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Acute heart failure, a common problem presented to A&E
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Issue 18 | www.agmconference.co.uk
Doctors need to improve communication skills with dying patients A PE R KE
> CONTINUED ON PAGE 7
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or this reason physicians need to have a good understanding of the challenges of identifying those people at risk of deterioration and death and be able to support people and their families in developing appropriate and realistic individualised advanced care plans. Dr Polly Edmonds, Consultant in Palliative Medicine, King's College Hospital NHS Foundation Trust, London, who is speaking at the Acute & General Medicine,
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Nearly half of all deaths occur in hospitals, many on acute and general medical wards.
says this topic is important as the NHS caters for an ageing population presenting with increasing frailty and multi-morbidity. ‘Hospitals have a very active curebased culture and so if you are elderly, frail and unwell you're very likely to get a trial of active treatment. While that may be the right course of action, it is also important to be able identify those people whose reversibility is very limited or who might not really want that that trial of treatment or who actually may want a different plan of care. ‘We often see family members saying in
Dr Polly Edmonds, Consultant in Palliative Medicine, King's College Hospital NHS Foundation Trust
Medics often lack confidence in managing dementia R KE EA
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his is really core business for the NHS and for acute hospitals,’ says Rowan Harwood, consultant physician and professor of geriatric medicine at Nottingham University Hospital NHS Trust. He believes a lot of hospital staff lack confidence in dealing with dementia and the many other issues that go with it. ‘The
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One in three emergency admissions is of a confused older person and 40 per cent of those over 70 admitted to hospital have dementia.
things people often have problems with are preventing and dealing with difficult behaviours, communication, keeping patients safe, stopping people from wandering or falling over and embracing family involvement or more complex relationships, for example with care homes,’ he says. So in a presentation at the Acute & General Medicine Show, Professor Harwood will explore how crises for patients with dementia have multiple dimensions, including acute medical, delirium or other mental health issues,
Rowan Harwood, Consultant Geriatrician, Nottingham University Hospitals
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Secure your discounted conference pass for just £289+VAT using discount code NEWSP2 before rates increase to £349+VAT after 29th September via www.agmconference.co.uk/newsp2 or call 0207 348 1851.
20117 AGM Newspaper issue 18 Sep.qxp_Layout 1 25/09/2017 15:36 Page 1
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