I am the programme leader for the MSc in Gerontology and Later Life Studies at the University of the West of Scotland. You can find out more about the programme I run at http://www.uws.ac.uk/mscgerontologyandlaterlifestudies/ . This blog is designed to highlight older people's issues and issues around older people's care. I will make a new post every Friday but we all have eyes and we all have views, so if there is anything that you think others should know about please add to the comments and I'll share here.
This week in Public Health England’s Health Matters Blog they have chosen to focus on older people’s Musculoskeletal (MSK) Health. A good time of year to focus on this as today the outside temperature across most of Scotland today fell to -2 degrees Celsius. So its a high risk of falls day (and a put on your big coat day as we’d say here)
The Public Health Blog focusses on the burden of the three groups of MSK conditions:
Inflammatory conditions such as rheumatoid arthritis
Conditions of musculoskeletal pain such as osteoarthritis and back pain
Osteoporosis and fragility fractures such as fracture after fall
As well as age, the prevalence of MSK conditions is being fuelled by rising levels of physical inactivity and obesity, and poor health habits such as smoking. MSK conditions are a substantial problem for individuals and the NHS. The blog looks at how local authorities, commissioners, healthcare professionals, and the private and voluntary sectors can all contribute towards promoting productive healthy ageing and preventing the onset of MSK conditions. It includes a set of infographics and slides to support local commissioning and service delivery, as well as best practice case studies, so why not have a look and make use of them. See
Its Black Friday today so most of you will not be looking at this, you’ll be shopping! Its Black Friday though for other reasons after the budget being announced in the UK and no obvious end to austerity or scrapping the cap on pay rises that virtually all UK healthcare workers are experiencing. While that might seem like more moaning the implications for older people in hospital and requiring social care are discussed very effectively in this peice published by the British Geriatric Society on their Blog. So rather than me picking out something have a look at what Dr Eileen Burns, President of the British Geriatrics Society has said.
So as a counter to all that depressive talk about underfunding and its short and long term impact maybe we need to calm down a little and listen to our seniors.
This is another peice from the TED Blog. Yes TED again! You know I am big fan of the talks TED: Ideas worth spreading So they also have a blog and this was their Thanksgiving post; “5 Pieces of Essential Life Advice from Seniors” I bow to their wisdom. This is what they said:
Think of hard times like bad weather — they too will pass.
Draw inspiration from all the people you meet.
Love your work — for the salary and for the people.
Find mentors who can guide you and challenge you.
Make the most of less.
To find out more and watch a TED talk about what we get when we listen to people’s stories CLICK HERE
Last month saw the publication of one of those papers that helps confirm something that you always believed you knew. So what did it confirm?
Very old people are more likely to die comfortably if they die in care homes or at home when compared to hospitals. The study carried out by a nursing team at the University of Cambridge found that the oldest old do not always receive effective symptomatic treatment at the end of life. While that is true in most settings up to four times more are likely to die comfortably in a community setting when compared to hospital. So what’s the message? Training for end of life care needs to be improved for all staff, at all levels but perhaps more telling is the need for governments (not just in the UK) to review the funding of long-term care so that more people have the opportunity to die in their home/ care homes than currently so that late admission to hospital is less likely. Not a new message but maybe its time to sit up and take notice. To download the paper go HERE
Sticking with the same topic an End of Life Care resource called “Let’s Talk About Death and Dying” has been produced by Age UK and the Malnutrition Task Force. The materials were produced in a response to a survey showing yet again that conversations about death remain a taboo topic. The new video is below:
This is probably the longest gap in posts since I started this weekly Blog so for regular followers my apologies for missing last week completely. I was unwell last week and didn’t feel well enough to post, which was followed by a very busy week when I just ended up each night too tired to write.
Hopefully, normal service is now resumed and I might even try and do an extra post this week. So the question now that I am back, has to be why am I drawing your attention to the National Institute of Healthcare Excellence (NICE).
Well as many of my students know I have not been a big fan of what they put on their website until quite recently. I never thought that it was enough to just release Guidance and not really do much to show or explain how it should be used. However, that’s all changing. I am a big fan of their Pathways, very handy if you are trying to work out what ideal care in the UK should look like for particular illnesses and conditions. I am also probably an even bigger fan of their Clinical Knowlege Summaries which are really useful when you are considering what to do in practice. They are almost like checklists for what you should be doing in particular circumstances and incorporate all the appropriate NICE guidance.
Now they are doing it again. They have started producing a series of Quick Guides, developed jointly with the Social Care Institute for Excellence (SCIE) which are based on NICE guidelines and health and social care quality standards (Unfortunately the English ones and not the Scottish ones). There aren’t many yet but it’s really worth keeping an eye on these as the collection grows particularly if you are involved in integrated care, social care or providing care home care.
The most recent one is for intermediate care services, which help people to recover from illness or an accident, to regain independence and to remain in their own homes. This new guide gives people who use the services and their families and carers an overview of:
The types of service available
The four stages of intermediate care
The professionals involved in providing care
A new place to look for well-written evidence-based and useful materials.
Back in July I posted about a report done by my colleagues here at UWS’s @AlzScotCPP on the need for improvements in housing required in Scotland to support people who have dementia now and into the future. See my post here Well this month saw the publication of a larger report by the Local Government Association for England which has stated that with one in five of the overall population in England set to be over 65 in a decade, a “residential revolution” needs to occur to provide more homes that support our ageing population. They have suggested that we need to increase the number of specialist homes for older people by 400,000 units in less than 20 years to catch up with places like the USA and Australia where a more developed market exists for retirement housing. Cllr Martin Tett, the LGA’s Housing spokesman pointed out that councils cannot tackle this issue alone. Support from government, which incentivises housebuilding and provides councils with the funding and resources they need, is crucial to every local authority’s efforts to support positive ageing. You can read more about this issue and download the full report at
Well done RCN Older People’s Forum and My Dementia Improvement Network for getting behind a campaign to raise awareness of identifying delirium not just in hospital but also within the community. Older people with multiple long term conditions are particularly vulnerable to delirium but are also the most likely not to have it spotted until the possibility of a poor outcome is more likely. To find out more about becoming a delirium champion and get a resource pack to help raise awareness of the need to identify delirium early visit this RCN page.
I just wished they hadn’t used the label “champion”. Particularly as someone involved in training Scotland’s National Dementia Champions; who are already encouraged to raise awareness of this issue.
Amongst all the worldwide weather chaos that we are currently experiencing I think I should also highlight the biggest one and the one that has the most impact on older people and that is the East Asia Floods. Although its probably the least reported it already has the most deaths reportedly caused by it and has affected by far the most people. The burden in such chaos often falls on older people. To learn more and maybe to contribute to the relief fund please visit Age International South Asia Floods
It’s the 1st of September, so as always this is the commencement of World Alzheimer’s Awareness Month.
World Alzheimer’s Month has been observed in September every year since its launch in September 2012. The decision to introduce a full month, to contain the existing World Alzheimer’s Day, which is on the 21st. of September every year was made to enable national and local Alzheimer associations worldwide to extend the reach of their awareness programmes over a longer period. The 21st of September was chosen because it marked the opening of Alzheimer’s Disease International’s (ADI’s) annual conference in Edinburgh on 21 September 1994 which was the organisations 10th anniversary.
For more information about this years theme and campaign click here.
It also means that the next World Alzheimers Report will be released. This year the aim is to highlight the importance of early detection and diagnosis of dementia. So look out for it’s publication around the time of World Alzheimer’s Day.