Three case presentations that I won’t share as my perception is that they are identifiable. But heart warming stories about people with horrid cancers living a better life after having received the interventions discussed.
It’s interesting to read the responses to the piece.
A lot of very good palliative care already happens in care homes up and down the country.
We need to respect that there’s a lot of expertise in these settings.
GPs and care home teams are doing great things in many places.
It’s not universal, and part of the answer may be to resource properly the care homes and primary care teams, rather than necessarily import “palliative care” expertise at the end of life?
Geriatricians, community nurses & GPs are very used to the inherent uncertainties faced.
We know that supplementation of this vitamin during pregnancy reduces the chances of having a baby with a neural tube defect (NTD) eg spina bifida, which can cause significant disabilities.
But not everyone takes it.
Quote:
“Women can get folic acid from their diet, but current diets are unlikely to meet recommended levels. This is because of low intakes of whole foods that contain folic acid, particularly among more disadvantaged groups that face systemic barriers to eating well…”
Well that was truly awesome. A presentation from a medical student Maddie Pritchard from Aberdeen on the effects of social deprivation on outcomes for frail older patients.
A complex subject! #bgsconf#SDOH (social determinants of health).
I’ll tweet some of Maddie’s graphs. Some fascinating results, that aren’t straightforward to explain….
Check them out. It’s complicated because frail people in some parts of Scotland are younger than in some other parts. So judging outcomes related to age and frailty vs deprivation is complicated.