Acute Care of Elderly (ACE) Practitioners UHA

Acute Care of Elderly (ACE) Practitioners, University Hospital Ayr. RMN, RN and OT providing CGA in the acute setting. Some of our thoughts and interests.

[Hazel Borland @HazelNMAHPDir]

Today is #internationalnursesday thank you to every nurse across Ayrshire & Arran @NHSaaa @EAHSCP @NAHSCP @sahscp @jenniferPN10 @CNOScot

[Alasdair MacLullich @A_MacLullich]

⚡ SIGN Guidelines on #Delirium = one of the few recent comprehensive guidelines in the field globally.

🆗 Here is the section on #delirium treatment.

Quick reference guide (free):

🔗 https://t.co/9Txcl8tSIK

[Acute Care of Elderly (ACE) Practitioners UHA @AceFrailty]

The power of #frailtysim cannot be over estimated as a learning tool in the clinical area Brilliant day, enthusiastic team and great connections made.

[julie mardon @juliesyme]

Brilliant day so many lessons learnt connections made and fantastic plans for the future integration at its best #frailtysim #simulation @scotsimcentre

[Acute Care of Elderly (ACE) Practitioners UHA @AceFrailty]

@Jak673 I’m sure I can utilise my powers of persuasion! 😊

[Acute Care of Elderly (ACE) Practitioners UHA @AceFrailty]

Fabulous educational board in UHA CAU #thinkdelirium #NHSaaa

[Acute Care of Elderly (ACE) Practitioners UHA @AceFrailty]

@Jak673 Would love to take the credit @Jak673 but it’s all down to a very knowledgable SN in the unit!

[British Geriatrics Society @GeriSoc]

The ‘React to Falls’ App is an evidence-based smartphone resource that enables #carehome staff to tailor actions to support each individual resident. It includes practical tips and examples of what staff can do, whilst enabling residents to remain active https://t.co/zAYZmsIMgy

[Kenneth Rockwood @Krockdoc]

We argue for diagnosing delirium, by the way. "Misdiagnosis ... is characterized in medicine as diagnostic error and not under-recognition. If delirium were considered a diagnosis, its diagnostic error rate would be an unacceptably high rate of around 70%"

[Alasdair MacLullich @A_MacLullich]

Very useful poster on #COVID19 in the older adult.

Free download: https://t.co/iUaUIy6K4m

@GeriSoc

#geriatrics #delirium #falls

[Acute Care of Elderly (ACE) Practitioners UHA @AceFrailty]

@MurdochLeona Just wish I wasn’t chewing my face with concentration listening to Mr. Burns.

[Kenneth Rockwood @Krockdoc]

I’m worried about seniors in this coronavirus outbreak. What’s the best way to keep them safe? The Globe asked. My reply, with part of the tricky conversation about people living with late-stage dementia. Where does Covid19 fit in allowing a natural death? https://t.co/0twspoPSVm

[SDA @ScotDelirium]

Delighted to announce that the Scottish Delirium Association teaching day 2020 is on 18 June at Glasgow Caledonian University in central Glasgow.

Keynote: Prof Graham Ellis - National Clinical Lead for Older People.

See below for details.

RT & share with colleagues!

#delirium

[Acute Care of Elderly (ACE) Practitioners UHA @AceFrailty]

@DrTerryQuinn Stress and distress in patients with dementia is often a result of undetected pain. Think regular paracetamol instead of haloperidol.

[Acute Care of Elderly (ACE) Practitioners UHA @AceFrailty]

In our experience constipation is more likely to the main contributing factor for delirium (if you only have one cause you’re not looking looking hard enough)

[Innes R Hynd 🏴󠁧󠁢󠁳󠁣󠁴󠁿🇬🇧🇪🇺💙 @innesrhynd]

@DrTerryQuinn Also something about how common a non-infective delirium is - stop giving trimethoprim and start sorting laxatives, analgesia, reading glasses and hearing aids etc

[Rowan Wallace (also on Bluesky) @rowan_wallace]

I’ve told this before but it’s a good one.
‘We’ve lost a patient. You need to come’
‘As in died?’
‘No. Lost’
‘How do you know?’
‘We can only find a slipper’
As I walked to the ward, a fox headed out the back door with a pink slipper in its mouth.
Pt was in the toilet. Barefoot.

[Acute Care of Elderly (ACE) Practitioners UHA @AceFrailty]

@kirstymward @KarenAdam13 @ang_rowe @NHSaaa If you PM me your email address I’ll send you an electronic copy of the poster/ Rockwood

[Acute Care of Elderly (ACE) Practitioners UHA @AceFrailty]

ACE Practitioners in UHA focus on frailty and CGA, raising awareness @NHSaaa

[Diane Anderson @DianeAn20873078]

All wards in hospitals need to be aware of the role of the ACE practitioners

[Acute Care of Elderly (ACE) Practitioners UHA @AceFrailty]

Excellent tweerorial on classification of the clinical frailty scale

[Kenneth Rockwood @Krockdoc]

1/9 Was asked good questions re: the Clinical Frailty Scale, so this Tweetorial. Case 1: 84 year old woman; hypertensive, hypothyroid (meds for each) IADLs OK. Walks 5-7 km/day + 15km/week to visit her sister. "Would you still classify her as CFS =3 due to her chronic diseases?"

[Angela Rowe @ang_rowe]

All of us should be thinking about having a Power of Attorney #nevertooearly #PoA @NHSaaa @ConnieAMurray @billyahpd @JoannaMowbray @E_Diff @MaryannMcewen @marykelso4 @FizzyGiGi @ElaineMStewart1 @1mindfulcyclist @AJohnso10 @GrierAHP @ninamcg77 @joolzl23 @CHRISTINESOMER1

[Sean Ninan @sean9n]

How to diagnose UTI in older people. Thoughts?
Might have to pinch and zoom on a phone