Discover and read the best of Twitter Threads about #joyofgeriatrics
Most recents (2)
The long-run experiment of underpaying geriatricians and making few posts available (in practice plans we’re a drain on the high fliers) means under supply. And an awkward heritage. Now though we must be catalysts and geriatrize routine care. We get this. Others not quite there/2
although it’s fascinating to see how differing ‘ologies are approaching it. Some are rediscovering, others borrowing, some working collaboratively. Many opportunities for good (more sensible, less harmful care) and ill. One ill that stands out is seeing “frailty assessment” as /3
chiefly rooting out those who “won’t benefit” from current practice vs understanding how to make current practice less harmful. Clearly we need better primary palliative care, as @runnermandoc @GrahamEllis247 and others show. We also must resist equating being frail with not /4
Jay Bannerjee at the Hong Kong Health Authority Conference. Making the point that “safety & quality” is a constant battle. “The quickest way to do ‘the right thing’ is not always the right thing to do. Consider how easy it is to admit a patient vs how hard to send them home.” 
@POBanerjee on how to manage the complexity of frailty in the ED: screen, if +ve Comprehensive Geriatric Assessment; a multidisciplinary team; service coordination +discharge planners with service authority; talk & talk; think differently. The #joyofgeriatrics. (I adlibbed that)
@POBanerjee We use the Clinical Frailty Scale to offer the best care, not to ration care. In patients who have fallen, we do fewer CT heads for people with moderate to severe frailty, but more CT chests, because our data show that doing so misses many fewer injuries in falls.
