The MDTea Podcast

Presented by Dr Philippa Christie and Dr Iain Wilkinson these two short episodes report back from the British Geriatric Society Spring conference 2019. They talk through some of the highlights for us of the lectures and posters over the 3 days. As ever when recording on the move the sound quality isn't up to our usual standard!  For more information from the conference head to twitter and rea...

In this episode we explore models of care around a fictional patient to look at ways care could be delivered if needs were placed at the centre. Show notes are available to view and download at thehearingaidpodcasts.org.uk for more detail and curriculum mapping against Foundation, CMT, GPVTS, Geriatric Registrar, ANP and NHS Knowledge Skills Framework (KSF) programmes. Faculty: Dr Iain Wilkinson a...

In this episode we recap causes of falls from head to toe and which may require admission from community to manage. We also discuss the approach to decision making in these individuals. Knowledge: Recall common causes of falls in older adults. Distinguish causes for which acute admission may modify outcome.  Skills: Be able to recognise when acute admission is necessary in someone who has fallen....

This episode explores different models of front door frailty models, rationales. Knowledge: Understand the role of Geriatrics teams in acute 'front door' settings in hospitals.  Skills: To recognise when acute Geriatrics teams may be helpful.  Attitudes: To appreciate how you might work alongside an acute Geriatrics team.  Show notes are available to view and download at www.thehearingai...

In this episode we will cover communicating with relatives, outlining legal frameworks and talking through some frameworks and examples to help.  Learning Outcomes Knowledge:  To become familiar with some models for communication with relatives that may help to guide practice. To be aware of common clinical situations where communication with relatives may be difficult To understand the legal and...

In this episode we will be looking at the various aspects and important elements to patient flow. Show notes are available to view and download at www.thehearingaidpodcasts.org.uk for more detail and curriculum mapping against Foundation, CMT, GPVTS, Geriatric Registrar, ANP and NHS Knowledge Skills Framework (KSF) programmes. Presented by: Dr Iain Wilkinson and Dr Aoife Lillis. Contributions from...

This episode we will be talking about how and why trauma in older people is different and the importance of thinking about the potential injuries as the face of trauma is changing. Show notes are available to view and download at www.thehearingaidpodcasts.org.uk for more detail and curriculum mapping against Foundation, CMT, GPVTS, Geriatric Registrar, ANP and NHS Knowledge Skills Framework (KSF)...

In this episode we will be talking about how and why polypharmacy happens and think about some strategies and tools to aid safe deprescribing.  Knowledge: To be able to describe what polypharmacy is and the impact it may have on patients. To know when to explore polypharmacy and deprescribing. Skills: To be able to signpost patients to have their medications reviewed. To have a framework to struct...

As HIV treatment improves, the prevalence of HIV in older adults is increasing as a chronic disease comorbidity and with it's own health implications, as well as increasing rates of late diagnoses at older ages. We explore the inequalities in HIV testing, ageing syndromes in this group and health service delivery. Show notes are available to view and download at www.thehearingaidpodcasts.org....

Knowledge: To understand the prevalence and problems associated with faecal incontinence. To be able to think through a range of possible diagnoses that are associated with FI. To be able to instigate initial investigation and management for FI in inpatients and outpatients. Skills: To be able to take a history from a patient with FI. To be able to identify how FI may be affecting your patient. At...

This episode will explore what is meant by supportive care for older adults with cancer, explore the idea of prehab and cover some of the issues you might encounter as longer term consequences as a non-specialist. Knowledge: To recall the problems experienced by older adults with cancer To understand the role of rehabilitation and supportive care in maintaining wellbeing  Skills: To recognise when...

In this episode we explore Heart Failure. Learning outcomes include: Knowledge: 1) Defining heart failure and an appreciation of the common aetiologies 2) NYHA classification with respect to assessment of symptoms 3) Understanding the medical and non-pharmacological therapies for heart failure and appreciating when device therapies may be warranted 4) An awareness of conditions that may mimic hear...

In this episode we explore AF. Learning outcomes include: Knowledge: To understand what AF is and be able to explain this to a patient To know why AF is a risk factor for strokes and how to reduce this risk Skills: To be able to detect AF by taking the pulse of a patient To know when to refer a patient for further investigation Attitudes: To understand that anyone who has contact with a patient mi...

