Much of the time people reach for the dip because they don’t know what to do. You’re better off learning more about managing delirium. Check out my short video on this. youtu.be/Q-icpG3UsWE?si…
YouTube
English
LeedsFrailtyEducation
587 posts
LeedsFrailtyEducation
@LeedsFrailtyEd
A frailty education programme set up by @sean9n for professionals who aren’t (yet) specialists in frailty. https://t.co/SwhPDkTnwV
Katılım Nisan 2023
453 Takip Edilen939 Takipçiler
What should you do instead? Diagnose UTI when there is a history of symptoms. Or when there is bacteria in the urine AND evidence of infection eg fever or blood test abnormalities AND no other more plausible source of infection
English
Urine dipsticks are commonly positive and don’t increase probability of bacteria in urine enough to be useful
English
Smelly or cloudy urine is NOT a reliable sign of infection in older people. It’s usually down to hydration or diet.
Remember “The smell don’t tell”, and “The cloud is allowed.”
English
Up to half of older adults (and almost ALL with catheters) have bacteria living in their bladder without it causing an infection. This is called Asymptomatic Bacteriuria. It’s common, it’s harmless, and it doesn't need antibiotics
English
Want to know how to look after older people better on the ward? What to do in clinic? Community frailty team? New dates for 2026. 12 CPD points. £80 leedsfrailtyeducation.co.uk Checknout our videos on tiktok instagram and youtube too. @leedsfrailtyed
English
LeedsFrailtyEducation retweetledi
Does making an advanced care plan to die outside of hospital work? Is it worth it? @LeedsFrailtyEd
English
LeedsFrailtyEducation retweetledi
Capillary Refill Time in Sepsis—Searching for the Holy Grail
jamanetwork.com/journals/jama/…
English
LeedsFrailtyEducation retweetledi
LeedsFrailtyEducation retweetledi
We do far too many blood tests. On our ward we’ve done 1400 fewer blood tests in the last 5 months compared to historical averages. Loads of patients get repeat LFTs that are normal, or as you point out repeat blood tests continuing to improve when everyone knows pt is well
Jason@Dr_JSA
@Parody_RCGP @DrLKVaughan @DrLindaDykes What is the likelihood of those bloods normalising? Very high if they are trending in the right direction. Yet GPs are regularly asked to recheck the bloods by hospital teams. Defensive practice is increasing, in part, because of a lack of risk tolerance by patients but also...
English
LeedsFrailtyEducation retweetledi
When I did more acute care I’d come across approximately one patient a month with an MI who had no chest pain, but presented with delirium or falls. Do an ECG. Have a wide lens
Most MIs are “atypical”
JAGS@AGSJournal
When Delirium Unmasks a Silent Myocardial Infarction. #geriatrics agsjournals.onlinelibrary.wiley.com/doi/10.1111/jg…
English
Correcting Hypernatraemia more quickly reduces mortality and LOS
sciencedirect.com/science/articl…
English
LeedsFrailtyEducation retweetledi
The BGS is pleased that @NAOorguk has produced a report on primary and community healthcare for people living with frailty, and we welcomed the opportunity to contribute to the process.
Sadly, the report makes for disheartening reading. bit.ly/48A636R
English
LeedsFrailtyEducation retweetledi
We need to come together to deliver better joined up care & neighbourhood health. Every system needs a frailty strategy. Identification & CGA at scale. Frailty Workforce & education. Check out @GeriSoc resources for age attuned integrated care, join the dots blueprint & much more
British Geriatrics Society@GeriSoc
The BGS is pleased that @NAOorguk has produced a report on primary and community healthcare for people living with frailty, and we welcomed the opportunity to contribute to the process. Sadly, the report makes for disheartening reading. bit.ly/48A636R
English
LeedsFrailtyEducation retweetledi
Pragmatic prescribing to reduce harm for older people with moderate to severe frailty | British Geriatrics Society …. and here it is!!! @GeriSoc 👏👏👏👏 bgs.org.uk/PragmaticPresc…
English
@BenAllenGP @deirdrelanglang Music to my ears ben. have you ever read the work of rebecca sudore? sean9n.wordpress.com/2022/09/27/let…
English
LeedsFrailtyEducation retweetledi
⭐️What takes minutes & could save 1000s of unhelpful admissions?⭐️
I often hear (usually older) patients being told "𝐘𝐨𝐮 𝐡𝐚𝐯𝐞 𝐭𝐨 𝐠𝐨 𝐭𝐨 𝐡𝐨𝐬𝐩𝐢𝐭𝐚𝐥".
Which is rarely true. 1/11
English
LeedsFrailtyEducation retweetledi
Mega imposter syndrome experienced today, but so grateful to @GeriSoc for the opportunity to share the stage with these guys, speaking about my QI journey with @EDDMprogramme at this years Autumn Meeting #BGSconf 💜
English