BevelynM.

cANP Dementia MGH. Special interest with Older Persons Care Delirium & Dementia QI. Mom to Bea & Brielle, 🐕 Mollie & Rocky. Views are my own.

[National Dementia Services @dementia_office]

Herbert Protocol Launch at the 18th @EngagingDemIrl Conference.

@EngagingDemIrl
@alzheimerssoc
@gardainfo

[IAEM @AssocEmergMedIE]

Happy International Nurses Day and thank you to all our nurses for your incredible dedication, professionalism and life-saving patient care 24/7 #IND2026

[Alasdair MacLullich @A_MacLullich]

The sooner you diagnose #delirium, the sooner you can proactively relieve your patient's distress.

[Alasdair MacLullich @A_MacLullich]

"You can't properly assess for delirium when someone already has dementia."

Wrong.

New meta-analysis (Keane et al. 2026): 4AT shows 88% sensitivity, 79% specificity in dementia populations.

5 studies. 1,304 patients. International data.

#delirium #dementia

[Alasdair MacLullich @A_MacLullich]

Delirium treatment should involve *brain care* AND *mind care*.

#delirium

[Alasdair MacLullich @A_MacLullich]

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

[Alasdair MacLullich @A_MacLullich]

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.

[Alasdair MacLullich @A_MacLullich]

"It's just the dementia progressing."

A very dangerous phrase in clinical care.

Acute change in someone with dementia? That's #delirium until proven otherwise.

↳ Don't put the stick in the patient's wheel.

#Delirium #Dementia

[Alasdair MacLullich @A_MacLullich]

"Do not use antipsychotic drugs for the non-cognitive symptoms or behaviour that challenges in people with dementia unless the person is severely distressed or there is an immediate risk of harm to them or others."

— UK NICE Guideline on Dementia

[Helen Bevan @HelenBevan]

Reciprocity is one of the most important principles for leaders of change.

At a simple level, reciprocity means a mutual exchange between people where each party gives & receives value, creating a balance that benefits everyone involved. But it's deeper than that. It's about mutual benefit & collective growth. Reciprocal relationships are built on mutual giving, receiving and creating community, rather than one-way transactions.

Increasing numbers of organisations are investing in “social network analysis” (SNA) to understand their internal relationships & the extent to which these relationships enable or block change. SNA shows that reciprocity creates the best kind of sustainable, trust-based relationships that support long-term change. By contrast, many organisations exhibit “simple brokering” rather than reciprocity. That means that individuals (“brokers”) fill gaps between disconnected groups or individuals in an organisation. Brokering can be fragile & psychologically costly/exhausting if you’re in this role.

In change leadership, reciprocity succeeds where brokering alone may struggle because it builds the relational infrastructure that makes information sharing, collaboration & sustained commitment possible. By contrast, brokering often means transactional approaches focused on short-term exchanges; less sharing & less learning.

As change leaders, we have to be role models of reciprocity. That means being the people who create the conditions for reciprocal relationships by being the ones who give first. If we want cooperation, support &/or engagement from others, we need to offer cooperation, support &/or engagement first. Even when we are working with people & teams who are challenging, resistant &/or “don’t get us”, we have to give first.

A beautiful blog on reciprocity from @SisDrSandra: https://t.co/n2kUjrPQMm.

Graphic from David Meade on the power of "giving first" taken from: https://t.co/3ltkwGVwUW.

I also want to acknowledge @DrNicolaBurgess who has helped me more fully appreciate the power & importance of reciprocity through her excellent research studies.

[St. Michael's House @StMichaelsHouse]

Today is National Adult Safeguarding Day, a day on protecting vulnerable adults from harm and abuse.

🎥For this day, adults in our services have produced short videos on what this means - see them at: https://t.co/eSTSF5YtWC

#SafeguardingDay #MyVoiceIsMyRight #StMichaelsHouse

[BevelynM. @brielle2022]

Nursing group leading a way in older people care here in #igs2025 @irishgerontsoc . Networking and listening to each other on how to improve care in our individual services.

[BevelynM. @brielle2022]

When you’re just reflecting Rockwood CFS in your assignments while studying your MsC and now hearing him IRL here in the #igs2025killarney is a surreal experience. @irishgerontsoc @Krockdoc

[BevelynM. @brielle2022]

When you’re just reflecting Rockwood CFS in your assignments while studying your MsC and now hearing him IRL here in the #igs2025killarney is a surreal experience. @irishgerontsoc @Krockdoc

[Rose Anne Kenny @RoseAnnekenny1]

Wonderful lecture from Nora Cunningham, ANP Stroke and Older Persons "An ANP led Stroke Secondary Prevention Service"
Lead First nurse implant service for implantable loop recorder in Ireland for stroke prevention.
@ULHospitals

[BevelynM. @brielle2022]

Listening to @BernardGloster kicking off Friday’s #igs2025 @irishgerontsoc. Just first if the many to listen today.

[Irish Gerontological Society @irishgerontsoc]

#IGS2025 kicks off this evening in Killarney! 🌟
✅ Despite weather warnings elsewhere, the ASM is going ahead as planned. Thanks to our sponsor @Medtronic
#Ageing #Gerontology #HealthyAging

[BevelynM. @brielle2022]

Sunday walk for a cause. #WorldAlzheimersDay

[Alasdair MacLullich @A_MacLullich]

Another interesting paper on #dementia detection in hospital patients.

https://t.co/uB9C0Qbmfc

[BevelynM. @brielle2022]

Had the honor to speak at the Newmarket Dementia Cafe last Thursday. A mini physical exercises with brain twisters in a wonderful community facility The Culturlann! Thank you Sheena Cadoo of North Cork Dementia Services and Trish Moloney DON @HospitalMallow for the support.