Multi-Professional Healthcare… It’s In The Name!

Cliff Kilgore is a Consultant Nurse for Intermediate Care and Older People within Dorset Healthcare NHS Trust and he is also a Visiting Fellow to Bournemouth University. He is Chair of the BGS Nurses and Allied Healthcare Professionals Council. He also is a member of the BGS Clinical Quality Steering Group. He tweets @kilgore_cliff

As the BGS celebrates 70 years of improving health care for older people, I thought it would be helpful to consider one of the reasons it has been so successful…

There are many of course that have had influence on older people’s wellbeing. I don’t claim that the BGS is the only organisation that is striving to bring excellence to older peoples’ health care, but I do feel that by its nature, the BGS does capture something of the real life working of a multi-professional team, which is the spine of caring for any older person. I have always been a strong advocate for ‘real world’ practice, whether considering research or organisational structure. Real world practice is how many front-line clinicians describe what happens when they see patients. Continue reading

Sit up, Get Dressed, Keep Moving: Deconditioning Syndrome Awareness and Prevention Campaign: why is everyone talking about it?

Dr Amit Arora is a consultant geriatrician at the University Hospital of North Midlands and has served as Chairman of England Council of the British Geriatrics Society. He and his team have developed the campaign “Sit up, Get Dressed, Keep Moving” which is being adopted in many NHS hospitals and abroad.

In David Mitchell’s recent article “‘Get Out of Bed!’ scheme is more symptom than solution for the NHSwhich was published on the Guardian website he appreciates the simplicity and value of the campaign but questions whether the campaign is financially motivated.

I congratulate and thank Mitchell for raising awareness about benefits of early functional normalisation: “The Principle that people who have been hospitalized should re-start normal life as soon as they can is already well established”. He further writes that “it’s suspicious that a campaign exclusively pushing the idea of getting up and going home should coincide so precisely with the NHS’s dire shortage of money.”  I would like to detail how the campaign started and how it is free from any ‘spin’. Continue reading

Spring Speakers Series: Why mouth care matters?

Jessica Mann, Dental Core Trainee and Mili Doshi, Special Care Consultant. Mili Doshi will be speaking at BGS Spring Meeting in Gateshead

Did you know there are more bacteria living in your mouth than there are people in the world?  The mouth is biggest hole in the body – it is highly visible, we eat though it, talk through it and smile with it, but when we need help caring for it, often that help is not there! Yet deteriorating oral health can have severe consequences for the rest of the body…

If you have a problem with your vision a doctor will check your eyes, but if you are not eating is it common practice for a doctor or nurse to check if there are problems with the mouth?  Continue reading

New National Osteoporosis Guideline launched today – an opportunity for those aged 70 years or older?

Dr Celia Gregson is a Consultant Geriatrician in Bath and Consultant Senior Lecturer in Bristol. She is also a member of the National Osteoporosis Guideline Development Group. She tweets @celiagregson

The National Osteoporosis Guideline Group (NOGG) is pleased to announce that the UK NOGG 2017 Update was released via their website today.  This new Guideline, accredited by the National Institute for Health and Care Excellence (NICE) in March 2017, includes a number of updates relating to fracture risk assessment, management of osteoporosis and treatment recommendations, all highly relevant for older people.

It is currently recommended that fracture risk should be assessed using the freely available online FRAX tool in all postmenopausal women, and men age 50 years or more, who have risk factors for sustaining a fracture.  Continue reading

“Frailty is the most problematic expression of population ageing”

Dr Diarmuid O’Shea is a Consultant Geriatrician at St Vincent’s University Hospital in Dublin, Ireland.  The aim of this article is to provide an overview of the clinical syndrome of frailty, how it can be considered and effectively managed as a long-term condition.

One of the greatest challenges posed by an ageing population is the ability of healthcare professionals to understand, recognise and manage vulnerable older adults at increased risk of adverse healthcare outcomes. This frailty syndrome is age associated and is most marked in among those over 75 years of age. The older person showing signs of frailty is at increased risk of long term institutional care, hospitalisation, prolonged length of hospital stay and mortality, and will require specific interventions that span several health and social care services to enable them to live well for their remaining years. Continue reading

Spring Speakers Series: Denture Loss

Mili Doshi, clinical lead for Mouth Care Matters, discusses the impact of denture loss. She will be speaking at BGS Spring Meeting in Gateshead.

