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The strong link between #delirium & mortality is not prominent enough in the minds of most acute care staff In this study a positive delirium test (4AT) predicted nearly 50% MORTALITY AT ONE YEAR

Investigation of suspected urinary tract infection in older people bmj.com/content/349/bm… via Sean Ninan et al

Oof. What is the meaning of life? 15 possible answers – from a palliative care doctor, a Holocaust survivor, a jail inmate and more theguardian.com/books/2025/mar…

nytimes.com/2025/03/19/mag… via @NYTimes

Alasdair MacLullich Sean Ninan I train medics, qualified Nurses and Health Care Assistants to use 4AT, arguably HCAs being the most appropriate staff group to use it. They are the often the first to answer the big question "are they different today?" as the Staff Group spending the most time with the patient

Alasdair MacLullich Sean Ninan I could definitely do a 4AT and suspect my brother would have no issue. IMHO it’s pretty prescriptive in telling you what to do to test the sections and what counts at points

🏥 It's important to assess for both #frailty & #delirium at the front door. 📕 Study: Clinical Frailty Scale (CFS) & 4AT have complementary value in predicting hospital admission in older #ED patients #CFS #4AT

Pubmed's first #delirium paper: 'History of a Case of Cynanche, Attended with Symptoms of a High Degree of Putrescency, Where a Favourable Crisis Succeeded a Paroxysm of Furious Delirium' Ann Med (Edinburgh), 1796

🧠😟 Research in #delirium is ⬆️⬆️⬆️, but globally most people with delirium: 🔶 Are not diagnosed 🔶 Receive no/incomplete treatment 🔶 Do not have preventive measures applied ➡️ We need to do much better

Congratulations Sean Ninan and the whole LeedsFrailtyEducation team! What an achievement. Looking forward to the next 1,000!

😷🛌 #Delirium diagnosis in the patient who is too sleepy to speak ⫸ Observations & tips for practice

Another great course last month. We’ve now had more than 1000 attendees. I still remember getting asked “Who will come?” Quite a lot of you it seems, and very grateful that you are.

And some lovely feedback as usual. Thanks so much! It’s genuinely joyful to teach abo it subjects we love and care about to an audience who want to learn about it and often have lots of insight and experience themselves (although this isn’t a pre-requisite for coming along!)

'The NHS must seize the opportunity of a growing physiotherapy workforce and create more posts to meet growing demand.' A report from British Geriatrics Society raises significant concerns about workforce shortages in older people's healthcare. csp.org.uk/news/2025-04-0…

As a doctor caring for hip fracture patients, I'm often struck by what a special thing it is that we've created systems where dozens of professionals with diverse expertise come together in purpose-built facilities to help someone who's fallen and broken their hip. Relieving

This is the cognitive assessment Trump is boasting about. It's a screening tool for cognitive decline, not a fucking MENSA trial. How has the US done this to themselves, and the rest of the world?

If a specialist hasn’t met a patient, do they ask for more tests or less tests? bbc.co.uk/news/articles/…