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Tag: Professor Alistair MacLullich

By Hole Ousia Posted on March 9, 2014January 13, 2023

The faltering, unfaltering steps

INTRODUCTION: “Sensitive to the faltering steps of age”[1] In what follows I will attempt to explore many of the issues around the experience of confusion in those people 65 years … Continue reading The faltering, unfaltering steps

Categories: Ageing, Alzheimer's disease, British Medical Journal, Delirium, History of medicine, Medical Education, Medical humanities, Medical writings, NHS Scotland, Philosophy, Psychiatry, Scotland, Screening, Stigma, Two culturesTags: 4AT, 4AT test, A letter that caused lasting damage to my career, A letter to Professor Jason Leitch, a new instrument for rapid delirium screening: a study in 234 hospitalised older people, a validated very brief screening tool for general cognitive impairment, acute confusional state, Alasdair MacLullich, AMT4, and slowly we go down, and slowly we go up, antipsychotic prescribing, Antiquary, “SIMPLY” COMPLEX, Bellelli, Bettina Piko, BMJ, brevity, brief screening assessment tool is in use and documents cognition, British Geriatrics Society, CAM, case-finding, cognitive impairment, Cognitive screening, comprehensive delirium pathway, Concerns about the over-prescribing of antipsychotic drugs in the elderly led me to consider possible explanations for this behaviour by doctors, Confusion Assessment Method (CAM), considerations on delirium assessment, Daniel Sokel, Delirium, Delirium and “Terminological chaos”, Delirium and Improvement work, Delirium and Improvement work (in Scotland), delirium detection, Delirium Management Summary Pathway, Delirium Screening, Dementia, detection, Doing damage in delirium the hazards of antipsychotic treatment in elderly people, Don't use antipsychotics routinely to treat agitation and aggression, Dr Brian Robson, Dr Graham Ellis, Dr Iona Heath, Dr Margaret McCartney, Dr Peter Gordon, Dr Peter Murdoch, Dr Sarah Lois Pinninty, e need to engage our elders in decisions that may affect them, Edwin Morgan, Ethics Man: Informed consent is more than a patient’s signature, Executive Clinical Director for Healthcare Improvement Scotland, experience of confusion in those people 65 years or older, fear, Fermina Daza, Florentino Ariza, Folstein, Forth Valley Royal Hospital, frailty triage screening tool, Francis Enquiry, From forgetfulness to dementia, Gabriel García Márquez, Grant King, Haloperidol in Scotland, Haloperidol prescribing in NHS Scotland, Haloperidol prescribing to Scotland's elders, he was not easy to categorise having the widest possible interests, Healthcare Improvement Scotland, Henry David Thorea, HIS, Hole Ousia, Hospital, Hospital prescribing of Haloperidol in your NHS Health Board area, I also wonder if the Mental Welfare Commission may have a view of starting out with a screening test without any perceived need (as per HIS recommendations) for individual consent?, I would ask that Healthcare Improvement Scotland think again about this. I say this as NHS Boards will not do so, IHI, improvement science, Improvement Work in Scotland, In the snack bar, Infusion of worldwide teas, Institute of Healthcare Improvement, Inverse care, It confuses me why signed consent for minor surgical interventions yet often not for things with devastating consequences, Jason Leitch, journal of Age and Ageing, Journal of Mental Health Nursing, Kings Fund, Leon Eisenberg, Liverpool Care Pathway, Love in the time of cholera, Machar, Makar, Making our health and care systems fit for an ageing population, Mary Midgley, Men have become the tools of their tools, mental Welfare Commission, Mid Staffordshire NHS Trust, MMSE, multi-factorial, nclusion of Ethical Issues in Dementia Guidelines: A Thematic Text Analysis, new screening tool for delirium and cognitive impairment, NHS, NHS Forth Valley, NHS Scotland, NICE guideline on Delirium, no special training is required, no special training required, Obtaining consent should be an ethical duty first and foremost, Older People in Acute Care, Older People in Acute Care Project Group, Older People in Acute Care Standards (2002), OPAC, Patient Paradox, Peter Gordon, Physicians of the future: Renaissance of Polymaths, poem, poet, Principles and Practice of Screening for Disease. World Health Organisation, Professor Alasdair MacLullich, Professor Alistair MacLullich, Professor Emma Reynish, rapid delirium screening, rebel antiquary, Reducing delirium after hip fracture: a randomized trial, reductionism, Review: Delirium in elderly people, Robbie Pearson, Robert Francis QC, Science in Medicine: Too much or too little and too limited in scope?, Scotland, Scottish Delirium Association, Scottish Dementia Association, Scottish Parliament, screening, screening for cognitive impairment, Screening for Delirium in the Emergency Department: A Systematic Review, SDA, Sensitive to the faltering steps of age, Should we not be spelling out this shortfall to Scottish Government as part of improvement recommendations, Social maverick, The Antiquary, The ethical management of forgetfulness, The faltering unfaltering steps, the hazards of antipsychotic treatment in elderly people, the history of reductionism versus holistic approaches to scientific research, The Lancet, The patient paradox, The Rebel Antiquary, The use of antipsychotic medication for people with dementia: Time for action, THINK delirium, UK National Screening Committee, UKNSC, unforeseen consequences, Validation of the 4AT, We must be wary of faltering steps into a world of inverse-care, we need to engage beyond clinicians and improvement staff, what has hampered progress is too narrow a view of the sciences relevant to medicine, what is required now, Whittle recommendations, Wilson and Jungner

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