As a hospital dentist it’s always a heart sink moment when you get the referral from the ward that reads, “Mrs X has lost her dentures, please could you replace them”. If only it was that easy…

Mrs X has not only lost her dentures, but also the ability to eat her meals, communicate clearly, smile at her family and potentially, her dignity.

It is normally a similar story. Mrs X had fallen asleep and her dentures weren’t there when she woke up, she had wrapped them in some tissue to keep them clean, safe or left them on her meal tray.  One way or another they were accidentally mistaken for rubbish and disposed of. She had been in hospital for days yet no one had asked if she had dentures and therefore she wasn’t provided with a denture pot to keep them clean. Continue reading

BGS Deputy Honorary Secretary role – should I apply?

Dr Shane O’Hanlon is a consultant in geriatric medicine. He was Deputy Honorary Secretary from 2015-16 and is the current Honorary Secretary of the British Geriatrics Society.

If you’re thinking “That’s not for me” then allow me to persuade you otherwise! We are all extremely busy in our clinical roles and loath to take on anything extra. But some opportunities offer more in return for the time you invest, and this is one.

Ok, why should I even think about applying?

We need you! The BGS counts on its members to help shape the future of the society; across the four nations hundreds of people help out every year in varying ways. One of the nice things about this role is that you get to know who does what all across the UK, and you support the Hon Sec (who is the lynchpin) in helping to make sure that the work flows to and from the right people. This often involves inviting people to respond on behalf of the BGS to policy consultations from bodies such as NICE, the GMC and the Royal Colleges. Continue reading

Spring Speakers Series: Getting it Wrong? Technologies and Telehealth for an Ageing Population

Dr Malcolm J. Fisk is a Senior Research Fellow at the Centre for Computing and Responsible Research, De Montfort University, Leicester. He will be speaking at BGS Spring Meeting in Gateshead.

Most of the readers of this blog can look forward to a healthy and long(ish) life. The likely quality of that life is, of course, open to debate and depends on a number of factors. One of these factors is concerned with the accessibility and usability of many of the technologies through which we’ll be able to keep engaged (and, yes, that does include working into our older age). Another factor relates to our use of sometimes specialist technologies that can help us with our ailing bodies or minds.    Continue reading

Spring Speakers Series: Geriatricians and Digital Records – are friends electric?

Dr Colin Mitchell is a consultant geriatrician and divisional IT lead for medicine at Imperial College NHS Healthcare Trust. He is also a retired video-game reviewer from the halcyon days of 1996 and had a Twitter account @drcolinmitchell before most of you had heard of it. Credentials. He will be speaking at BGS Spring Meeting in Gateshead.

If you want to know what NHS hospital records looked like in 1985, take a look at NHS hospital records today. Unlike almost every other large scale organisation or industry, or even our GP colleagues, most hospital doctors in the UK still largely use paper records as part of the daily routine. But finally that seems to be changing. A bit.

The move towards Electronic Health Records is often described as inevitable, but that’s what they said 10 years ago! Continue reading

Spring Speakers Series: Why worry about mouthcare?

Sam Shah discusses the HEE supported project exploring hydration, nutrition and mouthcare in hospital and community care settings. The project involves training staff and raising awareness to improve the quality of care, to help avoid admission and to support discharge. The insights from this project will be shared at the  BGS Spring Meeting in Gateshead on the 28th April at 9:30-11:00.

29.11.07. Enjoying healthy meals at Glanmarlais Care Home, Llandybie, Ammanford, left Mair Mills & right Olivia Jones. Picture Ralph Carpenter.

We are all accustomed to brushing our own teeth and cleaning our mouths, it’s entrenched in the daily routines of most people. Most of us are able to eat and drink ourselves and we understand the link between what we eat and our how our bodies respond. A big challenge in the care of frail older people, and those in high needs settings, is ensuring their hydration, nutrition and mouthcare needs are supported. Continue reading