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Older people’s health

Urinary tract infection in an older patient: a case study and review

Mrs M, an 87-year-old lady living in a nursing home, was referred to the community ANP by the senior carer. The presenting complaint was reported as dark, cloudy, foul-smelling urine, with new...

Improving outcomes for older people with diabetes

There are increasing numbers of people with diabetes over the age of 65 years. This is principally driven by the rise in prevalence of type 2 diabetes (T2DM) that correlates with greater rates of...

Supporting people with dementia during the COVID-19 pandemic

‘Dementia is a syndrome – usually of a chronic or progressive nature – in which there is deterioration in cognitive function (ie the ability to process thought) beyond what might be expected from...

Understanding skin infections in older adults

Hahnel et al (2017) investigated the prevalence of skin diseases in older nursing home residents while also exploring the possible associations of these with demographic and medical characteristics....

Periwound skin care considerations for older adults

In relation to changes that occur within the epidermis, proliferation of keratinocytes reduces leading to a slower rate of epidermal turnover (Farage et al, 2013). The main role of keratinocytes is to...

The overtreatment of type 2 diabetes in frail older people

The Action to Control Cardiovascular Risk in Diabetes (ACCORD) study found that people with tighter glycaemic control (HbA1c <42 mmol/mol) had excessive mortality, particularly in those with multiple...

Dysphagia: a guide for nurses in general practice

Dysphagia literally means difficulty eating or swallowing. Intact motor and nervous systems are essential to enable normal swallowing (Royal College of Speech and Language Therapists [RCSLT], 2014)....

Recognition and assessment of dementia in primary care

Dementia is an umbrella term that is used to describe a group of symptoms that are characterised by behavioural changes and loss of cognitive and social functioning. It is caused by progressive...

Assessment of frailty in Alzheimer's: a literature review

While age-related cognitive dysfunction has long been the subject of studies, such as the Geriatric Giants study (Isaacs, 1965), definitions have not considered cognitive frailty to be consistent with...

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