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Centre for Perioperative Care (CPOC) @cpoc.bsky.social · 30/07/2025

Read our joint @cpoc.bsky.social @gerisoc.bsky.social Guideline for Perioperative Care for People Living with Frailty Undergoing Elective and Emergency Surgery. ➡️Whole pathway approach ➡️Highlights tools and resources ➡️Multidisciplinary Info here: shorturl.at/3dXoT

shorturl.at

Perioperative Care of People Living with Frailty

The Centre for Perioperative Care, working in collaboration with the British Geriatrics Society, has now published guidance for the care of people living with frailty undergoing elective and emergency...

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Chris Aiken, MD @chrisaikenmd.bsky.social · 01/03/2025

Anticholinergic meds are associated with poor cognition in schizophrenia, further confirmed by new 21-year study: pubmed.ncbi.nlm.nih.gov/38237360 Learn more on reducing the anticholinergic load in the Carlat psychopharm textbook: amzn.to/48yb7Y5

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Alasdair MacLullich @amaclullich.bsky.social · 08/01/2025

♥️ To provide compassionate care for people with delirium we need to: ➡️ detect & document it formally ➡️ communicate the Dx to pt & carers ➡️ alongside treating triggers, etc., consider the 𝒑𝒆𝒓𝒔𝒐𝒏 - how are they feeling? Do they need explanation & reassurance? 🔗 academic.oup.com/ageing/artic...

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Adam Gordon MBE @adamgordon1978.bsky.social · 05/01/2025

Fantastic to see @jkdhesi.bsky.social, President of @gerisoc.bsky.social speaking on @bbcbreakfast.bsky.social about the difference we can make through acute frailty units to deliver better care to older people who present with emergencies.

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Jugdeep Dhesi @jkdhesi.bsky.social · 23/12/2024

40% of ED attendances are over 65yrs. Average wait for admission in>75yrs =12 hours. 10% attendances from care homes. Waiting is especially bad for older -risk of delirium, deconditioning, acute kidney injury/LOS. But much could be done to avoid these probs @gerisoc.bsky.social @rcem.bsky.social

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Julie wilkinson @juliewilko.bsky.social · 15/12/2024

Important to make sure older surgical patients are aware of the risk of cognitive decline prior to surgery. Shared decision making is vital

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Julie wilkinson @juliewilko.bsky.social · 13/12/2024

The best part of the day is advent calendar breakfast cheese in a silent office

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Trisha Elliott @trishaelliott.bsky.social · 06/12/2024

Much common sense in this feature in last week’s @bmj.com on older adults with atrial fibrillation (AF). It’s four pages long, but the punchline is that you need to look at the patient as well as the ECG and work out WITH THEM what the goals and priorities are. #MedSky www.bmj.com/content/386/...

Cartoon where ECG squiggles rise off page and become an older woman.

Flowchart for management of AF depending on fitness or frailty.

WHAT YOU NEED TO KNOW
• Atrial fibrillation predominantly affects older adults. Given the heterogeneous nature of ageing, disease focused randomised controlled trials and guidelines may not be applicable across the broad spectrum of this population
• To inform decision making, clinicians should assess an individual's level of function and frailty, and discuss their treatment goals, using evidence based shared decision making tools where available and appropriate
• Evidence needs strengthening to inform individualised care for the growing population of older adults with atrial fibrillation

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Steven Mathern @stevenmathern.bsky.social · 03/12/2024

'For patients with heart failure and reduced or mildly reduced left ventricular ejection fraction, iron deficiency is common and associated with more severe symptoms, worse quality of life and an increased risk of hospitalisations and death' #anemia #iron #cardiosky heart.bmj.com/content/110/...

heart.bmj.com

Treating iron deficiency in patients with heart failure: what, why, when, how, where and who

For patients with heart failure and reduced or mildly reduced left ventricular ejection fraction, iron deficiency is common and associated with more severe symptoms, worse quality of life and an incre...

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Trisha Elliott @trishaelliott.bsky.social · 17/11/2024

This is a very helpful piece in the @bmj.com from @scarlettmcnally.bsky.social on improving shared decision making in medicine (here specifically, surgery). When we talk about waiting list numbers, I’d be keen to know whether everyone on them has had a thorough review as described. #MedSky

At one of my first meetings as a council member of the Royal College of Surgeons of England, we approved a report called Access All Ages.
It encouraged less ageist thinking and bias among healthcare staff that might lead to them denying older people surgery.
But sometimes an operation isn't the best option. Among patients who have surgery, 14% express regret and 15% experience complications, which are at least four times as likely if they're frail or physically inactive. The Centre for Perioperative Care has published information on the importance of exercise before surgery, but that alone may not be enough. We need shared decision making, including asking patients what matters to them.
The public should be primed to ask about BRAN-the benefits, risks, and alternatives to surgery and the likely result from doing nothing. A slew of data supports this approach, especially from the Perioperative Care of Older People Undergoing Surgery (POPS) initiative. After discussion with a geriatric medicine team completing a comprehensive assessment and using shared decision making with a POPS approach, 14.8% of patients decided against surgery.
Most of these then had their health improved through other means: adjusted medication, lifestyle advice, or other interventions.