This episode explores prostatic problems in older men, the relationship to continence and LUTS and discuss the impact of PSA testing and diagnosis of prostate cancer. Intended Learning Outcomes include: Knowledge: To recall where the prostate is and its function To recall how the anatomy of the prostate causes symptoms Skills: To recognise when urinary symptoms in an older man may be due to a pros...

In this episode we will look at what happens in our lungs as we age. We will cover the commonest signs and symptoms related to the lungs in older people both what is normal and what is abnormal. Learning Outcomes - Knowledge: To be able to describe and understand the normal changes in older people's lungs. To understand the impact of frailty on an older persons response to an respiratory insu...

This episode explores the evidence around treatment of high blood pressure in older adults. We focus on principles rather than the specifics of medications. Show notes are available to view and download at www.thehearingaidpodcasts.org.uk for more detail and curriculum mapping against Foundation, CMT, GPVTS, Geriatric Registrar, ANP and NHS Knowledge Skills Framework (KSF) programmes. Presented by...

In this episode we explore postural hypotension, what causes it and what you and your patient can do about it. Starting with a brief recap of physiology to help, we guide you through conservative measures and lastly medications. CPD log and show notes are available to view and download at www.thehearingaidpodcasts.org.uk for more detail and curriculum mapping against Foundation, CMT, GPVTS, Geriat...

In this episode we look at what advanced care plans are and when and how you might want to complete one. Show notes are available to view and download at www.thehearingaidpodcasts.org.uk for more detail and curriculum mapping against Foundation, CMT, GPVTS, Geriatric Registrar, ANP and NHS Knowledge Skills Framework (KSF) programmes. Presented by: Dr Iain Wilkinson and Dr Jo Preston, Consultant Ge...

This episode will explore the specific issues faced by those in unpaid carer roles, including the male perspective. We will outline the importance of taking opportunities to sign post for carers assessments of their own needs. Show notes are available at www.thehearingaidpodcasts.org.uk for more detail alongside CPD reflection log and curriculum mapping against Foundation, CMT, GPVTS, ANP and NHS...

Epilepsy can be underdiagnosed in older adults but also incorrect diagnosis have consequences for driving and potential medication side effects so it is essential to get it right. Show notes are available at www.thehearingaidpodcasts.org.uk for more detail alongside CPD reflection log and curriculum mapping against Foundation, CMT, GPVTS, ANP and NHS Knowledge Skills Framework (KSF) programmes. Pr...

In this episode we will look at hearing loss and how it is associated with older age. We will explore red flags for hearing loss being more serious, some anatomy, practical tips for communicating and aids that are available. Show notes are available at www.thehearingaidpodcasts.org.uk for more detail alongside CPD reflection log and curriculum mapping against Foundation, CMT, GPVTS, ANP and NHS Kn...

In this episode we explore the underpinning principles of Deprivision of Liberty Safeguards, how deprivation of liberty differs from restraint and how to apply 'the acid test'. Show notes are available at www.thehearingaidpodcasts.org.uk for more detail alongside CPD reflection log and curriculum mapping against Foundation, CMT, GPVTS, ANP and NHS Knowledge Skills Framework (KSF) program...

In this episode we outline management of this common condition this in older adults including medications, how decide what targets to aim for. Show notes are available at thehearingaidpodcasts.org.uk for more detail alongside CPD reflection log and curriculum mapping against Foundation, CMT, GPVTS, ANP and NHS Knowledge Skills Framework (KSF) programmes. Presented by: Dr Jo Preston and Dr Iain Wil...

Following on from an episode last series (4.10), we look at how to approach managing someone with BPSD, both pharmacological and non-pharmacological. Show notes are available at www.thehearingaidpodcasts.org.uk for more detail alongside CPD reflection log and curriculum mapping against Foundation, CMT, GPVTS, ANP and NHS Knowledge Skills Framework (KSF) programmes. Presented by: Dr Cate Bailey, Ol...

In this episode we explore the cycle of fear of falling and its relationship with falls and gait disturbance. Fear of falling is a common syndrome which is an independent risk factor for falls. Addressing it can help reduce falls risk and confidence and maintain independence.