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Geriatric Medicine Taster Evening

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Geriatric Medicine Taster Evening Acute Geriatrics Dr Sally Jones Birmingham Heartlands Hospital 28,651 What is Acute Geriatrics Acutely ill frail elderly ... – PowerPoint PPT presentation

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Title: Geriatric Medicine Taster Evening


1
Geriatric Medicine Taster Evening Acute
Geriatrics
  • Dr Sally Jones
  • Birmingham Heartlands Hospital

2
28,651
3
What is Acute Geriatrics
  • Acutely ill frail elderly patients
  • Different models in different hospitals
  • In AE
  • In CDU
  • In AMU
  • Dedicated frail elderly assessment units
  • Rapid access clinics
  • Interface Geriatrics

4
Why Acute Geriatrics
  • The biggest elderly care department in the
    hospital is AE
  • Majority of older patients do not end up on
    specialist elderly care wards
  • Geriatricians should be where the patients are
  • Teaching/training of non elderly care staff
  • Appropriate decisions right from the outset
  • Facilitate earlier access to CGA

5
My Job
  • AE Front Door Geriatrician
  • Ward Elderly Care Assessment Unit/short stay
  • Clinics
  • Rapid Access Elderly Care
  • Parkinsons Disease
  • Also
  • Teaching in ED for junior doctors and ACPs
  • Service development...
  • Front door elderly care
  • Emergency pathways in conjunction with ED and
    Acute Med
  • Real chance to influence medical politics locally
    regionally
  • Geriatricians are now being listened to by many
    people!

6
Day in the life...
  • First thing...a visit to CDU with OT and physio
  • Several frail patients observed there overnight
    faints/falls, and a safeguarding problem. Who
    can go home?
  • Mid morning...onto AE
  • Fantastic range of medical issues to keep me
    busy! Older patients with postural hypotension,
    hypercalaemia, pancytopenia, deteriorating
    dementia, end of life can she go back to
    Nursing Home? Discussions with families, GPs,
    SW...and on the job teaching for AE junior docs.
  • Lunchtime
  • Coffee with manager and AE consultants about
    ideas problems
  • Early to mid afternoon...Rapid Access Clinic
  • 2 new patients sent from GP, one with Hb of 6,
    another with worsening heart failure. 4
    patients Id discharged home from AE but brought
    back for review...3 better (very rewarding
    good continuity), 1 needs more Ix
  • Late afternoon
  • Big cup of tea in my office preparing teaching
    session on falls for the ACPs in AE, and on
    delirium for the AE middle grades.

7
Questions?
  • Thank you
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