Wrexham COTE dept

Very proud to present version 4 of our managing people living with frailty. coterota.wixsite.com/wrexham/downlo… some great new content from @WenWilko @lauraellislane on rehabilitation and @robindavie8 on movement disorders. #tipsfornewdocs #MedEd #tipsfornewdoctors #fy1

Important take home message from @tdeweymarn at @RCEMevents Focus on Frailty study day. #frailty #GEM

Each additional 31 minutes per day of moderate to vigorous physical exercise associated with 21% lower risk of developing MCI or dementia over 4 years…#BGSConf

Only 42% of the general public are aware that dementia is a terminal illness. 9 in 10 people are not aware that dementia is the leading cause of death in the UK. #bgsconf

Non-antibiotic treatments for recurrent urinary tract infections - different mechanisms of action and interesting discussion after about how effective these really are in older people #BGSConf

Common themes encountered included balancing length of life against quality of life, and a fear of being infantilised #BGSconf

'Eating and drinking with acknowledged risk' is a term that is both clear and acceptable to carers #BGSconf

Cochrane Review regarding Nasogastric Tube feeding in Dementia #BGSconf @GeriSoc

Yup. See also academic.oup.com/ageing/article…

Key findings included that over half of those newly admitted to a care home for longer that 6 weeks had died at one year, while of those who were resident for less than 6 weeks, almost 70% had in fact died during those 6 weeks #BGSconf

Some take home messages #BGSconf

Polypharmacy also impacts on wound healing - steroids, antiplatelets, antihistamines, and nicorandil are all implicated #BGSconf

Like everything else in geris, when you have a wound, you can’t just address the wound! Also look at medications, nutrition, hydration (systemic and local), continence, smoking, alcohol, co-morbidities e.g. diabetes, arterial or venous disease, mobility, psychology, …#BGSConf

Reducing the calorific intake by a third — at least if you’re a fruit fly, yeast, mouse, or monkey — will mean you live 25% longer (and healthier) — just look at this “spunky monkey” on the right, says @Lord_Lab #bgsconf

Dental health needs change as we age, and on top of we need to understand how it becomes more difficult for older people to keep their teeth clean, as they get long in the tooth #BGSconf

Why should we care about orthostatic hypotension? A key cause (and predictor) of falls in older people, including in the “well” older population #BGSconf

30% of patients with severe orthostatic hypotension had no symptoms from @robertbriggs. #bgsconf no warning signs for falls and significant risk of adverse events @GeriSoc @tilda_tcd

Poor oral health in older people is prevalent, but not inevitable. We need to include oral care holistically as we care for older people #BGSconf thelancet.com/journals/lanhl…

Neurogenic OH Cardiogenic OH Mixed OH #BGSconf

Reviewing medications in people with orthostatic hypotension…some medications might be higher risk than we previously thought! Don’t forget non-pharmacological advice to improve BP. Great talk from @laramitchdr #BGSConf ahajournals.org/doi/full/10.11…

Initial approach to manage OH #syncope #BGSConf