In the first episode of the series, we are discussing what it means to be pragmatic in our investigation and management of pathology in older adults. This also raises ethical questions about shared decision making and the concept of "valid" screening tests. Show notes are available to view and download at www.thehearingaidpodcasts.org.uk for more detail and curriculum mapping against Foundation, CMT, IMT, GPVTS, Geriatric Registrar and NHS Knowledge Skills Framework (KSF) programmes . Presented ...
Feb 04, 2020•39 min•Season 9Ep. 1
In the final episode of the present series, we discuss problems with eating in dementia, why they happen, and ways to try and minimise their impact. Show notes are available to view and download at www.thehearingaidpodcasts.org.uk for more detail and curriculum mapping against Foundation, CMT, GPVTS, Geriatric Registrar, ANP and NHS Knowledge Skills Framework (KSF) programmes. Presented by: Dr Iain Wilkinson and Dr Jo Preston (Consultant Geriatricians), Chris O'Connor (Consultant Admiral Nurse i...
Dec 17, 2019•52 min•Season 8Ep. 10
This week we look at the common inflammatory condition that is Polymyalgia Rheumatics. Show notes are available to view and download at www.thehearingaidpodcasts.org.uk for more detail and curriculum mapping against Foundation, CMT, GPVTS, Geriatric Registrar, ANP and NHS Knowledge Skills Framework (KSF) programmes. Presented by: Dr Iain Wilkinson and Dr Jo Preston (Consultant Geriatricians), Anne O'Brien (Specialist physio and Keele university senior lecturer), and Dr Alice O'Connor (Teaching f...
Dec 03, 2019•35 min•Season 8Ep. 9
This week's episode is about "feeding with acknowledged risk". We discuss the anatomy and physiology of swallowing, clinical scenarios where "risk feeding" may or may not be appropriate, and how to minimise the risk for people with swallowing difficulties. Show notes are available to view and download at www.thehearingaidpodcasts.org.uk for more detail and curriculum mapping against Foundation, CMT, GPVTS, Geriatric Registrar, ANP and NHS Knowledge Skills Framework (KSF) programmes. Presented by...
Nov 19, 2019•55 min•Season 8Ep. 8
Exercise in older people is a topic that raises a lot of questions from patients, carers and healthcare professionals. How much is safe? How much is enough? Are there any absolute contraindications? In this episode we attempt to answer some of those questions and provide practical guidance for the grey areas. Show notes are available to view and download at www.thehearingaidpodcasts.org.uk for more detail and curriculum mapping against Foundation, CMT, GPVTS, Geriatric Registrar, ANP and NHS Kno...
Nov 05, 2019•45 min•Season 8Ep. 7
This week we are focusing on assessment of unwell patients at home and things we can do to avoid hospital admission if it is against their wishes or not in their best interests. We look at some of the challenges associated with this, as well as some tools which exist to help healthcare providers with decision-making in this situation. Show notes are available to view and download at www.thehearingaidpodcasts.org.uk for more detail and curriculum mapping against Foundation, CMT, GPVTS, Geriatric ...
Oct 22, 2019•53 min•Season 8Ep. 6
Alongside our guest speaker Neil Chadborn, a researcher involved in the recent PEACH study, we discuss how CGA may be used in care homes to improve efficiency of care delivery, and the feasibility of implementing this given the wide variation in types of care homes across the UK. Show notes are available to view and download at www.thehearingaidpodcasts.org.uk for more detail and curriculum mapping against Foundation, CMT, GPVTS, Geriatric Registrar, ANP and NHS Knowledge Skills Framework (KSF) ...
Oct 08, 2019•36 min•Season 8Ep. 5
This episode looks at the concept of risk and how our perception of risk can affect the decisions we make, both as health and social care professionals and as human beings. Risk-averse practice is something many of us have encountered in our work and holistic care of older people often involves the acceptance of a degree of risk, by us as well as the people we are caring for. Show notes are available to view and download at www.thehearingaidpodcasts.org.uk for more detail and curriculum mapping ...
Sep 24, 2019•39 min•Season 8Ep. 4
This episode explores the particular needs of older adults who may find themselves homeless. It covers the statutory rights from local authorities in the UK and how health services can adapt to meet their needs. Show notes are available to view and download at www.thehearingaidpodcasts.org.uk for more detail and curriculum mapping against Foundation, CMT, GPVTS, Geriatric Registrar, ANP and NHS Knowledge Skills Framework (KSF) programmes. Presented by: Jackie Lelkes, Social Work Senior Lecturer ...
Sep 10, 2019•43 min•Season 8Ep. 3
Frailty can be assessed in a number of ways. In this episode we will talk through some of the common scales/scores that are out there. Show notes are available to view and download at www.thehearingaidpodcasts.org.uk for more detail and curriculum mapping against Foundation, CMT, GPVTS, Geriatric Registrar and NHS Knowledge Skills Framework (KSF) programmes. Presented by: Dr Iain Wilkinson and Dr Jo Preston, Consultant Geriatricians.
