Old Age Psychiatrist, MNMH, TPCH. Executive Dean RANZCP. President of the Australasian Delirium Association. Professor UQ and QUT. AE Age and Ageing ⚾️
Delirium unbound #11 Daniel Davis and the music of delirium brought to you with special co-hosts Shaun Pandy and Elizabeth whiting from the ANZSGM in Adelaide. Out soon!!
Ringside at the referral fight:
"It's organic, not psych." "It's psych, not medical." "Not appropriate for our team."
The patient: still delirious, still suffering.
#delirium#medtwitter
The BGS Delirium Hub covers everything from an introduction to the area to education, training, and research. It's a great resource. https://t.co/MyJOIIfxPJ
Generalism is prized in MedEd but often fuzzy. We outline 4 dimensions: career, learning context, clinical approach & flexibility. Authors arguing that clarity is vital for curriculum design. @ASMEofficial#MedEd https://t.co/Kq9xZ1Cmfo
In Memoriam: James "Jim" Rudolph
As Editor of the Delirium journal, I am honoured to publish this posthumous piece by Jim Rudolph - a leading delirium researcher, geriatrician, mentor, and dear friend to many in the field.
Jim wrote this shortly before his death.
It captures in his characteristic funny and penetrating style his lifelong commitment to better recognition, prevention, and care of delirium.
"Up we go."
🔗 https://t.co/eKMz0sHzay
Some studies show that in some undergraduate degrees nurses get no formal #delirium training.
For an emergency that affects 1 in 6 hospital patients.
Help me understand why this is.
❓What exactly are Rosenshine's 10 principles of instruction? He calls them "research-based principles all teachers should know." I go through them in this clip. Check out the full episode with Tom Sherrington on Chalk & Talk!
https://t.co/9psup04o3H
🧠 Introducing the new 9‑item short Delirium Observation Screening Scale (s‑DOSS). Faster and more nurse‑friendly delirium screening tool built for busy clinical practice📄 Read the article:
https://t.co/H7M6bw1Iet
#delirium#geriatrics#nursing#patientsafety
New interview on Australian Broadcasting Corporation Radio: "Steven Pinker thinks we’re worried about the wrong things" https://t.co/9ndqK1zFeV via @ABCaustralia
Let's look at delirium and dementia:
Episodes of delirium: more rapid progression of dementia.
Delirium survivors: x3-fold higher risk of future dementia.
➡️ We really need the support of dementia charities in helping improve delirium care.
#delirium#dementia#medtwitter
The best way to engage the next generation of psychiatrists in old age psychiatry is to give them an opportunity to work with us and our patients. It took me 3 days in an SHO post to realise that this was the patient group I wanted to spend my working life looking after.
Psychiatry is being told once again to step back. To prescribe less. To hesitate more. To practice “gentle medicine.” That sounds virtuous until you look closely. Six uncomfortable points.
1. Psychiatry is not reckless. It already works under uncertainty every day. The real danger is not overconfidence. It is paralysis disguised as caution.
2. Severe depression, psychosis, bipolar disorder, catatonia and suicidality do not wait for philosophical clarity. Delay kills. Calling delay “gentle” does not make it ethical.
3. Average effect sizes are waved around to dismiss treatment. Real patients are not averages. Many return to work relationships and life because treatment was started on time.
4. Medication harms are loudly discussed. The harm of non-treatment relapse disability suicide is strangely quieter. That imbalance is not neutral. It shapes fear driven practice.
5. The chemical imbalance story is repeatedly used as a moral indictment. It was a public simplification not a clinical doctrine. Psychiatry never practiced cartoon biology.
6. “Gentle medicine” is a luxury concept. In low-resource settings it often translates to no treatment delayed care and abandoned patients.
Psychiatry does not need moral lectures about restraint. It needs the freedom to act decisively when illness demands it.
Less ideology.
Better judgment.
Happy to share our just publised editorial on @Age_and_Ageing Delirium superimposed on dementia (DSD)—a practical approach https://t.co/KRgatrdhyf @AleMorandi78
“You learn much more from the young people than they do from you.” Eminent psychiatrist Sir Robin Murray discusses being a mentor – just one aspect of his terrific interview with RCPsych, which covers his career highlights, the barriers he has faced, and what he’s relishing tackling next. #ThriveinPsychiatry
https://t.co/Wjqgft01Yi
Have you seen the programme release for our new event, Breaking Boundaries: Planet, Mind and Action? Highlights include talks from well-known experts in the field, panel discussions, Q&A and much more!
View the programme here: https://t.co/qQhY4OHSlQ
#RCPsychPlanetMindAction🌍
Join us for 'Psychiatry has a Psychedelic Future', where we'll explore the evolving role of psychedelic medicine in psychiatry.
The event will feature leading experts, including Professor David Nutt, as well as lived experience workers.
For more info: https://t.co/YrxbU5y1s8