Revisiting Deconditioning and Elder Abuse

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At the end of April 2017, I posted some information about a campaign aimed at trying to limit the extent of deconditioning syndrome by encouraging older people in hospital to get up and get dressed in their day clothes sooner in order to encourage more walking and safer walking early in rehabilitation called  #EndPJparalysis . In support of this campaign, this month Nursing Older People’s Research Focus page suggests some articles that you might want to read on this topic that support the campaign. Two of them are quite old but one is a recent French study has a strong message for all staff dealing with older people in Hospital. The article is

Sourdet, S., Lafont, C., Rolland, Y., Nourhashemi, F., Andrieu, S. and Vellas, B. (2015). Preventable iatrogenic disability in elderly patients during hospitalisation. Journal of the American Medical Directors Association16(8), pp.674-681.

Which you can access via Science Direct. You can take a look at the abstract here

Two other things of note this month. This week is Carers week and an interesting YouGov poll was conducted on behalf of eight major charities who are calling on the new UK Government and society to do more to recognise the important contribution that unpaid carers make. You can view and download the report called “Building a carer
friendly society” at the Carers Week website 

Finally, yesterday was World Elder Abuse Awareness Day and the WHO have estimated that as many as 1 in 6 older people are affected by abuse. They have created a page in support of this day that includes a link to a report published in Lancet Global Health which you can download and read on elder abuse prevalence at  WHO Elder Abuse Awareness

There Infographic is also great.

Looking back at #DAW2017 and Looking Forward; Anticipatory Care Planning

ACP toolkit

As my followers will know it was Dementia Awareness Week in Scotland last week so for those of you who got involved here are some things you might like:

  • #DAW2017 went viral with a video of PC Marshall visiting a Musical Minds group in Kilmarnock during DAW. The video on the ALZScot Ayrshire page was shared across Scottish media including The Scotsman, The Scottish Sun, The Sunday Post and many more!
  • Check out the Dementia Awareness Week gallery over on Facebook and tag yourself.
  • To support the week AlzScot also shared a blog a day from Allied Health Professionals who wanted to share who they are and how they CAN help if you are living with dementia. If you can review the blogs by visiting Let’s Talk about Dementia

Last week also saw the publication of ‘My Anticipatory Care Plan’ (ACP). An anticipatory care plan toolkit designed by Healthcare Improvement Scotland.

Antipatory Care Planning ahead can help many people with chronic health problems to plan what they would like their care to look like on a daily basis or help them to plan fro and manage situations which they may find threatening, like sudden hospital admission.  ACP’s are not legally binding in any way (in the UK) and can be updated at any time to reflect changes in the person’s thinking. Remember this is designed to be their plan and it’s entirely up to the person to decide who to share this information with.

For more information about ACP’s and to access the toolkit please click here

You can also download their ACP App for both iPhone and Android when you visit the site. It really is a fabulous resource and although it may originate in Scotland, it could be used anywhere!

 

Dare to Connect

Have you ever seen this symbol?

Bliue Assist

Can’t say I have either, so I better explain. This is the symbol of BlueAssist. Created by a small centre for adults with learning difficulties in Ostend, Belgium. The scheme began as a series of written cards with a distinctive logo, and the words Dare to Connect. The symbol is there to help the public understand that the person asking for help may not be able to communicate easily, just as the wheelchair symbol is recognised for those with physical difficulties. The simple idea was that when the person presents a BlueAssist message which has been pre-prepared such as

“Please can you help me catch the number 5 bus”

Members of the public would understand from the symbol and the message on the card what is needed and could then provide assistance.

Not only can you get the cards you can now get a Blue Assist mobile phone app.

The whole point here is that ANYONE who has difficulty getting their message across, either because of physical problems, such as a stroke, hearing impairment, stammer or temporary problem such as a broken jaw. Or those who find it hard due to a long-term disability such as learning disability or any older person there are many people who want to remain independent but may find their memory and word finding ability makes asking for help difficult.

To find out more and maybe even to download the App,  go to

http://www.blueassistuk.org.uk/

Simple and effective, wouldn’t it be good to see it widely used. Thanks to   @WendyPMitchell for bringing this to my attention in her blog.

Only a  few weeks to go to the UK General Election. So a post from the Joseph Rowntree Foundation addressed to whoever wins called  “After the election, the Government needs to get to grips with poverty” seems apt.

Men’s Sheds and Dementia Awareness Week Scotland

The team from the Alzheimers Scotland Centre for Policy and Practice who I work with, are holding a Drop-in Event at the Mezzanine Area of the Brough Building, UWS Paisley Campus, in Scotland at 1-3pm on the 31st May, 2017.
 If you can’t come along on the day please join us on twitter @ASCPP #oneweething where we are celebrating all the lovely things and small changes that our Dementia Champions and others do to improve the lives of people with dementia, their family, and friends. To find out more go to:

https://healthnursingmidwiferyuws.wordpress.com/2017/05/11/dementia-awareness-week-oneweething/

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OK, that’s and event still to come but what about this week?