Aug 27, 2019•41 min•Season 8Ep. 2
Sarcopenia has been the subject of much research over recent years and provides a pathophysiological correlation with frailty. In this episode we explore the scientific basis as well as the role of nutrition and exercise. Show notes are available to view and download at www.thehearingaidpodcasts.org.uk for more detail and curriculum mapping against Foundation, CMT, GPVTS, Geriatric Registrar, ANP and NHS Knowledge Skills Framework (KSF) programmes. Presented by: Dr Iain Wilkinson and Dr Jo Prest...
Aug 13, 2019•29 min•Season 8Ep. 1
In this episode we will explore some of the challenging aspects of CANH encountered in working with older adults. We outline the legal and ethical principles including the recent BMA / RCP 2019 guidance. Show notes are available to view and download at www.thehearingaidpodcasts.org.uk for more detail and curriculum mapping against Foundation, CMT, GPVTS, Geriatric Registrar, ANP and NHS Knowledge Skills Framework (KSF) programmes. Presented by: Dr Iain Wilkinson and Dr Jo Preston, Consultant Ger...
Jun 18, 2019•57 min•Season 7Ep. 10
This episode discusses age discrimination in society and healthcare. We look at how age adjusted care looks to tailor care an approach specific to older adults needs and how the two might overlap. Learning Objectives: Knowledge: To know that able to describe age discrimination and to understand the law relevant to this area Skills: To know how to challenge age discrimination when it occurs To be able to design services that are age based by not age discriminatory Attitudes: To realise that age i...
Jun 04, 2019•47 min•Season 7Ep. 9
In this episode we explore the impact culture has on health and care. We talk broadly about culture and cultural awareness followed by a focus on Ethnicity. Show notes are available to view and download at www.thehearingaidpodcasts.org.uk for more detail and curriculum mapping against Foundation, CMT, GPVTS, Geriatric Registrar, ANP and NHS Knowledge Skills Framework (KSF) programmes. Presented by: Dr Iain Wilkinson and Dr Jo Preston, Consultant Geriatricians, Aoife Lillis, Medical Registrar and...
May 21, 2019•43 min•Season 7Ep. 8
Presented by Dr Philippa Christie and Dr Iain Wilkinson these two short episodes report back from the British Geriatric Society Spring conference 2019. They talk through some of the highlights for us of the lectures and posters over the 3 days. As ever when recording on the move the sound quality isn't up to our usual standard! For more information from the conference head to twitter and read conference hashtag #bgsconf for the 10th - 12th April 2019.
May 14, 2019•16 min
Presented by Dr Philippa Christie and Dr Iain Wilkinson these two short episodes report back from the British Geriatric Society Spring conference 2019. They talk through some of the highlights for us of the lectures and posters over the 3 days. As ever when recording on the move the sound quality isn't up to our usual standard! For more information from the conference head to twitter and read conference hashtag #bgsconf for the 10th - 12th April 2019.
May 14, 2019•19 min
In this episode we explore models of care around a fictional patient to look at ways care could be delivered if needs were placed at the centre. Show notes are available to view and download at thehearingaidpodcasts.org.uk for more detail and curriculum mapping against Foundation, CMT, GPVTS, Geriatric Registrar, ANP and NHS Knowledge Skills Framework (KSF) programmes. Faculty: Dr Iain Wilkinson and Dr Jo Preston, Consultant Geriatricians, Aoife Lillis, Medical Registrar, Sarah Vigor, Physician ...
May 07, 2019•49 min•Season 7Ep. 7
In this episode we recap causes of falls from head to toe and which may require admission from community to manage. We also discuss the approach to decision making in these individuals. Knowledge: Recall common causes of falls in older adults. Distinguish causes for which acute admission may modify outcome. Skills: Be able to recognise when acute admission is necessary in someone who has fallen. Recognise when falls review in the community may be beneficial. Attitudes: To appreciate that falls r...
Apr 23, 2019•46 min•Season 7Ep. 6
This episode explores different models of front door frailty models, rationales. Knowledge: Understand the role of Geriatrics teams in acute 'front door' settings in hospitals. Skills: To recognise when acute Geriatrics teams may be helpful. Attitudes: To appreciate how you might work alongside an acute Geriatrics team. Show notes are available to view and download at www.thehearingaidpodcasts.org.uk for more detail and curriculum mapping against Foundation, CMT, GPVTS, Geriatric Registrar, ANP ...
Apr 09, 2019•46 min•Season 7Ep. 5
In this episode we will cover communicating with relatives, outlining legal frameworks and talking through some frameworks and examples to help. Learning Outcomes Knowledge: To become familiar with some models for communication with relatives that may help to guide practice. To be aware of common clinical situations where communication with relatives may be difficult To understand the legal and ethical principles relevant to communication with relatives. Skills: To be able to communicate with re...
