For older people living with frailty ⬆️ risk of death persists further than the immediate postop period.

It is important to identify frailty within emergency laparotomy care.

Further work should explore the holistic implications of surgery.

#AnSky #SurgSky

doi.org/10.1111/anae...

Implementing physician-delivered delirium screening via electronic health records improved the identification of delirium among older hospital patients. https://ja.ma/4dDW8zh

Terminal lucidity & paradoxical lucidity seen with advance dementia are brief moments in where individuals suddenly regain clarity, communicate, and reconnect in ways thought to be lost. On today’s GeriPal episode, we do a deep dive on these experiences. #medsky

Dignity has no use by Date: the ongoing challenge of ageism in Scottish society. #ageism #discrimination #olderage #humanrights

scottishcare.org/dignity-has-...

Myth: Keep #delirium patients sedated and in bed.

Fact: Focus on treating causes, maintaining good physiology, & as much as possible maintaining mobility & continuing rehabilitation.

Excellent output from an #EAMA project to support the teaching and dissemination of #IntrinsicCapacity to medical students.

#Geriatrics #Ageing #Aging #Health #Care #WHO #PHC #PrimaryCare #MedSky

Please use and share the brochure below (English version):
www.eama.eu/Uploads/Inte...

Comorbidities among older persons living with dementia do not appear to cluster into distinct groups or patterns highlighting the importance of taking an individualized approach for chronic disease management. #geriatrics #dementia agsjournals.onlinelibrary.wiley.com/doi/10.1111/...

Exploring the Role of #Antibiotics in Hospice #Care - The Journal of #Frailty & #Aging

There is still much work to do to improve #antibiotic prescriptions in #hospice care...

#Geriatrics #PalliativeCare #Health #Medicine #MedSky

#Frailty screening with comprehensive #geriatrician-led multidisciplinary assessment for older adults during #emergency hospital attendance in Ireland (SOLAR): a randomised controlled trial

#Care #Geriatrics #OlderPersons #CGA #ER #Research

www.thelancet.com/journals/lan...

Can music play an important role for those at the end of life? What about for dementia patients and caregivers? We examine the role of Music as Medicine with 3 guests: Jenny Chen, Tyler Jorgensen, and Theresa Allison. #medsky
 
bit.ly/GeriPalEp357 - @alexsmithmd.bsky.social | @ewidera.bsky.social

🎉 I am thrilled to launch the Dementia Journeys website - a new digital platform sharing powerful stories from carers, & exploring what better end-of-life dementia care looks like based on research from the UCL/KCL EMBED-Care programme
👉 www.dementia-journeys.com
#DementiaActionWeek 1/8

Well said. Not including older adults in research studies about diseases that primarily affect older adults is just ageism, pure and simple.
slate.com/technology/2...

Myth that IV #antibiotics ＞ PO is powerful. Yet, evidence:

🤜PO = IV efficacy almost always (prob'ly not in sepsis)🫸PO =🥇line for stable pts
👌IV: best if can't take PO or infxn has no effective PO Tx

PO: ⬆️ pt exprnc, ⬇️ 🏥 resources, ⬇️🌎 impact
www.ti.ubc.ca/2025/05/20/1... @drug-evidence.bsky.social

Drs. Silva (@geritjas.bsky.social‬) & ‪@seijlee.bsky.social‬ call on geriatricians to lead with impact today while building a stronger future in their new @agsjournal.bsky.social‬ editorial: “Geriatricians: Maximizing Impact Now…” #geriatrics agsjournals.onlinelibrary.wiley.com/doi/10.1111/...

"Let's boil this down: AI for back office and admin tasks? Yes. AI for diagnostics and training? Perhaps, but we need to understand the impact on patient care."

@kamranabbasi.bsky.social on the future of medicine
www.bmj.com/content/389/...

10 principles of verbal de-escalation - from the American Association for Emergency Psychiatry.

Many of these can be applied when a person with #delirium is distressed and "agitated".

Myth: Sedatives (like benzos) are mostly helpful in calming delirium.

Fact: Sedatives often worsen delirium. Non-drug approaches (reorientation, hydration, mobility) are first-line treatments.