The MDTea Podcast

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: The Surrey and Sussex Healthcare Team... Angela Stephenson (Chief Operating Officer), Dr Ed Cetti (Medical Director) Dr Ben Mearns (Chief of Medicine), Daniel Woosey - PAR

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) programmes.

Presented by: Dr Iain Wilkinson.

Contributing Faculty: Pam Trangmar, Dr Cathryn Mainwaring, Susan Hendrickson, Rebecca Norton

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 structure you approach to ongoing medication use.
To drive shared decision making in prescription management with older people.

Attitudes:
Raise the awareness and get the public  and patients  engaged with the drive to reduce inappropriate polypharmacy.
To understand that there is a cultural shift needed in public awareness that multiple medicines in older age may cause harm.

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 Geriatricians and Samantha Lungu, Dementia Nurse Consultant.

Contributing Faculty: Dan Thomas, Geriatrics Registrar.

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.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, Dr Jo Preston and Dr Tom Levett, Consultant Geriatricians, Eileen Nixon, HIV Nurse Consultant, Heather Leake-Date, Pharmacist and Elaney Yousseff, Health Services Researcher.

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.

Attitudes:
To understand that FI is a condition associated with a range of potential management options.
To understand that FI has a large impact on quality of life and location of care.


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 Geriatricians and Dr Philippa Christie.

Contributing Faculty: Wendy Grosvenor.

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 someone may benefit from holistic support 

Attitudes:
To feel confident to talk to someone living with cancer about their options for supportive care

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 Geriatricians and Lara Cowley, Physiotherapist at St. Wilfred's Hospice.

Contributing Faculty: Dr Shane O'Hanlon, Oncogeriatrician at University College Dublin.

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 heart failure
5) Complexities of managing HF in older multimorbid patients

Skills:
1) Identify heart failure symptoms
2) Interpreting N-terminal pro-B-type natriuretic peptide (NT pro-BNP) results
3) Identifying which patients require urgent referral to hospital

Attitudes:
1) The importance of comorbidities and to create individualised care plans, including patient education
2) Appreciating the role of the multi-disciplinary team in the management of heart failure
3) Recognising how heart failure may impact the quality of life of a patient
4) Appreciating the psychological impact of heart failure on patients
5) Respecting patient choice regarding prognostic therapies

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 Geriatricians and the Contributing Faculty: Dr Shahbaz Roshan - Consultant Geriatrician, Lindsay Ip - Psychologist, Kaler Jasvinder Singh - Cardiovascular Pharmacist, NasaMarie Emode & Silapiya Smith - Heart Failure Clinical Nurse Specialists

CPD log available at https://goo.gl/forms/2yxYn1F0dZ07ICE33  

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 might detect AF

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 Geriatricians.

Contributing Faculty: Dan Thomas, Geriatrics Registrar