Category Archives: Elderly Medicine

Snippets

Some interesting bits and bobs in the latest BMJ: The three most effective NSAIDs for hip and knee osteoarthritis appear to be, in descending order, diclofenac, etoricoxib, and rofecoxib. Now, of course, that’s of limited use, given the high risk … Continue reading

Posted in BMJ, Credits 2017, Elderly Medicine, Medication, NSAIDs | Leave a comment

Hip protectors

Several of the residents at the care home where I work have recently suffered falls, and one enthusiastic young staff member raised the issue of whether hip protectors would be helpful. Which was a very good question. I vaguely remember … Continue reading

Posted in Credits 2017, Elderly Medicine | Leave a comment

New evidence on hypertension targets in elderly

The ‘research update’ section in the BMJ alerted me to an interesting study in JAMA – the SPRINT study, comparing different hypertension targets in relatively healthy elderly people. Here’s the information I have from the abstract plus editorial: Population studied … Continue reading

Posted in Credits 2016, Elderly Medicine, Hypertension | Leave a comment

Anticholinergic Burden Scale

BMJ’s Minerva, source of useful little tidbits, has another one; a mention of a recent article in Age and Aging analysing the association between anticholinergic burden of drugs and mortality/CV disease, in the >40s. The article found an association on … Continue reading

Posted in Credits 2015, Elderly Medicine, Medication | Leave a comment

Lymphoedema and chronic oedema

There is no clear-cut line between the two. The lymph system is the primary route of drainage from a limb, so drainage may be impaired if the lymph system is overloaded by excess fluid (such as in CCF), if the … Continue reading

Posted in Elderly Medicine, Vascular | Leave a comment

Assessment of pain in dementia

There are now scales for assessing pain in patients too demented to communicate. They rely on observation of behaviour over at least 5 minutes. PAINAD (Pain Assessment in Advanced Dementia) OPBAI (Observational Pain Behaviour Assessment Instrument) PADE (Pain Assessment in … Continue reading

Posted in Credits 2012, Elderly Medicine, Pain control, Psychiatry | Leave a comment

BJGP June 2012

Interesting cited study, here, where researchers used the Good Palliative-Geriatric Practice Algorithm to reduce the numbers of drugs a group of elderly people were on, thus significantly improving their well-being as a result. Page 2 of the study has the … Continue reading

Posted in BJGP, Cardiovascular, Credits 2012, Elderly Medicine | Leave a comment