Yesterday Age Scotland launched a report and survey that outlines the positive impact that the growing men’s shed movement is having on later life.  Men from sheds across Scotland have told their story in the report called The Shed Effect, which you can access using the link.  The report demonstrates how men’s health and wellbeing has been lifted by getting involved in their local shed. The men’s shed movement or community sheds are not for profit organisations that originated in Australia, to advise and improve the overall health of all males.  They normally operate on a local level in the community, promoting socila interaction and camaraderie with the aim of increasing quality of life. There are over 900 located across Australiaand growing numbers in the UK, Ireland, Finland Greece and New Zealand.  with thousands of active members to find a local shed if you live in Scotland Click here.

And of course happy International Nurses Day! 

Are we on the Verge of the Next Leap Forward?

Leap forward

For many years now scientists and drug companies have been looking for drugs that don’t just ameliorate the symptoms of the disease as our current drugs do but ones that can stop the death of neurons, in the presence of neurodegenerative diseases like Alzheimer’s Disease and Parkinson’s Disease.

There have been times when this has been claimed but there has never been any drug that has got through human trials successfully. This week though, this claim has been made for two drugs: trazodone hydrochloride (used to treat depression and anxiety) and dibenzoylmethane (a drug that could be useful for prostate and bowel cancer). Both drugs restored memory, reduced signs of neurodegeneration and were safe for mice in the doses being trialled.

Now the beauty of utilising these drugs is that they have already been tested on humans so if they are as effective, as animal testing seems to suggest, then the process of human testing can be hugely reduced, meaning that clinical trials for both drugs in treating neurodegenerative diseases could start straight away.

Could we be approaching an era where there is a treatment that has a real impact on neurodegenerative illness for the first time? Why not go and make up your own mind about this. On BBC Health there is an item which explains what it is believed the drugs do and some further thoughts on what might happen next. Click here to view

A more in-depth critical look at the claims is contained in Behind the Headlines 

Both links take you to the paper which has caused this stir. Let’s hope the outcomes of any trial are positive because its now 20 years since the acetylcholinesterase inhibitor Donepezil (Aricept) was launched.

“Staying Sharp” and the Future of Frailty Screening

Earlier this month a new resource called “Staying Sharp” was launched by Age UK. Staying Sharp is a new online hub on brain ageing, which has been developed in collaboration with the Centre for Cognitive Ageing and Cognitive Epidemiology (CCACE) at the University of Edinburgh.

It has been developed because for many older people, losing their mental sharpness is one of their biggest fears. However, although it is generally accepted that some of our thinking skills, for example, our memory and speed of processing information will change, approximately three-quarters of the changes in our thinking skills across our lives are really down to lifestyle and environmental factors. Many of these factors may be things we can try and control or change which is why the hub has been created.

Staying Sharp is a superb resource for the many people out there who are concerned about losing their thinking skills as they grow older. So please recommend it!

Also found out this week that there is going to be a requirement for GPs to routinely identify frailty in patients as part of the new GP Contract being rolled out in NHS England in 2017-18. Which really begs the question how are they going to identify who is frail.? Well a wee bit of digging and I have come across the following paper:

Development and validation of an electronic frailty index using routine primary care electronic health record data

When tested out this index identified 35 per cent of the population aged 65 and over who have ‘mild’ frailty. Using this tool the intention is to pick up this group using this frailty identification tool in its early stages in order to provide opportunities for the prevention of poor quality ageing. Now just what exactly will that involve?

Oh… hang on… what was that “Staying Sharp” resource about?

Worrying Times; So Let’s Talk about Depression.

Worrying times for UK nursing particularly in England and Wales where the nursing bursary has been scrapped. Figures from UCAS show a worrying drop in applicant numbers at a time when there is a huge shortage of nurses UK wide. Less than a year and clearly it’s already time for a re-think.  See Mature students decide against nursing .

I am not sure how many of you will have read about this but I think it is well worth reading about, particularly if you work in an area where no resuscitation team is accessible, care homes particularly.

In January the Nursing and Midwifery Council’s (NMC’s) Conduct and Competence Committee (January 2017) ; found against a nurse who did not attempt CPR on, or call the emergency services to, a nursing home resident she believed had already died.

This ruling had caused concern and considerable debate among nurses and other health care professionals who feared the risk of criticism or disciplinary action should they be faced with a similar situation.

Bearing this in mind it is worth reading both of these statements. One from the Resuscitation Council (UK) itself and the other from the RCN.

Resuscitation Council (UK) Statement  this is the RCN/BMA Statement

Finally, something else that may have passed you by this week. WHO announced that Depression is now the leading cause of ill-health and disability worldwide. According to the latest estimates from WHO, more than 300 million people are now living with depression, an increase of more than 18% between 2005 and 2015. WHO will start a year-long campaign targeting depression called “Depression: let’s talk” which will commence on World Health Day which is today of course! (7th. of April 2017).

Its going to be a bit overshadowed by the launching of Fifty-nine Tomahawk cruise missiles sadly.