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You manage them 99% of the time? One day in 7 one or more fail to go straight down first time and the taste is grim (lol - such s life)
@moon1over.bsky.social not the best picture, taken with iPhone (by the time I could get my camera and tripod it had clouded)
Elliott Carver in Tomorrow Never Dies comes to mind
A common mistake
#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...
And these are the factors that Seacroft consider in their assessments
And we really need to know what third sector support is there and build relationships with them….
The importance of seeing people in their own home, not in a clinic
Now the Seacroft team - currently talking about statifying the population, clinically correlating the identified people, then having different people doing their own specialist parts of the CGA
A great question - why are so few geriatricians in community geriatrics? Places/posts need creating but I think we need to train more. I was supposed to go into community once upon a time cut events overtook me …. I may revisit that one day
Achievements and top tips for success
Key principles and supporting documents in setting up intergrated frailty systems
And this also ties in well with the reactive (especially Virtual Ward) system - shared skill sets allows resilience with staff moving from team to team
More outcomes - if Proactive care works as well as this why aren’t we all doing it?
Outcomes !
The MDT!
The Hull Model of Proactive Care - frailty based, not aged based (I approve!)
@gerisoc.bsky.social session 3 #BGSConf - community and primary care - first up will be the fantastic Hull team talking about the Jean bishop intergrated care centre in Hull.
The need to move funding from reactive to proactive service
And now why and how to set up a proactive service for people with therapy!
Agree it is a major issue!
Great results
@gerisoc.bsky.social now hearing about BRAVE AI as a risk identification tool allowing identifying patients at risk of all sorts of adverse outcomes, allowing interventions - wow woukd love to see this locally #BGSConf
The proactive model leads to a significant improvement in mortality and reduction in harmful medications
Process is 1) identify the frail patient 2) data gathering/assessment 3) problem list 4) the plan 5) share the plan with patient and health care. If a domain of the I GA has been missed an electronic alert/warning prompts the clinician
Enhanced care/proactive care in care homes, difficult to identify who is in care homes, care home staff not trained to do CGA and issues finding enough GPs with the contract issues - solution an electronic CGA. I like the fact that on the ICGA things are only documented once
@gerisoc.bsky.social session 2 of #BGSconf at community and primary care
Yup… I used to be fairly active….
Evening Medical Updates…. Online (and in person) monthly event run by the RCPE Trainees and Members Committee, each month is a different topic from IMT curriculum. Quite a few hospitals subscribe and show in lecture theatre, and RCPRE members can watch on line
