1 / 23

Older people’s medicine

Older people’s medicine. Dr Nicola Turner Medicine for Members June 2013. What’s in a name?. Medicine for the Elderly? Elderly Medicine? Geriatrics? Gerontology? Care of the Elderly? Care of Older People?. What’s in a name?. Medicine for the Elderly? Elderly Medicine? Geriatrics?

xena
Download Presentation

Older people’s medicine

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Older people’s medicine Dr Nicola Turner Medicine for Members June 2013

  2. What’s in a name? • Medicine for the Elderly? • Elderly Medicine? • Geriatrics? • Gerontology? • Care of the Elderly? • Care of Older People?

  3. What’s in a name? • Medicine for the Elderly? • Elderly Medicine? • Geriatrics? • Gerontology? • Care of the Elderly? • Care of Older People?

  4. What’s in a name? • Medicine for the Elderly? • Elderly Medicine? • Geriatrics? • Gerontology? • Care of the Elderly? • Care of Older People?

  5. The “Mother” of GeriatricsDr Marjorie Warren1897 - 1960

  6. Elderly Medicine is "a branch of general medicine concerned with the clinical, preventative, remedial and social aspects of illness in old age." (Royal College of Physicians)

  7. “Geriatric Giants” • Immobility • Instability • Incontinence • Impaired memory/cognition • Iatrogenic illness

  8. Adding life to years is as important as adding years to life

  9. Yuichiro Miura

  10. The Team

  11. The Team • Doctors • Nurses • Physiotherapists • Occupational Therapists • Speech and Language Therapists • Social Workers • Dieticians • Pharmacists

  12. Life expectancy – ONS 2009-11 • At birth: Male 78.7; Female 82.6 • At 65: Male 18.2; Female 20.8 • At 85: Male 5.8; Female 6.9 The number of people over 85 in the UK is predicted to double in the next 20 years and nearly treble in the next 30

  13. Thursday 14th March 2013 Demographic time bomb: Government 'woefully underprepared' to deal with Britain's ageing population

  14. Then....

  15. ....Now Chancellors Wing J27,J28 Gledhow Wing J 7, J8, J9, J14, J15, J17

  16. “[Hospitals] are very bad places for old, frail people” Sir David Nicholson NHS Commissioning Board

  17. The NHS should be offering older patients a bespoke service If the health service were a business, it would recognise its customer base had shifted – and set up a Senior Unit Roy Lilley, 29th May 2013

  18. Mental Capacity • Presumed to have capacity until shown otherwise • Understand information, retain long enough to make decision, communicate that decision • Decision specific • People have the right to make foolish decisions! • MCA, IMCAs, DoLs and LPAs

  19. NHS starves 1,165 to death AT LEAST 1,165 people have starved to death in NHS hospitals over the past four years. By: Lucy Johnston Published: Sun, March 3, 2013

  20. Top doctor's chilling claim: The NHS kills off 130,000 elderly patients every year Professor says doctors use 'death pathway' to euthenasia of the elderly Around 29 per cent of patients that die in hospital are on controversial 'care pathway' Pensioner admitted to hospital given treatment by doctor on weekend shift By Steve Doughty PUBLISHED: 00:08, 20 June 2012 | UPDATED: 13:07, 26 October 2012

  21. Jenny McCartney 18th May 2013 We need to relearn the art of dying A doctor tweeting from her deathbed deserves our attention - and our thanks

More Related