Read our joint @cpoc.bsky.social @gerisoc.bsky.social Guideline for Perioperative Care for People Living with Frailty Undergoing Elective and Emergency Surgery. ➡️Whole pathway approach ➡️Highlights tools and resources ➡️Multidisciplinary Info here: shorturl.at/3dXoT

Anticholinergic meds are associated with poor cognition in schizophrenia, further confirmed by new 21-year study: pubmed.ncbi.nlm.nih.gov/38237360 Learn more on reducing the anticholinergic load in the Carlat psychopharm textbook: amzn.to/48yb7Y5

♥️ To provide compassionate care for people with delirium we need to: ➡️ detect & document it formally ➡️ communicate the Dx to pt & carers ➡️ alongside treating triggers, etc., consider the 𝒑𝒆𝒓𝒔𝒐𝒏 - how are they feeling? Do they need explanation & reassurance? 🔗 academic.oup.com/ageing/artic...

Fantastic to see @jkdhesi.bsky.social, President of @gerisoc.bsky.social speaking on @bbcbreakfast.bsky.social about the difference we can make through acute frailty units to deliver better care to older people who present with emergencies.

40% of ED attendances are over 65yrs. Average wait for admission in>75yrs =12 hours. 10% attendances from care homes. Waiting is especially bad for older -risk of delirium, deconditioning, acute kidney injury/LOS. But much could be done to avoid these probs @gerisoc.bsky.social @rcem.bsky.social

Important to make sure older surgical patients are aware of the risk of cognitive decline prior to surgery. Shared decision making is vital

The best part of the day is advent calendar breakfast cheese in a silent office

Much common sense in this feature in last week’s @bmj.com on older adults with atrial fibrillation (AF). It’s four pages long, but the punchline is that you need to look at the patient as well as the ECG and work out WITH THEM what the goals and priorities are. #MedSky www.bmj.com/content/386/...

#anticholinergics Study emphasises the importance of careful prescribing of anticholinergic drugs for patients with CKD. Cognitive impairment, risks. #pharmSky #MedSky doi.org/10.1111/jgs....

'For patients with heart failure and reduced or mildly reduced left ventricular ejection fraction, iron deficiency is common and associated with more severe symptoms, worse quality of life and an increased risk of hospitalisations and death' #anemia #iron #cardiosky heart.bmj.com/content/110/...

This is a very helpful piece in the @bmj.com from @scarlettmcnally.bsky.social on improving shared decision making in medicine (here specifically, surgery). When we talk about waiting list numbers, I’d be keen to know whether everyone on them has had a thorough review as described. #MedSky

#ChooseGeriatrics Profile: @adamgordon1978.bsky.social Immediate Past President BGS Adam says: “Geriatric medicine means being on a mission to improve care some of our most vulnerable citizens. That feels important to me.” If you are an advocate, geris is for you! @gerisoc.bsky.social 👉🏻Repost

Should the management of people with frailty and heart failure deviate from the guidelines? @lucypgeridoc.bsky.social www.bmj.com/content/387/...

Centre for Perioperative Care and Guy’s and St Thomas’ NHS have teamed up with @thebodycoach.bsky.social to create two 10-min online videos to help increase activity levels in people who are waiting for an operation, and are particularly suitable for older people 💪 www.youtube.com/watch?v=C7XQ...

Great fun to be working with @thebodycoach.bsky.social to help people get ready physically & mentally for surgery. Of course applies to us all - lets ensure healthy ageing for the future! Thank you to @gstt-nhs.bsky.social @cpoc.bsky.social @gerisoc.bsky.social youtu.be/xBLtxMsVWjA?si…

'I much prefer the British spelling of “diarrhea” which is “diarrhoea” because it looks like you’ve lost control of your vowels.' -- Sal Robins

www.england.nhs.uk/personalised....

Up early for the Las Vegas Grand Prix with coffee so strong I could stand a spoon up in it

A list of bands in order of efficacy: 3. Placebo 2. The Cure 1. Prevention

Increasing fitness reduces post op complications #periSIG24 AnSky MedSky

The view from work @luhft.bsky.social

Picard management tip: When you're threatened with catastrophe, it's rational to try a risky maneuver.

As we reach the end of an amazing 3 days of #BGSConf here's the link for the #ChooseGeriatrics campaign to attract doctors, nurses and AHPs to come and work with older adults. www.bgs.org.uk/choose

Great article on perioperative management of anaemia authors.elsevier.com/a/1k3Lw4qdNo...

Picard management tip: If you're on red alert every day, then red alert means nothing.

A podcast all about falls & fractures: screening for falls & ways to decrease falls, Vitamin D(?), ways to decrease fracture risk, and when should we prescribe vs deprescribe bisphosphonate therapy? This and so much more on this week's podcast. #FOAMed #medsky #GeriSky geripal.org/falls-and-fr...

NICE consultation on prevention/assessment falls guideline. Open until 28th Nov. Please consider a response if UK based expert/organisation/interested member of public. #medsky #gerisky www.nice.org.uk/news/article...

Looking forward to the discussion about these next week at #bgsconf - some practical, operational application of the recommendations #gerisky #medsky www.bgs.org.uk/ProactiveCar...

Team POPS at Liverpool as my first post