Mar 26, 2019•50 min•Season 7Ep. 4
In this episode we will be looking at the various aspects and important elements to patient flow. Show notes are available to view and download at www.thehearingaidpodcasts.org.uk for more detail and curriculum mapping against Foundation, CMT, GPVTS, Geriatric Registrar, ANP and NHS Knowledge Skills Framework (KSF) programmes. Presented by: Dr Iain Wilkinson and Dr Aoife Lillis. Contributions from: The Surrey and Sussex Healthcare Team... Angela Stephenson (Chief Operating Officer), Dr Ed Cetti ...
Mar 12, 2019•51 min•Season 7Ep. 3
This episode we will be talking about how and why trauma in older people is different and the importance of thinking about the potential injuries as the face of trauma is changing. Show notes are available to view and download at www.thehearingaidpodcasts.org.uk for more detail and curriculum mapping against Foundation, CMT, GPVTS, Geriatric Registrar, ANP and NHS Knowledge Skills Framework (KSF) programmes. Presented by: Dr Iain Wilkinson. Contributing Faculty: Pam Trangmar, Dr Cathryn Mainwari...
Feb 26, 2019•39 min•Season 7Ep. 2
In this episode we will be talking about how and why polypharmacy happens and think about some strategies and tools to aid safe deprescribing. Knowledge: To be able to describe what polypharmacy is and the impact it may have on patients. To know when to explore polypharmacy and deprescribing. Skills: To be able to signpost patients to have their medications reviewed. To have a framework to structure you approach to ongoing medication use. To drive shared decision making in prescription managemen...
Feb 12, 2019•48 min•Season 7Ep. 1
As HIV treatment improves, the prevalence of HIV in older adults is increasing as a chronic disease comorbidity and with it's own health implications, as well as increasing rates of late diagnoses at older ages. We explore the inequalities in HIV testing, ageing syndromes in this group and health service delivery. Show notes are available to view and download at www.thehearingaidpodcasts.org.uk for more detail and curriculum mapping against Foundation, CMT, GPVTS, Geriatric Registrar, ANP and NH...
Dec 11, 2018•55 min•Season 6Ep. 10
Knowledge: To understand the prevalence and problems associated with faecal incontinence. To be able to think through a range of possible diagnoses that are associated with FI. To be able to instigate initial investigation and management for FI in inpatients and outpatients. Skills: To be able to take a history from a patient with FI. To be able to identify how FI may be affecting your patient. Attitudes: To understand that FI is a condition associated with a range of potential management option...
Nov 27, 2018•38 min•Season 6Ep. 9
This episode will explore what is meant by supportive care for older adults with cancer, explore the idea of prehab and cover some of the issues you might encounter as longer term consequences as a non-specialist. Knowledge: To recall the problems experienced by older adults with cancer To understand the role of rehabilitation and supportive care in maintaining wellbeing Skills: To recognise when someone may benefit from holistic support Attitudes: To feel confident to talk to someone living wit...
Nov 13, 2018•41 min•Season 6Ep. 8
In this episode we explore Heart Failure. Learning outcomes include: Knowledge: 1) Defining heart failure and an appreciation of the common aetiologies 2) NYHA classification with respect to assessment of symptoms 3) Understanding the medical and non-pharmacological therapies for heart failure and appreciating when device therapies may be warranted 4) An awareness of conditions that may mimic heart failure 5) Complexities of managing HF in older multimorbid patients Skills: 1) Identify heart fai...
Oct 30, 2018•41 min•Season 6Ep. 7
In this episode we explore AF. Learning outcomes include: Knowledge: To understand what AF is and be able to explain this to a patient To know why AF is a risk factor for strokes and how to reduce this risk Skills: To be able to detect AF by taking the pulse of a patient To know when to refer a patient for further investigation Attitudes: To understand that anyone who has contact with a patient might detect AF Show notes are available to view and download at www.thehearingaidpodcasts.org.uk for ...
Oct 16, 2018•45 min•Season 6Ep. 6
This episode explores prostatic problems in older men, the relationship to continence and LUTS and discuss the impact of PSA testing and diagnosis of prostate cancer. Intended Learning Outcomes include: Knowledge: To recall where the prostate is and its function To recall how the anatomy of the prostate causes symptoms Skills: To recognise when urinary symptoms in an older man may be due to a prostatic problem Attitudes: To proactively ask about symptoms and signpost for assessment Show notes ar...
Oct 02, 2018•39 min•Season 6Ep. 5
In this episode we will look at what happens in our lungs as we age. We will cover the commonest signs and symptoms related to the lungs in older people both what is normal and what is abnormal. Learning Outcomes - Knowledge: To be able to describe and understand the normal changes in older people's lungs. To understand the impact of frailty on an older persons response to an respiratory insult. Skills: To be able to describe spirometry to a patient. To be able to signpost people to ways to impr...
Sep 18, 2018•47 min•Season 6Ep. 4
