Kenneth Rockwood

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Kenneth Rockwood

Kenneth Rockwood

@Krockdoc

Newfoundlander. Geriatrician, internist. Big on sharing Comprehensive Geriatric Assessment, individualization, and the joy of geriatrics to enable frailty care.

Halifax, Nova Scotia, Canada Katılım Mayıs 2015
950 Takip Edilen8.4K Takipçiler
Kenneth Rockwood
Kenneth Rockwood@Krockdoc·
Yes! And the benefit from grades of frailty. Also favours treatment trials, with patient-centred goals, and special attention to the early treatment response. See: “Frailty affects the initial treatment response/time to recovery admitted to hospital…” Age Ageing. PMID: 28104595.
Victoria Ramos@vicktoriavic

Frailty in older adults @Krockdoc 👏👏👏👏👏 "Frailty assessment should be used not as a convenient way to withhold potentially effective treatments but rather as a tool to facilitate patient-centered care" #Frailty #MustRead

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Kenneth Rockwood
Kenneth Rockwood@Krockdoc·
Good on ya. In my experience, it’s not the word to which people object, it’s the state. Better than renaming, understand frailty and tackle it. Often in hospitals, no matter the word, many are comfortable in denigrating the people who live with it. That’s what needs to change.
Karen@Karen17997643

@DrAROrkaby @DaeKimMD @Krockdoc @NEJM I am going to try to read this with an open mind.. the word "frailty " just makes me uncomfortable.

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Kenneth Rockwood
Kenneth Rockwood@Krockdoc·
Changing practice is an uphill climb. An amazing privilege in my current job (one of them, with Nova Scotia’s Frailty & Elder Care Network) is helping to shape policy. We’ve started with a mobilization strategy. Collecting data still, but the clinical impressions are encouraging.
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Kenneth Rockwood
Kenneth Rockwood@Krockdoc·
Clinical response to a ChEI Stanley J, et al., The Clinician's Interview-Based Impression of Change (Plus caregiver input) and goal attainment in two dementia drug trials: Clinical meaningfulness and the initial treatment response. Alzheimers Dement. 2021 May;17(5):856-865.
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Kenneth Rockwood
Kenneth Rockwood@Krockdoc·
Works the other way too. Early recovery portends a better prognosis. Holds for bed mobility with hospitalisation Hatheway OL, et al., Frailty affects the initial treatment response and time to recovery of mobility in acutely ill older adults... Age Ageing. 2017;46:920-5 and in/
LeedsFrailtyEducation@LeedsFrailtyEd

The longer someone is unwell for, without improvement, and the more illnesses they develop, the lower their chances of recovery. Remember frailty is about deficit accumulation as much as phenotype. Accumulating lots of deficits in a short period is a bad sign

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Kenneth Rockwood
Kenneth Rockwood@Krockdoc·
The signal is in the instability. Deficits accumulate when damage goes unremoved/unrepaired. In a sufficiently safe environment there is time for recovery to work when repair times are not prolonged. Unsafe environments challenge by a higher damage rate and longer repair times.
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Kenneth Rockwood retweetledi
Global Frailty Network
Global Frailty Network@GlobalFrailty·
Excited to announce the release of the book, "Frailty: A Multidisciplinary Approach to Assessment, Management, and Prevention"! Dive into a comprehensive exploration of managing frailty with insights from various fields. link.springer.com/book/10.1007/9…
Global Frailty Network tweet media
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Kenneth Rockwood
Kenneth Rockwood@Krockdoc·
Well done @NebPublicMedia “The paintings [of patients and care providers] serve another purpose, to soften the medical gaze.” Beautifully encapsulates what is so compelling about your work and why it should have wide exposure. A valuable 8 minutes for us all. Congratulations.
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Kenneth Rockwood
Kenneth Rockwood@Krockdoc·
I was honoured to have been part of it. This has the makings of one of those few PhD theses that can change practice: an RCT of frailty screening + CGA in Emergency. @GERED_DOC @dhj_davis @SearleDoc @KarenNi94040245 @geri_EM
ARC: Ageing Research Centre University of Limerick@ARC_UL

Huge congratulations 🎊 to our wonderful colleague Dr Aoife Leahy on her successful PhD viva defence today. Aoife was examined by @McCreesh_Karen & the foremost International expert on frailty @Krockdoc 🇨🇦 📸 with supervisors @galvin_rose and Prof Mgt O'connor @ULHospitals

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Kenneth Rockwood
Kenneth Rockwood@Krockdoc·
It remains a valuable resource, which is a little sad. It’s so old that @tdbrothers who played the beleaguered resident, was then a med school applicant. Now he’s TD Brothers MD PhD FRCPC - a passionate internist and Addictions Medicine specialist. Please God, let Dal hire him.
Phil Noyes #FairPayForNursing@ShirtyPhil

@dr_shibley @Krockdoc Thanks for sharing - had ringside seat for this recently and your prior posting equipped me to recognise this

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Kenneth Rockwood
Kenneth Rockwood@Krockdoc·
@LeedsFrailtyEd Great, Sean. Thanks. At-a-glance pattern recognition of brief tests done well lets us help others to see what we see. For the many countries that had a baby boom, what we see in hospitals now reflects that in 2021, the leading edge of the boomer wave began to turn 75. Buckle up!
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LeedsFrailtyEducation
LeedsFrailtyEducation@LeedsFrailtyEd·
Patient on the ward round. CFS 3 4AT 8. asked the trainee what this meant. A previously fit man, acutely delirious, probably with a serious illness ( likely to be inattentive and disorientated ) Such a powerful way to think about patients. Check it 👇🏾 sean9n.wordpress.com/2023/05/23/a-s…
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Kenneth Rockwood
Kenneth Rockwood@Krockdoc·
Only back here to complain about an academic thing. Journal Editors: I just spent hours reviewing a paper. Tried to log in: why require my username and password? What stops you from offering one option for logging in directly? Wouldn't that optimize for receiving reviews on time?
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Kenneth Rockwood
Kenneth Rockwood@Krockdoc·
@dr_shibley @David_D_Ward Like many geriatricians, I’m a wary optimist. I see it pregnant with prevention. And a way to approach the many pathological features. My bet: hallmarks of aberrant repair. This permits understanding the diversity of pathologies: with age, more damage goes unrepaired/unremoved.
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Kenneth Rockwood
Kenneth Rockwood@Krockdoc·
I’m sorry for that. The CFS began using judgment to integrate items in a Comprehensive Geriatric Assessment. Health deficits accumulate to impair high-order function: in mobility, daily activities, +/- cognition. That’s ≠ impairment from single-system disorders in young people.
Elisabeth Benn@benn_elisbenn

@Krockdoc I was classed as frail simply for using a self propelled wheelchair for c30 years. CFS has limitations especially the e version.

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Kenneth Rockwood
Kenneth Rockwood@Krockdoc·
Congratulations Ilaria. As you know, that award has an impressive pedigree. To which your name adds further lustre.
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Kenneth Rockwood
Kenneth Rockwood@Krockdoc·
Well done. Delirium as a preventable cause of dementia deserves study. Much of it arises unrecognized from unnecessarily hazardous routine care of older patients who live with frailty. Polypharmacy, untreated pain, immobilization, and chronic indifference all take a costly toll.
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Keşfet

@NebPublicMedia @GERED_DOC @dhj_davis @SearleDoc @KarenNi94040245 @geri_EM @tdbrothers @LeedsFrailtyEd