prevalent, under-recognised in frail patients and associated with increased mortality and LoS

Glad to endorse the #ClinicalFrailtyScale in triage. For some training, here's a great module. bit.ly/2ocyAgD Please don't find it churlish; distinct from getting my name on things is that we move forward in naming and staging frailty. Good luck! Please keep me posted.

Some good advice for us to get this going locally @FRAILTYatMEHT

Great question. Used in acute care the CFS is meant to describe the patient’s state two weeks before they became ill. A defined baseline facilitates care planning: is recovery to that state likely? How navigable is return home if baseline achieved? How does carer feel about it?

Phew...

they're playing in the empty toilet paper aisle i'm scREAMING credit to BonnieViolinQueen #ShipsGoingDown #RMSToiletPaper #covid19

I rate this tweet as outstanding 🤣

Top Tips to help you use the Clinical Frailty Scale: take a look, are you using the CFS correctly? Download PDF at lindadykes.org/frailty It's been an amazing privilege to work with the Geriatric Medicine Research (GMR) team on this - thank you Kenneth Rockwood Sherri & Olga Theou! Pls RT! #FOAMed

Tool published in Financial Times on 12 April to provide a triage score for escalation of patients with #COVID19 to intensive care is NOT endorsed or supported by the BGS. Treatment decisions in intensive care should be made on individualised basis, regardless of age bgs.org.uk/policy-and-med…

Sir Alan Sugar as an OSCE examiner: a thread

This puts a smile on my face on the daily commute 🌈

This new poster created by laramitchell covers atypical presentation of #COVID19 in older people, as well as some useful considerations and advice for specialists and non-specialists alike. View and download it here: bgs.org.uk/resources/covi…

Older patients undergoing emergency laparotomy: “Post-operative geriatrician review was associated with reduced mortality” academic.oup.com/ageing/advance…

BGS has launched a free-to-access #FrailtyHub and #Frailty e-Learning module creating a ‘one-stop shop’ where health professionals can view the latest information, research and educational resources addressing this crucial area of older people’s healthcare bgs.org.uk/policy-and-med…