Discover and read the best of Twitter Threads about #geriatrics

Most recents (7)

1/Leo consternado en la prensa canadiense sobre lo encontrado por su ejército en las residencias de #PersonasMayores de Ontario durante #COVID-19. No hace falta saber inglés para entender el titular:”Canadian military details horrific conditions in nursing homes ...”. Abro hilo
2/Informe de la Unión Europea sobre recursos de cuidados de larga duración(RCLD) en la epidemia: en Bélgica el 51% de los muertos en RCLD, en Noruega el 61% de los muertos en residencias y otras RCLD, en Suecia, Francia, Alemania, España, Reino Unido... situación similar.
3/Además del drama de las personas fallecidas se habla de: hacinamiento, personas atadas, falta de material, falta de contacto y relación, personal que desaparece, personal que se encierra con los mayores, muertes en malas condiciones ,mayores que no son llevados a hospitales...
Read 8 tweets
Umbereen S Nehal MD MPH: who is this person? Several people have been asking

A thread

Where am I from? Hooboy.
Let’s say, citizen of the world, human ping pong ball. Third culture kid. Genetic mutt

Born: 🇺🇸
🇵🇰 parents - when my parents born colonial rule, pre-Pakistan
To thoroughly annoy my Twitter bestie, @DrvanTilburg

Am an ENFP - a cross between Snoopy, Robin Willians, Ellen Degeneres, Dr. Seuss, Charles Dickens, Upton Sinclair

I border on ENTP - love new info and love to challenge in order to break through barriers or limitations
My great-grandfather was given title "Khan Bahadur" (brave). As a judge, a brown man under Colonial rule, he threw the book at a British attorney. "Learn the law" if in his courtroom. Hence my stiff moral backbone

My mom & me:

(She loves this song)
Read 52 tweets
#Covid_19 and older patients: a thread.
A group of my friends asked me for advice on preparing for #coronavirus. I emailed them:
- You do not need to be scared for your kids.
- You DO need to be scared for the old people in your lives.
1/
Everything we have learned so far is that the disease is far more dangerous to older adults than any other group.
2/
Many illnesses present differently in older adults than in younger adults. While at this point, we don’t know specifics about COVID, common features of other respiratory illnesses are:
-Malaise
-Orthostasis
-Delirium
-Tachypnea
3/
Read 23 tweets
My grandma’s PCP recommended she stop going to gym because she may fall.

I don’t agree with this advice. Here’s why:

1/
My grandma is a safe community ambulator when using a walker.

She has a handicap parking placard allowing her to park close to the gym.

If she doesn’t go to the gym, she admits she will likely sit around at home and watch TV, further allowing her strength to deteriorate.

2/
My grandma’s main source of social interactions occur at the gym.

She has many friends who meet her there daily. It’s a way for her to stay social and exercise. And she enjoys going!

3/
Read 13 tweets
This week, I taught the @UCSF IM residents about tools for cognitive assessment in hospitalized patients. For my very first #tweetorial – I’m sharing my pearls with #medtwitter! #FOAM #geriatrics #MedEd 1/
@UCSF Throughout my training, I was taught to use the MoCA (Montreal Cognitive Assessment). But after a few months seeing patients at @VABostonHC, I noticed that most of my patients were getting a score of 21-23. Everyone especially seemed to think this was a hippo. 2/
@UCSF @VABostonHC I wanted to know why! So I looked into the development and validation of the MoCA a bit. Turns out, a cognitive test developed in a mostly white, highly educated, bilingual population (aka the people of Montreal) hasn’t really panned out for use among other groups. 3/
Read 16 tweets
I listen to ~90 #Podcasts on a (semi) regular basis. Let me give you a rundown of ALL of them and why you should listen to some amazing #FOAMed, especially for all the new #EmergencyMedicine interns. #FOAMed #MedEd #medtwitter
First of all, you need a good podcast app. I absolutely love Downcast. Great app, gives you more control over playback, downloading, and allows you to categorize your podcasts into playlists (picture 2). This is where you get to customize your #FOAMed experience! #medtwitter
In no particular order,

- Anesthesia and Critical Care Reviews and Commentary (ACCRAC). Great insight into Crit Care from an anesthesia perspective. Coming from EM, this is great to listen to- much different from my day-to-day! #FOAMed #FOAMcc #CriticalCare
Read 88 tweets
Pilot Intervention Addressing Social Support and Functioning of Low Socioeconomic Status–Older Adults With ESRD: The Seniors Optimizing Community Integration to Advance Better Living With ESRD (SOCIABLE) Study bit.ly/2Dzz3OE

@DrDeidraCrews @sarah_szanton @tkmcudjoe
This is an innovative pilot tested home based program for older low socioeconomic status adults on hemodialysis aimed at improving physical and social function.

@JanieceLTaylor @lakencroberts @DeanDrexelCNHP @Aging_scholar
Why: Older ESRD patients experience increased morbidity, fatigue and decreased physical function. Multiple studies note improvement in health/functional outcomes with social support however few intervention studies aim at improving this..
Read 8 tweets

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