To evaluate the effects of once‐daily valbenazine (40 or 80 mg/day) in older and younger adults with tardive dyskinesia (TD).. To read the full article, log in using your MPFT NHS OpenAthens details.
The goal of this study was to describe the pattern of statin adherence in older patients, aged 80 years or older; identify factors associated with high adherence; and determine the association between statin adherence and all‐cause mortality.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
The Emergency Nurse Practitioner and Clinical Nurse Lead for Digital Health at Tameside and Glossop Integrated Care NHS Foundation Trust (TGICFT) led the implementation of a digital service that has significantly reduced avoidable admissions to the emergency department (ED), improved experiences for nursing and residential home service users and staff, as well as improved use of resources locally.
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Open access. Statin therapy has been shown to reduce major vascular events and vascular mortality in a wide range of individuals, but there is uncertainty about its efficacy and safety among older people. We undertook a meta-analysis of data from all large statin trials to compare the effects of statin therapy at different ages.
We've added 10 new Be Aware updates following your suggestions:
Musculoskeletal ; Osteoporosis ; Nutrition and obesity ; Falls ; HR ; Research Methods ; Information Governance ; Bladder, bowel and pelvic healthcare ; Rheumatology ; Medicines and healthcare products regulatory agency (circulated email)
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pain is prevalent in frail older adults; however, the association of pain and frailty has not been evaluated yet by a systematic assessment of prospective longitudinal studies.. To read the full article, log in using your MPFT NHS OpenAthens details.
Open access. To evaluate the association between selective serotonin reuptake inhibitor (SSRI) and selective serotonin and norepinephrine reuptake inhibitor (SNRI) use and risk of fractures in older adults.
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This study supports current understanding that for older adults with no previous history of cardiovascular disease, the benefits of taking aspirin are small and do not outweigh the risks.
But if you have been advised to take aspirin due to a history of cardiovascular disease you should not stop taking it without first talking to your GP.
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New research, funded by the MRC, found that older people with very low heart disease risks also have very little frailty, raising the possibility that frailty could be prevented.
Guidelines of arterial hypertension treatment based on individualised expected outcomes are not available for frail older persons. In this paper, we review the evidence, concerning management of arterial blood pressure (BP) in frail older patients. We focused on the best affordable methods for BP measurement; the age-related optimum BP; specific BP goals in agreement with the patients’ general heath, frailty status, orthostatic and postprandial hypotension; balancing the benefits against risks of antihypertensive treatment. Lenient BP goals are generally recommended for older persons with moderate or severe frailty, multimorbidity and limited life expectancy. To this aim, there may be a need for deintensification of antihypertensive treatment.. To read the full article, log in using your NHS OpenAthens details.
Two-thirds of adults aged over 65 are expected to be living with multiple health conditions (multi-morbidity) by 2035. Seventeen percent would be living with four or more diseases, double the number in 2015. Two-thirds of these people would have a mental illness like dementia or depression.
Guidelines of arterial hypertension treatment based on individualised expected outcomes are not available for frail older persons. In this paper, we review the evidence, concerning management of arterial blood pressure (BP) in frail older patients. We focused on the best affordable methods for BP measurement; the age-related optimum BP; specific BP goals in agreement with the patients’ general heath, frailty status, orthostatic and postprandial hypotension; balancing the benefits against risks of antihypertensive treatment. Lenient BP goals are generally recommended for older persons with moderate or severe frailty, multimorbidity and limited life expectancy. To this aim, there may be a need for deintensification of antihypertensive treatment.. To read the full article, log in using your NHS OpenAthens details.
A new British Red Cross report calls for action to stop an ‘endless cycle’ of avoidable hospital admissions among vulnerable patients. This could ease pressure on the health and social care systems.
The study proposes introducing automatic home assessments and other simple interventions for elderly and vulnerable people who are often admitted to hospital.
chronic obstructive pulmonary disease (COPD) and chronic heart failure (CHF) frequently coexist in older people, reducing patients’ quality of life (QoL) and increasing morbidity and mortality.. To read the full article, log in using your SSSFT NHS OpenAthens details. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
The history of the standard management of acute coronary syndrome in older people, particularly unstable angina (UA) and non-ST segment elevation MI (NSTEMI), is littered with examples of age discrimination and alleged ageism. A Department of Health commissioned report by the Centre for Policy in Ageing into ageism in NHS hospitals concluded that ‘there is clear and widespread evidence of age discrimination in the hospital based investigation and treatment of heart disease and in the instigation of secondary prevention regimes following treatment’ [1]. The report also commented that the differences were so marked that they were unlikely to be accounted for by co-morbidity or frailty.. To read the full article, log in using your SSSFT NHS OpenAthens details. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.