Julie wilkinson
@juliewilko.bsky.social
Specialist Nurse in Geriatric Medicine .Part of the amazing POPS Team at Liverpool University Hospital. Interested in all things Geriatric/ Perioperative/Oncology/ Frailty/Shared Decision Making/ CGA/Prehab/BRAN
Reposted by Julie wilkinson
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
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
July 30, 2025 at 7:41 AM
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
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
Reposted by Julie wilkinson
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
pubmed.ncbi.nlm.nih.gov/38237360
Learn more on reducing the anticholinergic load in the Carlat psychopharm textbook:
amzn.to/48yb7Y5
March 1, 2025 at 10:40 PM
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
pubmed.ncbi.nlm.nih.gov/38237360
Learn more on reducing the anticholinergic load in the Carlat psychopharm textbook:
amzn.to/48yb7Y5
Reposted by Julie wilkinson
♥️ 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...
➡️ 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...
January 8, 2025 at 5:56 PM
♥️ 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...
➡️ 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...
Reposted by Julie wilkinson
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.
January 5, 2025 at 8:26 AM
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.
Reposted by Julie wilkinson
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
December 23, 2024 at 12:35 PM
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
Important to make sure older surgical patients are aware of the risk of cognitive decline prior to surgery. Shared decision making is vital
Do you consent for postop cognitive decline?
When more than half of patients aged > 60 y undergoing elective orthopaedic surgery had some form of neurocognitive disorder 5 y after surgery, could the risk of cognitive decline outweigh the risks of surgery?
#AnSky #SurgSky
https://buff.ly/3ZGBic2
When more than half of patients aged > 60 y undergoing elective orthopaedic surgery had some form of neurocognitive disorder 5 y after surgery, could the risk of cognitive decline outweigh the risks of surgery?
#AnSky #SurgSky
https://buff.ly/3ZGBic2
December 15, 2024 at 8:37 AM
Important to make sure older surgical patients are aware of the risk of cognitive decline prior to surgery. Shared decision making is vital
The best part of the day is advent calendar breakfast cheese in a silent office
December 13, 2024 at 7:22 AM
The best part of the day is advent calendar breakfast cheese in a silent office
Reposted by Julie wilkinson
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/...
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/...
December 6, 2024 at 10:02 AM
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/...
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/...
Reposted by Julie wilkinson
#anticholinergics
Study emphasises the importance of careful prescribing of anticholinergic drugs for patients with CKD.
Cognitive impairment, risks.
#pharmSky #MedSky
doi.org/10.1111/jgs....
Study emphasises the importance of careful prescribing of anticholinergic drugs for patients with CKD.
Cognitive impairment, risks.
#pharmSky #MedSky
doi.org/10.1111/jgs....
The anticholinergic burden in patients with chronic kidney disease: Patterns, risk factors, and the link with cognitive impairment
Background People with chronic kidney disease (CKD) have an elevated risk of cognitive impairment (CI). Medications with anticholinergic activity are recognized for their adverse reactions on centra...
doi.org
December 4, 2024 at 9:13 PM
#anticholinergics
Study emphasises the importance of careful prescribing of anticholinergic drugs for patients with CKD.
Cognitive impairment, risks.
#pharmSky #MedSky
doi.org/10.1111/jgs....
Study emphasises the importance of careful prescribing of anticholinergic drugs for patients with CKD.
Cognitive impairment, risks.
#pharmSky #MedSky
doi.org/10.1111/jgs....
Reposted by Julie wilkinson
'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/content/110/...
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...
heart.bmj.com
December 3, 2024 at 11:17 AM
'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/content/110/...
Reposted by Julie wilkinson
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
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
November 17, 2024 at 10:24 AM
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
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
Reposted by Julie wilkinson
#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
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
November 28, 2024 at 8:21 PM
#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
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
Reposted by Julie wilkinson
Should the management of people with frailty and heart failure deviate from the guidelines?
@lucypgeridoc.bsky.social
www.bmj.com/content/387/...
@lucypgeridoc.bsky.social
www.bmj.com/content/387/...
Appropriate management of heart failure in older people with frailty
Guideline directed medical therapy for heart failure for older people with frailty may do more harm than good, say Henry Woodford and colleagues
The management of heart failure is evolving. Recent c...
www.bmj.com
November 27, 2024 at 7:41 AM
Should the management of people with frailty and heart failure deviate from the guidelines?
@lucypgeridoc.bsky.social
www.bmj.com/content/387/...
@lucypgeridoc.bsky.social
www.bmj.com/content/387/...
Reposted by Julie wilkinson
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...
10 Minute Chair-Based Workout for Pre-Op Patients | Joe Wicks Workouts
YouTube video by The Body Coach TV by Joe Wicks
www.youtube.com
November 29, 2024 at 4:28 PM
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...
Reposted by Julie wilkinson
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/xBLtxMsVWjA?si…
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
https://youtu.be/xBLtxMsVWjA?si…
November 30, 2024 at 10:23 AM
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/xBLtxMsVWjA?si…
Reposted by Julie wilkinson
November 29, 2024 at 6:22 PM
Reposted by Julie wilkinson
'I much prefer the British spelling of “diarrhea” which is “diarrhoea” because it looks like you’ve lost control of your vowels.' -- Sal Robins
November 21, 2024 at 10:31 PM
'I much prefer the British spelling of “diarrhea” which is “diarrhoea” because it looks like you’ve lost control of your vowels.' -- Sal Robins
Up early for the Las Vegas Grand Prix with coffee so strong I could stand a spoon up in it
November 24, 2024 at 5:16 AM
Up early for the Las Vegas Grand Prix with coffee so strong I could stand a spoon up in it
Reposted by Julie wilkinson
A list of bands in order of efficacy:
3. Placebo
2. The Cure
1. Prevention
3. Placebo
2. The Cure
1. Prevention
November 22, 2024 at 12:05 PM
A list of bands in order of efficacy:
3. Placebo
2. The Cure
1. Prevention
3. Placebo
2. The Cure
1. Prevention
Reposted by Julie wilkinson
November 22, 2024 at 9:44 PM
The view from work @luhft.bsky.social
November 22, 2024 at 7:46 PM
The view from work @luhft.bsky.social
Reposted by Julie wilkinson
Picard management tip: When you're threatened with catastrophe, it's rational to try a risky maneuver.
November 22, 2024 at 4:49 PM
Picard management tip: When you're threatened with catastrophe, it's rational to try a risky maneuver.
Reposted by Julie wilkinson
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
www.bgs.org.uk/choose
November 22, 2024 at 4:01 PM
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
www.bgs.org.uk/choose
Great article on perioperative management of anaemia
authors.elsevier.com/a/1k3Lw4qdNo...
authors.elsevier.com/a/1k3Lw4qdNo...
authors.elsevier.com
November 20, 2024 at 8:36 AM
Great article on perioperative management of anaemia
authors.elsevier.com/a/1k3Lw4qdNo...
authors.elsevier.com/a/1k3Lw4qdNo...