I am not sure there is an "argument" to be won or lost in the classical sense. A group of experienced geriatricians, whose postgraduate training and day to day work is in this field have set out various reasons for not liking the term and people are free to agree or disagree
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Replying to @mancunianmedic @Jdbartlett0703 and
It isn't amenable to quantitative data, trials etc though there might be a good qualitative/anthropological/observational study in it. However, i will do my best to set out the arguments in broad terms
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Replying to @mancunianmedic @Jdbartlett0703 and
1. "Confusion" or "Being Confused" is fine as a presenting complaint/symptom/sign or state that accompanies other illness or injury as an introductory lay-language term. Just like "Chest Pain" or "Dizziness" would be 2. But it isn't a diagnosis, nor an accurate description
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Replying to @mancunianmedic @Jdbartlett0703 and
I tend to, no matter what the presenting complaint, document things fairly honestly. I may have recognised that admission needed for whatever reason, but may say something like new confusion, cause unclear but currently unsafe for discharge/needs further Ix. Unacceptable?
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Replying to @andybaillie1980 @Jdbartlett0703 and
if the cause is unclear it might be hard to say how safe someone is to go home. so I guess it depends how far we go in ruling out dangerous/serious causes. And whether someone with say hyperactive delirium is safe at home also depends on support available. But you know all this
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Replying to @mancunianmedic @Jdbartlett0703 and
Yes. Wasn't trying to oversimplify, it's a complex balancing act. Ruling out serious causes is one thing, but perhaps asking for a diagnosis prior to admission or discharge (certainly from ED) is a big ask. A balance has to be struck somehow
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Replying to @andybaillie1980 @Jdbartlett0703 and
but in services where you can refer to an acute frailty practitioner/team/geriatrician including bringing patients back to ambulatory care or refer into a community team at least you have rapid back up
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Replying to @mancunianmedic @andybaillie1980 and
Woke up to about 50 notifications, will try to bow out respectfully, definitely respect everyone's passion for this topic, I suspect we would agree much more in person than over this medium- will try to squeeze in more
@GeriPalBlog episodes into my neverending queue of podcasts!1 reply 1 retweet 10 likes -
Replying to @grepmeded @mancunianmedic and
PS, if anyone has any great infographics like
@DrLindaDykes originally posted, please send them my way. We are building a searchable collection of bookmarkable#foamed images for bedside teaching and our#geriatrics collection is definitely lacking:https://www.grepmed.com/?q=geriatrics1 reply 2 retweets 6 likes -
Replying to @grepmeded @DrLindaDykes and
Very welcome to share the bucket-load of multi-professional infographics at our departmental website:http://www.peminfographics.com
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thanks will check it out!
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