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❓ Can #delirium be managed safely at home? ➡️ Crucial issue given the growth of community-based care as an alternative to hospital admission ⭐ New pilot study on feasibility of new approach - appears safe & effective 🔗 Open access: rcpjournals.org/content/future… Emma Vardy

"#FallsPrevention is often associated with risk-averse attitude whereby people are discouraged from mobilising so they do not fall, consequently becoming deconditioned, increasing fall risk" BGS #FallsAwarenessWeek Blog via Alasdair MacRae & Lisa Alcock bgs.org.uk/blog/celebrati…

Benefits of an automated postoperative delirium risk prediction tool combined with non-pharmacological delirium prevention on delirium incidence and length of stay bit.ly/3zWJ6gQ PIPRA OUP Medicine Benjamin T Dodsworth

📋 #Practitioners now commonly assess #frailty in acute patients. ⭕ Frailty gives a 3-fold ⬆️ risk of #delirium 🔬 Frailty Index & Clinical Frailty Scale (CFS) were most strongly associated. 🔗 pubmed.ncbi.nlm.nih.gov/33549566/

❗ What do we know about risk factors for #delirium? ➡️ Impressive, comprehensive systematic review of the literature 👁️ "𝙏𝙝𝙚𝙨𝙚 𝙛𝙞𝙣𝙙𝙞𝙣𝙜𝙨 𝙖𝙧𝙜𝙪𝙚 𝙖𝙜𝙖𝙞𝙣𝙨𝙩 𝙖 𝙤𝙣𝙚-𝙨𝙞𝙯𝙚-𝙛𝙞𝙩𝙨-𝙖𝙡𝙡 𝙖𝙥𝙥𝙧𝙤𝙖𝙘𝙝 𝙩𝙤 𝙪𝙣𝙙𝙚𝙧𝙨𝙩𝙖𝙣𝙙𝙞𝙣𝙜,

🤔 Delirium treatment is actually pretty complex. When we say 'delirium treatment' what do we mean? From finding & triggers, to maintaining physiological stability, to treating symptoms & reducing long-term complications, there is a lot to think about. I've cared for people

🧠 𝗗𝗲𝗹𝗶𝗿𝗶𝘂𝗺 𝗵𝗮𝘀 𝗮 𝘀𝘁𝗿𝗮𝗻𝗴𝗲 𝘀𝘁𝗮𝘁𝘂𝘀 𝗶𝗻 𝗺𝗼𝗱𝗲𝗿𝗻 𝗵𝗲𝗮𝗹𝘁𝗵𝗰𝗮𝗿𝗲. ⭐ Affects 1 in 4 older people in hospital. ⭐ Linked with x2-3 one-month mortality, & in survivors a hugely increased risk of future dementia. ⭐ Causes distress & misery for

♥️ To provide compassionate care for people with delirium we first need to: ➡️ detect it ➡️ write the diagnosis of 'delirium' in the records & communicate this to the patient (if possible at the time) & their family ➡️ alongside treating triggers, etc., consider the

There will no doubt be a lot of research on this, and the breadth of deconditioning needs consideration. But we are so far off the mark on. How does your patient walk, talk, wash and dress, compared to normal…and understanding why there is a gap would improve things no end

Delirium management is much more than 'treat the cause'. Article: "Humanizing delirium care" A really useful concise guide. Open access. A lot of this is about engaging & communicating with each patient as an individual so that you can address their fears effectively.

Missing delirium is bad. Delirium detection should not be left just to champions/enthusiasts. We need to upgrade healthcare system norms to make it that we always look for delirium in high risk populations. And when we don't even try it should be considered BAD PRACTICE.

Reflections from Uni of Nottingham School of Medicine #WeAreUoN student- selected Frailty as his specialist module. After spending time in a nursing home, completing a CGA & building rapport with that patient, he is aspiring to be a future geriatrician. Well done Kelly Millington for pioneering these placements!

Why are most healthcare systems so terrible at detecting #delirium, and why in general, do so few clinical staff care about this? Despite affecting at least 1 in 7 hospital patients, delirium continues mostly to be missed in clinical practice. We keep seeing study after study

Claude 3.7 on #delirium "Reflect on the status of delirium as a medical condition in 2025" (Explanatory mode) Delirium in 2025: Current Status in Medical Practice and Research Delirium continues to represent one of the most significant yet underappreciated challenges in

🏥 It's important to assess for both #frailty & #delirium at the front door. 📕 Study: Clinical Frailty Scale (CFS) & 4AT have complementary value in predicting hospital admission in older #ED patients #CFS #4AT

My grandfather wasn’t the “kindly old man” type. He was gruff. Sharp. A little paranoid. Easily irritated. We didn’t joke about it—we just assumed it was the natural progression of a man who worked hard and had been smacked around by life. It wasn’t.

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

🧠 I've written a new book on #delirium for families - coming out in August 2025. There's a real gap in public information on delirium & I'm aiming to help address this with this book. Get a free pdf of Chapter 1 via the link below👇 #familycaregiver

How many steps do we really need a day for good health? Excited to share our new research in The Lancet Public Health thelancet.com/journals/lanpu… * Even small increases for those inactive could be helpful * 7000 is a realistic target backed by science Keep stepping 🚶‍♂️🚶🧑‍🦯🏃‍♀️