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Holly Paris @bloody--holly.bsky.social · 28/11/2024

#ChooseGeriatrics Profile: @adamgordon1978.bsky.social Immediate Past President BGS Adam says: “Geriatric medicine means being on a mission to improve care some of our most vulnerable citizens. That feels important to me.” If you are an advocate, geris is for you! @gerisoc.bsky.social 👉🏻Repost

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Patients Association @patients-association.org.uk · 29/11/2024

Centre for Perioperative Care and Guy’s and St Thomas’ NHS have teamed up with @thebodycoach.bsky.social to create two 10-min online videos to help increase activity levels in people who are waiting for an operation, and are particularly suitable for older people 💪 www.youtube.com/watch?v=C7XQ...

youtube.com

10 Minute Chair-Based Workout for Pre-Op Patients | Joe Wicks Workouts

YouTube video by The Body Coach TV by Joe Wicks

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Jugdeep Dhesi @jkdhesi.bsky.social · 30/11/2024

Great fun to be working with @thebodycoach.bsky.social to help people get ready physically & mentally for surgery. Of course applies to us all - lets ensure healthy ageing for the future! Thank you to @gstt-nhs.bsky.social @cpoc.bsky.social @gerisoc.bsky.social youtu.be/xBLtxMsVWjA?si…

youtu.be

The Benefits of Exercise Before Surgery | Interview with Professor Jugdeep at Guy's and St Thomas'

YouTube video by The Body Coach TV by Joe Wicks

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Richard Biram @richardbiram.bsky.social · 29/11/2024

www.bgs.org.uk/policy-and-m...

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Ian Duhig @ianduhig.bsky.social · 21/11/2024

'I much prefer the British spelling of “diarrhea” which is “diarrhoea” because it looks like you’ve lost control of your vowels.' -- Sal Robins

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Julie wilkinson @juliewilko.bsky.social · 24/11/2024

Up early for the Las Vegas Grand Prix with coffee so strong I could stand a spoon up in it

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Adam Sharp @adamcsharp.bsky.social · 22/11/2024

A list of bands in order of efficacy: 3. Placebo 2. The Cure 1. Prevention

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Dr Mary-Ann Fox BMBS FANZCA GChPOM @maffygirl.medsky.social · 22/11/2024

Increasing fitness reduces post op complications #periSIG24 AnSky MedSky

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Picard Tips @picardtips.bsky.social · 22/11/2024

Picard management tip: When you're threatened with catastrophe, it's rational to try a risky maneuver.

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Claire Dow @clairedow1.bsky.social · 22/11/2024

As we reach the end of an amazing 3 days of #BGSConf here's the link for the #ChooseGeriatrics campaign to attract doctors, nurses and AHPs to come and work with older adults. www.bgs.org.uk/choose

Poster of the Choose Geriatrics campaign with the website link about this

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Julie wilkinson @juliewilko.bsky.social · 20/11/2024

Great article on perioperative management of anaemia authors.elsevier.com/a/1k3Lw4qdNo...

authors.elsevier.com

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Picard Tips @picardtips.bsky.social · 19/11/2024

Picard management tip: If you're on red alert every day, then red alert means nothing.

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GeriPal Podcast @geripal.bsky.social · 17/11/2024

A podcast all about falls & fractures: screening for falls & ways to decrease falls, Vitamin D(?), ways to decrease fracture risk, and when should we prescribe vs deprescribe bisphosphonate therapy? This and so much more on this week's podcast. #FOAMed #medsky #GeriSky geripal.org/falls-and-fr...

geripal.org

Falls and Fractures: A Podcast with Sarah Berry

On this week's podcast, we talk about Falls and Fractures with Dr. Sarah Berry, including ways to decrease the risk of falling for older adults.

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Emma Vardy @emmavardy2.bsky.social · 14/11/2024

NICE consultation on prevention/assessment falls guideline. Open until 28th Nov. Please consider a response if UK based expert/organisation/interested member of public. #medsky #gerisky www.nice.org.uk/news/article...

nice.org.uk

Consultation on updated guideline to assess and prevent falls in older people

NICE launches consultation on updated guideline to assess and prevent falls in older people.

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Julie wilkinson @juliewilko.bsky.social · 16/11/2024

Team POPS at Liverpool as my first post

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