Show Notes
Doctors Sara and Lisa talk to Dr Sadaat Ahmed about Frailty. We discuss definitions, frailty syndromes, frailty scores and the need to take care with these. We talk through a case to showcase how recognising frailty and managing the controllable areas can make a big difference to patients' lives and slow or even sometimes reverse frailty. You can use these podcasts as part of your CPD - we don’t do certificates but they still count :) Useful resources: British Geriatrics Society Fit For Frailty Guidelines: https://www.bgs.org.uk/resources/resource-series/fit-for-frailty British Geriatrics Society Comprehensive Geriatrics Assessment Primary Care Toolkit: https://www.bgs.org.uk/resources/resource-series/comprehensive-geriatric-assessment-toolkit-for-primary-care-practitioners National Osteoporosis Guidelines Group: https://www.nogg.org.uk/ British Geriatrics Society Frailty eLearning Hub: https://www.bgs.org.uk/elearning-0 The dangers of diagnosing frailty based on automatically calculated electronic Frailty Scores: https://www.england.nhs.uk/wp-content/uploads/2017/04/gms-contract-batch-coding-statement.pdf RCGP Internal and External Resources around Frailty: https://www.rcgp.org.uk/your-career/gp-extended-roles/Useful-resources-for-frailty ___ We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our quick anonymous survey here: https://pckb.org/feedback Email us at: [email protected] ___ This podcast has been made with the support of GP Excellence and Wigan CCG. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions. The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen. Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk. The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
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Doctors Lisa and Sara discuss lifestyle medicine with Dr Lydia Vogelaar-Kelly. We cover what lifestyle medicine is and her approach to it in general practice. We then look at some interesting cases that highlight how effective lifestyle medicine can be in consultations with patients. The idea is to give a taster and consider how to talk about lifestyle in greater detail with patients. Lots of ways to follow up on this. Resources:
In this really interesting episode, Doctors Lisa and Sara talk to Dr Rageshri Dhairyawan - Consultant in Sexual Health and HIV Medicine, and Dr Laura Tinner - Research Fellow in Centre for Public Health, at Bristol University. Rageshri talks about her lived experience of being dismissed in a medical situation, despite her professional background and how this led to her researching the topic in depth, and writing a book on the subject. Laura speaks to a piece of research she carried out around the views of young women accessing medical care and explains that we need to put more emphasis on listening in healthcare. They both talk to the system pressures and challenges that lead to patients feeling dismissed, but also share practical advice and tips for what healthcare professionals can do to help certain groups of people feel more heard in healthcare. You can use these podcasts as part of your CPD - we don’t do certificates but they still count :)
Doctors Lisa and Sara talk to Consultant Nephrologist Dr James Tollitt about Chronic Kidney Disease. We started by defining this and asking detailed questions on diagnosis, pitfalls to avoid, before getting his advice on risk stratifying patients and options for management. Excellent key messages with some easy practice pointers to take away that will benefit your patients and practice. Disclaimer: All educational content in this podcast was developed as part of the Circulation Health collaborative working project between Boehringer Ingelheim Limited, Greater Manchester Primary Care Provider Board and Health Innovation Manchester. Content has been created by Circulation Health Clinical Leads for educational purposes, reflecting NHS Clinical Lead and guideline-based recommendations. Boehringer Ingelheim had no input into content development. They have provided financial resources to support Podcast recordings related to this project. You can use these podcasts as part of your CPD - we don’t do certificates but they still count :)
Doctors Lisa and Sara talk to Consultant Endocrinologist Dr Rupinder Kochhar about patients with Type 2 Diabetes. Using hypothetical cases, we talk a little bit about diagnosis, but spend most of the time discussing the details of management in younger patients as well as how to de-escalate treatment and what the goals might be in a more frail elderly patient. Disclaimer: All educational content in this podcast was developed as part of the Circulation Health collaborative working project between Boehringer Ingelheim Limited, Greater Manchester Primary Care Provider Board and Health Innovation Manchester. Content has been created by Circulation Health Clinical Leads for educational purposes, reflecting NHS Clinical Lead and guideline-based recommendations. Boehringer Ingelheim had no input into content development. They have provided financial resources to support Podcast recordings related to this project. You can use these podcasts as part of your CPD - we don’t do certificates but they still count :)