Healthcare professionals across the Atlantic and around the world need to think beyond single-disease guidelines as they look to provide high-quality, person-centered care for more and more older adults living with multiple chronic conditions, so say editors from the Journal of the American Geriatrics Society and the British Geriatrics Society’s (BGS’s) Age and Ageing in the first from a series of joint editorials launched today. The series will look for common ground in geriatrics “across the pond,” beginning here with the U.K.’s National Institute for Health and Care Excellence (NICE) guideline on multimorbidity, the medical term for those living with several chronic health concerns. Continue reading →
Barry Evans and Rachel Cowan are Specialty Trainees in Geriatric Medicine currently working as Clinical Fellows in Quality Improvement for Integrated Medicine in the East Midlands. They recently had the opportunity to undertake an exchange with Anouk Kabboord – Elderly Care Physician trainee in the Netherlands.
At a time when the European narrative is being rewritten, a common challenge facing all European nations is population ageing. Seeing and learning from different European countries’ responses to an ageing population is an invaluable opportunity to learn, discuss and share innovation between countries. As part of Health Education East Midlands’ Quality Improvement Fellowship, we were recently able to set up an exchange between the UK and the Netherlands for geriatricians in training to see and learn from each other’s working environments. Continue reading →
Set dancing is an Irish cultural and social dance form. It involves dancing in a group of eight (sometimes four) people and is accompanied by the lively distinct beat of Irish dance music. Today set dancing is enjoyed by people worldwide with classes, workshops and ceilis organised all year round. Until recently the health benefits of set dancing were unknown. Recent Age and Aging publications by Shanahan et al. (2016), presented at the Irish Gerontology Society Annual Meeting 2016, have informed this question. Continue reading →
Dr Lucy Selman is Cicely Saunders International Faculty Scholar in the Department of Palliative Care, Policy, and Rehabilitation at King’s College London, and a Research Fellow at the University of Bristol. In this blog Lucy discusses her recent Age and Ageing paper on an international study of patient empowerment in hospitals in London, Dublin and San Francisco (part of BuildCARE, a project led by Prof. Irene J. Higginson at King’s College London).
Empowered patients adopt healthier behaviours, use health services more cost-effectively, and experience better quality of life than patients who feel they are passive recipients of healthcare. Across the developed world, policy-makers are waking up to the benefits for patients and health services when people are encouraged to engage with clinicians, make decisions and manage their illness in a way that reflects their own values. Continue reading →
Liz Charalambous is a qualified nurse on a female, acute medical HCOP (Health Care for Older People) ward at Queen’s Medical Centre, Nottingham University Hospital Trust. She is currently a PhD student at The University of Nottingham. She tweets at @lizcharalambou and is a regular guest blogger for the BGS. Her blogs are her own opinion and do not represent the opinion of her employer or any other organisation.
I came across a USA you tube clip the other week which challenged my thinking on HCOP care. The footage was of a young man who has teamed up with his grandma to make, what I would describe as ‘stereotype-busting videos’ of his visits to see grandma in ‘the ‘hood’. I initially thought it was controversial and mildly exploitative (after all he talks to his grandma about her ‘cocaine ‘fro hairdo). I had to watch them a few times to decide that actually, this challenges my perceptions of how we engage with older people. Watching grandma rolling meatballs to ‘roll out’ rap music and shimmying her shoulders following a successful bottle flip challenge, I was hooked. The couple do Q & A sessions, mannequin challenges and twerking dance offs, cover naughty topics, and cause general mayhem and shenanigans at a pet store, among other (more saucy) clips, and seem to have a great deal of fun together in the process.
Dr Eileen Burns has been a geriatrician in Leeds since 1992 and is President of the BGS. She is currently Clinical Lead for integration in Leeds and Chairman of the BGS Community Geriatrics Special Interest Group. She tweets @EileenBurns13
I was fortunate enough to attend and speak at a Global Summit on Aging held in Shanghai recently. It was a fascinating event, with speakers from an enormous variety of backgrounds- from the US Embassy in Beijing, the World Health Organisation, and the United Nations Population Fund, as well as numerous Chinese Government office holders.
The summit was jointly organised by Columbia University, USA (under the auspices of the wonderful Professor Linda Fried) and Fudan University in China. Continue reading →
Dr Kevin Mc Namara is a Senior Research Fellow at Deakin University’s School of Medicine and Centre for Population Health Research. He has a particularly interest in the implementation of models for chronic disease prevention and management, including the management of multimorbidity. His paper,Health professional perspectives on the management of multimorbidity and polypharmacy for older patients in Australia, has been published in Age and Ageing journal.
Researchers from Australia offer some valuable insights about effective multidisciplinary care for older people who often have multiple health conditions (multimorbidity) and take multiple medications (polypharmacy). In ageing populations across the developed world, multimorbidity and polypharmacy pose unique and growing challenges for health professionals and systems. Treatments and goals for different health conditions are often not compatible, guideline recommendations may not be feasible, the evidence often lacking for older adults, and health systems are not designed to coordinate the activities of multiple health professionals often involved with care. Continue reading →
Esther Clift is a Consultant Practitioner Trainee in Frailty with Health Education Wessex. This is the final part of a four part BGS blog series about her time in Africa. She tweets @EstherClift
“Healthy ageing” is defined by the World report on ageing and health as the process of developing and maintaining the functional ability that enables well-being in older age.
What does that look like in developing countries?
I have had the privilege of travelling through some of Kenya and Uganda and I asked how people view their prospects, as they grow older. Some like Nathani in rural Jinja, Uganda, a retired academic and researcher with a PhD from Strathclyde University felt that his future was tied up in his land, and his children. He had both, and at 74 was fit and well, and held in high esteem by his community. He described his children as his wealth. Continue reading →
David Oliver is the current President of the BGS, clinical vice-president of the Royal College of Physicians, and a consultant in geriatrics and acute general medicine at the Royal Berkshire NHS Foundation Trust. He tweets @mancunianmedic
I am delighted that October 1st sees the International Day of Older Persons and looking forward to all the activity that should go with it – in local communities, in public services and charities and in mainstream and social media. I also welcome the themes this year – highlighting and tackling ageism and celebrating older people. Continue reading →
Esther Clift is a Consultant Practitioner Trainee in Frailty with Health Education Wessex. This is the third part of a four part BGS blog series about her time in Africa. She tweets @EstherClift
The scourge of AIDS in the 1990s led to the introduction of palliative care as both a medical speciality in symptom management and a community initiative to support people at the end of their lives to live at home with their loved ones. Communities identified and trained community carers to offer practical support for activities of daily needs. Some palliative care facilities were developed, particularly in Uganda where AIDS was rife, and the government and NGOs were particularly proactive in both prevention measures and care, as both centres of training and excellence, as well as hospice care. Continue reading →