Clinical Practice Features
All in the DNA: genetic testing, future health risks
If recent headlines are anything to go by, at-home genetic test kits provided by DNA testing companies like 23andme and Ancestry.com continue to be controversial. The biggest caution from organisations such as the Alzheimer’s Foundation of America was the life-changing and long-term implications of test results.
Erectile dysfunction: Why it’s so much more than awkward questions and blue pills
Factors Influencing length of stay in hospitalised elderly patients
Patients’ length of hospital stay greatly varies between NHS trusts. By reviewing and improving admission and discharge processes, trusts can improve the patient experience by reducing the number of days spent in hospital. In return, trusts can save bed days, thus increasing capacity and saving money.
Making a difference to patients with frailty
Assessment of older people with frailty through Comprehensive Geriatric Assessment is known to improve outcomes, including mortality in hospital and the community. The inpatient Older People’s Advice and Liaison service at the Royal Surrey County Hospital was created to improve access to specialist geriatric input across non-geriatrician led wards.
Tuberculosis: why are rates falling?
About one quarter of the world’s population is infected with tuberculosis (TB) bacteria. Only a small proportion of those infected will become sick with TB. People with weakened immune systems such as older patients have a much greater risk of falling ill from TB. New figures show rates of TB in England have declined by a third in six years, and are currently at their lowest level in 35 years.
Asthma-COPD overlap: Diagnosis and Management
Asthma-COPD overlap (ACO) is when a patient has symptoms of both asthma and chronic obstructive pulmonary disease (COPD). These patients experience frequent exacerbations, have worse quality of life, a more rapid decline in lung function and higher mortality, and consume a disproportionate amount of healthcare resources than either asthma or COPD alone.1
Are we recognising the cost of malnutrition?
Malnutrition and unintentional weight loss in the older population and amongst other at risk groups can contribute to a progressive decline in health, reduced physical and cognitive functional status, increased utilisation of healthcare services, premature institutionalisation and increased mortality.