All Care of the elderly articles
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Pharmacist focusFrailty and polypharmacy: the role of the practice pharmacist
Samantha Cudby and Gupinder Syan explain the role of the practice pharmacist in supporting the management of frail older people in primary care
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Key learning points
Key learning points: diabetes in older people with frailty
Professor Alan Sinclair explains how care should be personalised and targets adapted for older people with diabetes, including an assessment of frailty
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Test and reflect
Collaborative stakeholder initiative for the management of type 2 diabetes in older people
This CPD activity consists of 3 multiple-choice questions (MCQs) designed to test your knowledge on the management of diabetes in older people, including in the context of frailty.
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Key learning points
Key learning points: physical activity in osteoporosis
Sarah Leyland, Virginia Wakefield, and Dr Zoe Paskins highlight six essential points from the Royal Osteoporosis Society guidance on physical activity and exercise for people with osteoporosis
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Top tips
Top tips: frailty in older people
Dr Sunil Angris offers top tips on the identification, assessment, and management of frailty in people aged 65 years and over
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News
NICE guideline on improving patient experience in adult social care published
NICE has published NICE Guideline 86 on People’s experience in adult social care services: improving the experience of care and support for people using adult social care services.
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Implementing guidelines
Coordination of care is essential for managing multimorbidity
Dr David Kernick reviews NICE Guideline 56 on multimorbidity, and identifies the key recommendations for managing people with multiple chronic conditions in primary care
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Hot topic
General practice should be placed at the centre of dementia care
Dr Eugene Tang (pictured) and Professor Louise Robinson discuss the latest recommendations for diagnosing and treating dementia patients, and how GPs can provide support
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Implementing guidelines
GPs can help to identify older people at higher risk of mental decline
Dr Alan Maryon-Davis highlights the key recommendations for primary care and commissioners from NICE Guideline 32 on independence and mental wellbeing in older people
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Commissioning article
Joined-up community care improves frailty management
Dr Ruma Dutta explores British Geriatrics Society guidance on assessing and supporting people with frailty and explains why good frailty services are important
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Hot topic
Treatment options help to reduce the burden of fragility fractures
Dr Ruma Dutta summarises guidance from several sources on the assessment, treatment, and follow up of older people with osteoporosis and fragility fracture
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Hot topic
People who fall need a medical assessment and drugs review
Dr Ruma Dutta explores causes of falls in older people and explains how addressing orthostatic hypotension and reviewing medications could help to reduce risks
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Hot topic
Frail and vulnerable older people appear to have the most pain
Dr Martin Johnson and Professor Pat Schofield (left) explore the prevalence of pain in older people and summarise the best evidence for a variety of approaches
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NICE quality standard article
Early diagnosis will help GPs to attain the quality standard for dementia
Dr David Anderson (left) and Dr Nadarajah Jehaanandan outline the NICE quality statements for dementia and the measures that are needed to achieve them
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Implementing guidelines
Recognising symptom patterns will aid early diagnosis of dementia
Professor Steve Iliffe discusses how both general practitioners and commissioners can ensure the national dementia strategy is implemented in primary care
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Implementing guidelines
Dysphagia should always be considered when prescribing
Dr David Wright revisits the consensus guideline for patients with swallowing difficulties and explains why the correct formulation is as important as the medicine
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Implementing guidelines
New recommendations will aid assessment of pain in the elderly
British Pain Society and British Geriatrics Society guideline will help to improve identification of pain and produce a more considered approach to management, says Dr Pat Schofield
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Implementing guidelines
Dementia guideline will assist GPs with diagnosis and care
Dr Stephen Iliffe and Professor Jill Manthorpe discuss how the NICE dementia guidance will help with early recognition and assessment and thereby benefit patients and carers
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Personal view
Guideline revises appraisal advice on dementia care
NICE recommendations on assessment, diagnosis, treatment, and management of dementia are discussed by Dr David Wilkinson
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Implementing guidelines
GPs should ask about swallowing difficulties when prescribing
A new guideline on medication management for patients with swallowing difficulties highlights the implications of medication alteration, as Dr David John Wright explains
