Advanced Professionals supporting our frail patients, but how?

Beverley Marriott is an Advanced Nurse Practitioner working in the Birmingham community healthcare foundation trust. She is also a King’s College Older Person Fellow. She tweets @bevbighair

Nationally there is increasing recognition of the needs of frail older people in health systems, and  the UK’s rapidly ageing population will only increase in the years to come.

Dr Ram Byravan (Consultant and Clinical Director Heart of England Elderly Care) states that the prevalence of multimorbidity is on the rise, with 44% of people over 75 now living with more than one long-term condition –  geriatricians and GPs are uniquely suited to lead the response to the challenges of caring for this group. Continue reading

Reflections on ‘NOT Forgotten Lives: Felixstowe 2017’

Liz Charalambous is a nurse and PhD student. She tweets at @lizcharalambou and is a regular guest blogger for the BGS. Here she reviews ‘NOT Forgotten Lives: Felixstowe 2017’ edited by Julia Jones and Bertie Wheen

‘NOT Forgotten Lives’ is a written record, produced for the 2017 Felixstowe Book Festival, which celebrates the lives of older people living locally in residential accommodation. This slim volume is organised by an overview of what life story work is about, followed by photographs and accounts of the life stories of residents living in nursing and residential accommodation in Felixstowe. It concludes with a personal reflection from the co-editor, Bertie Wheen.

Why is this book important?

In a world where dementia is on the increase there are political, economic, ethical and often personal reasons why society must wake up to the reality of the disease. Currently an estimated 50 million people worldwide live with dementia, with a forecast of 131.5 million by 2050.  In the UK there are 850,000 people living with the disease, estimated to increase to 2 million by 2050. These figures alone suggest that dementia is a disease which can no longer be ignored. Continue reading

What is this pill called dance?

Debra Quartermaine is a Qualified Nurse and currently works as the Falls Prevention Co-ordinator as well as the Dance for Health programme coordinator at Cambridge University Hospitals NHS Foundation Trust. Debra has experience of nursing in a variety of specialties including general medicine, care of the elderly, learning disabilities and mental health.

Thousands of emotions well up inside me throughout the day. They are released when I dance.- Abraham Lincoln

Since 2013, two pilot projects, funded through Addenbrookes Charitable Trust [ACT], and Addenbrookes Arts, involving weekly dance and movement sessions were run on elderly care, stroke rehabilitation and neuro-rehabilitation wards at Cambridge University Hospitals NHS Foundation Trust. An evaluation showed that the sessions enhanced wellbeing and health through supporting increased movement, more positive moods, and greater socialisation. Continue reading

Rapid assessment and frailty

Beverley Marriott is a Advanced nurse practitioner working in the Birmingham community healthcare foundation trust. She is also a King’s College Older Person Fellow

There continues to be a growing emphasis on older people and emergency hospital admissions, with Frailty often used as a ‘wrap’ around term for ‘older people’. Older people with multiple complex comorbidities are a growing number of emergency attendances, hospital stays and admissions.

Frailty defined as a loss of physical and psychological reserves, which means an increased vulnerability to minor stressor events. People living with frailty can often go unnoticed until they reach crisis point as many people with frailty are not necessarily known to their community services, acute care, voluntary sectors or GPs. Is A&E the only place for frail patients to go when they hit crisis?   Continue reading

Autumn Speakers Series: Is it just me… or have we listened and changed?

Sharon Blackburn has worked in the independent care sector for over 28 years, having previously spent 10 years in the NHS in a variety of roles. Sharon is currently Policy and Communications Director for the National Care Forum. She was awarded an CBE in the 2016 New Year’s Honours for services to nursing and the not-for-profit care sector. She tweets at @NCFSharon She will be speaking at the upcoming BGS Autumn Meeting in London.

Care Homes routinely feature in the press and not always for the right reasons. Sadly the negative experiences and stories do little to help us all promote the amazing work that is being done with people who live in care homes up and down the country. Instead it feeds peoples’ already distorted views and understanding, including those of professionals. Andrea Sutcliffe, Chief Inspector for adult social care at the Care Quality Commission (CQC) talks about the ‘mum’ test – “would this service be good enough for my mum?” I would suggest the ‘mum’ test needs to be more up close and personal… “would this service be acceptable to me”? Continue reading

What does good look like when thinking about care homes?

Claire Goodman is Professor of Health Care Research at University of Hertfordshire. Claire has a district nursing background and is a NIHR Senior Investigator. Her research focuses on the health and social care needs of the oldest old, including those affected by dementia and living in long term care. She leads the DEMCOM study, an evaluation of Dementia Friendly Communities – @DEMCOMstudy @HDEMCOP

We have new neighbours. They moved three miles to improve their children’s chances of going to their preferred secondary school. If they had stayed put they would have been assured of getting a good state education. We are surrounded by Ofsted rated ‘good’ and ‘outstanding’ schools. The issue was that whilst it probably did not matter if their daughter went to a girls only or co-educational school, for their son, a boys only school, with a big focus on sport, would have been a problem. People in my local area know a lot about the schools, they know what the head is like, who the good teachers are, what extra-curricular activities are available and if it’s struggling with its budget. Continue reading

A call for collaboration…

Cassandra Leese is a Nurse, Clinical Supervisor and a wannabe dog owner.  She occasionally remembers to tweet @contrarylass

In today’s economic climate, when health and social care are really feeling the crunch, I often find myself feeling morose about the future. Day after day we see the terrible pressures our overstretched services are under, read about the heartbreaking death of another promising doctor burnt out from battling it out in secondary care; or hear about another valuable service making drastic cuts. And selfishly, I’m rather cross that all this seems to have come at a time when I’m incredibly excited to have finally found my place in the nursing landscape, that of gerontology and geriatrics. Coming along to my first BGS West Midlands meeting this spring was a welcome reprieve from the madness spewed daily by the tabloids and renewed my faith that the good guys are still out there! Continue reading

Some things in life are free!

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

Many of our readers will know that the BGS has been at the forefront of promoting older people’s healthcare and wellbeing for many years. In fact, we celebrated 70 years of this in March. Leading the way for older people has enabled the BGS to have great influence on many aspects of policy and guidance including Fit for Frailty, The Silver Book, Comprehensive Geriatric Assessment (CGA), as well as ever increasing influence on training and development of all clinicians. The BGS has long recognised the importance of developing trainees and to support this has offered many benefits to its members including free membership for medical students and foundation doctors, study grants and sponsorship and support of research projects. Continue reading

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

Desperately Seeking Ethics: Reflections on attending a research ethics committee meeting

Liz Charalambous is a nurse and PhD student. She tweets at @lizcharalambou and is a regular guest blogger for the BGS.

me-fbI am in the second year of a PhD researching volunteers in dementia and acute hospitals. The project came about as part of my clinical work as a staff nurse in older person acute care. It was while working on a prevention of delirium research study, I realised that volunteers could play an important role.

The first year of my PhD has been spent mainly completing modules and designing the project from scratch. I have lost track of how many drafts of countless documents have been sent to my long suffering supervisors as they guide me towards refining my ideas, sifting through my thousands of words to put together a robust study which will stand up to scrutiny. Continue reading