Frailty Resources

age-2785015_960_720Apologies to my MSc in Gerontology students first; because a number of them have just finished their Frailty in Older People Module. So this is too late to help them with their assignment. However, it’s still useful to know its here.

The journal “Age and Ageing” have released a Virtual Edition called “Frailty” that covers many of the main issues in Frailty,  including describing the condition conceptually, reporting its epidemiology, contrasting different options for clinical assessment, detailing the adverse outcomes of frailty in older subjects and some insights into what interventions might improve outcomes for frail older people (and their carers). They have made them available on-line. To have a look at what you can access and to learn a bit more about this important topic CLICK HERE.

Looking forward to next Thursday when Atul Gwande is joining a QI Connect Webinar hosted by Healthcare Improvement Scotland. If you don’t know who Atul Gwande is the I would have a look and listen to these. The Reith Lectures 2014

If you want to join the webinar go to https://www.eventbrite.co.uk/e/qi-connect-atul-gawande-tickets-42419687427

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Have You Seen RCP Commentary Before?

RCP Mag

Sorry for failing to post on Friday this week. Went off on Friday night for a week away with the family before the stress that my son sitting his Highers will cause. So what has caught my eye this month? Well, the Royal College of Physicians Commentary Magazine looks at end-of-life care. Palliative consultant Dr Ollie Minton and Prof Albert Weale, chair of the RCP Ethical Issues in Medicine Committee, introduce the features which include amongst other things an honest and emotive account of a death at home, and how more joined-up care could have lessened one family’s distress. Its worth a look just for this contribution but the magazine itself is one of these “gems” that more people should be aware of.  You can access this special issue here Thanks to Professor David Clark of the End of Life Study Group at the University of Glasgow for bringing this to my attention. If you are unaware of the work of this group you should visit their webpage at  https://www.gla.ac.uk/research/az/endoflifestudies/projects/imminence/ The home page of the “Imminence of Death Study” which might just be the most influential care study carried out in Scotland in recent years.

The second thing I’d like to bring to your attention this week, particularly if you do live in Scotland is the ScottsishGovernemnst current consultation on its plans to develop a first national strategy for tackling social isolation and loneliness. Currently labelled  “A Connected Scotland: Tackling social isolation and loneliness and building stronger social connections” If you click on the link the page takes you to where you can download the consultation paper and would encourage to add your views or to try and get your organisation to contribute as effectively reducing social isolation is a public health issue that has a devastating impact on our older population. See https://www.campaigntoendloneliness.org/campaign-end-loneliness-glasgow/

 

Dying Comfortably

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: