Category Archives: Elderly Medicine

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

BMJ 2012: 344: 1 – 58 (4th February)

How safe are SSRIs in pregnancy?  A large linked-register study from the Nordic countries has shown third-trimester use to be associated with a 1.8/1000 risk of persistent pulmonary hypertension of the newborn (a life-threatening condition). Although a recent study, HYVET, … Continue reading

Posted in BMJ, Credits 2012, Elderly Medicine, Hypertension, Medication, Neurology, Pregnancy and Childbirth | Leave a comment