July 2017 issue of Age and Ageing journal is out now

The July 2017 issue of Age and Ageing, the journal of the British Geriatrics Society is out now.  A full table of contents is available here, with editorials, research papers, reviews, short reports, case reports book reviews and more.AA_46-03

Hot topics in this issue include:

  • Care home leadership
  • Physical restraint
  • Diet and muscle function
  • Prescribing for frail older
  • Treatment of overactive

    The Editor’s View article gives an overview of the issue with a summary of highlights. This article is free to read and can be viewed here. Continue reading

    Help develop research relevant to older people

    Helen Roberts is Associate Professor of Geriatric Medicine at the University of Southampton and the national lead for the National Institute for Health Research (NIHR) Comprehensive Research Network Ageing Speciality Research Group.

    logoThe National Institute for Health Research (NIHR) is now 10 years old! During the last decade it has contributed significantly to the health and wealth of the nation and is now the most comprehensive research system in the world. The Ageing Speciality Research Group is part of the Comprehensive Research Network funded by NIHR and has a remit to increase participation in research into ageing within the NHS. This means encouraging more clinical staff and older people to take part in more studies. Continue reading

    When the golden years are not so golden

    aaAlmira Osmanovic Thunstrom is a PhD Candidate at the Aging Research Center at the Karolinska Institutet in Stockholm, and tweets as @almirathunstrom. In this blog, she introduces her recent Age & Ageing paper on perceived stress levels amongst over-65s.

    Growing up in the 1990’s my vision of ageing came from the show The Golden Girls. The show depicted ageing as a time of great joy, adventure and the daily stressors of work and children as minimal in the post-retirement years. I was also greatly blessed to live with my grandfather, whose years were far from golden. He worried about his deteriorating health, he missed his wife and eventually diseases got the best of him: he suffered from vascular dementia and passed away at the tender age of 66. Already at a young age, I witnessed how diverse the ageing process could be.

    Continue reading

    March issue of Age & Ageing journal out now

    The March 2015 issue of Age and Ageing, the journal of the British Geriatrics Society is out now.

    A full table of contents is available here, with editorials, research papers, reviews, short reports, case reports book reviews and more. Hot topics this issue include:

    • New horizons in testosterone
    • Preventing delirium
    • Admissions for osteoporotic pelvic fractures and predictors of mortality
    • Cognitive motor interference

    The Editor’s View can be read here.

    This issue’s free access papers are:

    New clinical guidelines in Age and Ageing journal

    David Stott is Professor of Geriatric Medicine at the Institute of Cardiovascular and Medical Sciences at the University of Glasgow and is Editor in Chief for Age and Ageing journal. 

    Clinical guidelines are intended to help health care practitioners adopt best practice. Good guidelines have the potential to reduce variations to practice and improve patient outcomes while ensuring efficient use of health-care resources.

    There are however a plethora of guidelines, often with contradictory advice and of variable quality.

    Importantly, for care of older people, guidelines have often lacked relevance due to restricted focus on single-organ disease, ignoring the realities of frailty with multi-morbidity, cognitive impairment (acute and chronic) and disability. However this is gradually changing, and guidelines now are emerging that are directly relevant for care of frail older people.

    Given the increasing importance of guidelines in clinical decision making, this year Age and Ageing has added clinical guidelines as a new category of article. The journal is now publishing both ‘stand-alone’ guidelines (3000 words) and commentaries (1500 words). Already two papers have been published; the best practice guidelines for the management of frailty by Turner and Clegg give advice on the management of frailty in community and outpatient settings. The summary of the National Osteoporosis Society Vitamin D guideline by Aspray et. al. charts a rational approach to the confusing topic of when to measure 25-hydroxy vitamin D, and when and how to treat. I am keen to encourage further submissions of high-quality guideline articles to Age and Ageing.

    Must clinical guidelines be followed for all patients? Obviously not! Here we can follow the logic of Margaret Thatcher (Scott Enquiry) who said ‘…Guidelines are for the guidance of officials to be consistent. Of course they have to be followed, but they are not strict law. That is why they are Guidelines and not law and, of course, they have to be applied according to the relevant circumstances.’ Therefore guidelines should be seen as important in informing practice but not in dictating it.

    Integrated care – how to make a mountain out of a molehill?

    David Stott is Professor of Geriatric Medicine at the Institute of Cardiovascular and Medical Sciences at the University of Glasgow and is Editor in Chief for Age and Ageing journal.shutterstock_183253856

    Integrated health and social care has been promoted as a key solution to the challenge of providing high quality care with a restricted budget. Philp summarises current thinking in a New Horizons article recently published in Age and Ageing.

    The aim of providing a fully integrated system including coordination of organisation of health and social services sounds sensible. After all who would argue for disintegrated and disorganised care?

    However there are problems and challenges, not with the concept of integration, but in the organisation and systems that are being ‘pushed’ to effect integration. Continue reading

    When Life is Academic

    Marion McMurdo is Professor of Ageing and Health at the University of Dundee. She tweets at @NIHRCRNageingshutterstock_100411084

    No, I’m not splitting the atom, I’m not fiddling with genes, and I categorically guarantee that no molecules have been harmed as part of my research.

    I’m a clinical academic in ageing research, and I’m having fun.

    Yes, I appreciate that having fun at work is somewhat unusual, and is viewed with deep suspicion in many quarters.  Like all my NHS colleagues in the Medicine of Old Age, I am a realistic optimist, and I have chosen to devote my academic career to clinical ageing research. Continue reading

    Understanding the lives of people living with frailty

    To celebrate the launch on new guidance, Fit for Frailty, every day this week we have published a guest blog on aspects of frailty. Today’s article is from Tom Gentry (@TomoGentry) of AgeUK who is writing  from the perspective of older people who live with frailty. 

    In April, we reported on the Government’s efforts to transform primary care, which set out a programme to deliver better coordinated, well-planned care for the most “vulnerable” people being supported by GPs.AgeUK_Blog_pete_justice

    The terms “frail” and “vulnerable” are often used interchangeably in this context. What is often lost is the person behind the terms and the things in their life that are making them “frail” or “vulnerable”.

    Continue reading