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.

Unintentional Ageism and Some Fab Stuff

I am not expecting this to surprise many of you by saying that the leading cause of trauma to older people is falls from a standing height, most of which happen at home. However what will surprise you is that a ten-year study by the Trauma Audit and Research Network revealed that this is the leading cause of major trauma across the country ahead of road traffic accidents, work-based accidents and assaults.

So what’s that got to do with unintentional ageism?  Janet Morrison,  who has written this week’s blog post for campaigning and support group Independent Age explains very nicely how Trauma Centre’s (A&E’s) are set up to deal with younger people with high impact injuries but that is no longer the bulk of their work. The report itself is very revealing particularly in relation to what happens next after an older person’s trauma is recognised. To read or listen to Janet’s blog click here

If you are dealing with falls, particularly falls at home, regularly you may find this page useful 

If falls are not your thing the here is somewhere else to go browsing. This is a link to the Academy of Fabulous Stuff. 

If you want to know what it’s about and what it does watch the video:

Deconditioning Syndrome

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This week we are going to have look at a new initiative being promoted by NHS England, which has come from Dr. Amit Arora, a consultant geriatrician at the University Hospital of North Midlands, who has served as Chairman of England Council of the British Geriatrics Society. He and his team have developed the campaign “Sit up, Get Dressed, Keep Moving” which is being adopted in many NHS hospitals and abroad. It’s worth clicking on the link at the bottom of Dr. Arora’s blog for NHS England are some great resources including information leaflets that you can use.

We should all really be supporting this campaign since older people, the core users of NHS stand to benefit most from this campaign. During hospitalization older people can spend up to 83% of their time sitting in bed and often a further 12% in a chair. Patients, therefore, become deconditioned with deconditioning starting within the first 24 hours.

There is a bit of controversy about the campaign already but the BGS allowed Dr. Arora to respond on their blog and that also makes a very interesting read, See Why is everyone talking about it?

There is also a little bit of a Twitter storm if you want to know more. See  #endpjparalysis and 

Comments welcome, particularly if you are a Physiotherapist or an Occupational Therapist. Arguably this is what you are trying to do every day! Maybe its time you got some real support.

“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?