The strong link between #delirium & mortality is not prominent enough in the minds of most acute care staff In this study a positive delirium test (4AT) predicted nearly 50% MORTALITY AT ONE YEAR

⁉️ Is prescribing sedatives for agitation without investigating its causes 'cognitive malpractice'? #delirium

There is a real urgency to get it right for older adults across health & social care. These resources based on Ageing & Frailty standards enable that improvement journey. We need to work as a focused & integrated teams to deliver this around Scotland #frailty

Great to have our NMAHPs from the Division of Aged Care Rehab and Pall care showcase their research at nursing grand rounds today #NALHN SA Health Mark Jones NP shares his early PhD work and the importance of consumer as well as clinicians perspective.

Delirium treatment should involve *brain care* AND *mind care* - the latter is often missing, or done inadequately.

Happened in Port Macquarie, NSW, Aus. Mid North Coast Local Health District (MNCLHD). No chronic pain clinic, specialist shortages, few public outpatient clinics for most chronic conditions. Ryan Park MP NSW Health The Sydney Morning Herald ABC News Chris Minns Anthony Albanese Mark Butler MP MNCLHD

🏥 𝐇𝐨𝐬𝐩𝐢𝐭𝐚𝐥𝐬: 𝐚 𝐜𝐡𝐚𝐥𝐥𝐞𝐧𝐠𝐞: INVOLVE FAMILIES in dementia & delirium care: ✓ let them stay past visiting hours ✓ ask about patient's routines ✓ use their calming techniques ✓ believe when they say "something's wrong"

In the #AssistedDying debate, “choice” is constantly invoked, as it was in today’s debate, as if it trumps every other consideration. But choice isn’t exercised in a vacuum. It’s an uneven principle, influenced by mood, inequality & awareness of options.

It’s time for an end to torso-based medicine. It’s not practical or possible for all older people to get a CGA. But they should all get an assessment of cognition and function. What is their 4AT? And how are they mobilising today (compared to normal) should be as common as NEWS

"Just a bit muddled" - avoiding saying "delirium" - doesn't cut it. It's unprofessional. Euphemisms don't help patients or families families prepare or understand. Use the right word: DELIRIUM. #delirium

Instead of thinking - what do I want? How about asking / how can I help protect the very most vulnerable people?

“…palliative care is about living, joy, fun, thinking about your legacy and working with a team to get on top of the big challenges. It’s only a little bit about dying. Let’s call it assisted living.” Great piece on palliative care by Prof. Mark Taubert

“If we don’t take a whole system approach we are setting nurses up to fail - short term projects and training is never going to work” Brendan McCormack speaking my language #complexity

Also struck again by what #videoreflexiveethnography can offer person centred practice Suyin Hor

Our new research findings - Healthcare systems need to factor in senior clinical support & workforce capacity to enable community nurses to engage in supported experiential learning about end-of-life care, both as learners and facilitators onlinelibrary.wiley.com/doi/10.1111/ja… Prof Alison Leary 💙#ProtectNurse

Shifting care into the community without District Nurses is like trying to run aviation without air traffic control You can do it but the dangerous uncoordinated mess that will emerge is a pretty sobering thought Nuffield Trust report coming soon. nuffieldtrust.org.uk/resource/the-l…

"Just a bit muddled" - avoiding saying "delirium" - doesn't cut it. It's unprofessional. Use the right word: DELIRIUM. #delirium

The importance of time to listen, really listen cannot be underestimated but also the time to act on what is heard. So many times the act of listening is misconstrued as the act of asking a question and writing down the answer...that's it. That's not it.

When you hoard knowledge, you create scarcity around your expertise. When you share it strategically, you create abundance and authority. The traditional academic believes exclusivity equals value. The academic entrepreneur understands that accessibility multiplies value.