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How to make managing your patient's pain less painful!

CotEcast

Release Date: 07/02/2018

"Ask the Expert.....Stroke Series": Complications and secondary prevention

CotEcast

Welcome to the fourth episode in our new CotECast series: “Ask the Expert“. This series we will be delving deeper into some of the hot topics in geriatrics and have started with a stroke mini-series! Dr Chris Taylor is back with Jonny and Emma to discuss both the complications that may develop in patients admitted with stroke and secondary prevention. 

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“Ask the Expert…..Stroke Series”: Acute treatment of ischaemic stroke show art “Ask the Expert…..Stroke Series”: Acute treatment of ischaemic stroke

CotEcast

Welcome to our new CotECast series: "Ask the Expert". This series we will be delving deeper into some of the hot topics in geriatrics and we are going to be starting with a stroke mini-series! This is the thrid episode in this mini-series and Dr Chris Taylor is back to discuss acute treatment of ischaemic strokes.  

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"Ask the Expert.....Stroke Series": Imaging

CotEcast

Welcome to the second episode in our new CotECast series: "Ask the Expert". In this series we will be delving deeper into some of the hot topics in geriatrics and we have started with a stroke mini-series! Today we are joined by Dr Chris Taylor, stroke physician, to discuss imaging in patients with suspected stroke.   

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"Ask the Expert.....Stroke Series": Diagnosis and Assessment

CotEcast

Welcome to our new CotECast series: "Ask the Expert". This series we will be delving deeper into some of the hot topics in geriatrics and we are going to be starting with a stroke mini-series! Today we are joined by Dr Chris Taylor, stroke physician, to discuss diagnosis and assessment of patients with a suspected stroke.    Useful Links: Shake,rattle and roll: The Epley Manoeuvre (and Dix Hallpike) MiniGem:   Peter Johns HINTS examination educational video: https://www.youtube.com/watch?v=1q-VTKPweuk

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"What we've learnt this week...." Episode 14

CotEcast

Welcome to the fourteenth episode in the "What we've learnt this week..." series. These are short 15 minute or so podcasts where we discuss topics we have encountered in the preceding weeks; whether it be on the wards, in a journal, at teaching or even on Twitter! Join Christina, Dilani, Emma and Hannah this week as they discuss an unusual cause of medication related hypernatraemia, CT head scans as part of delirium work up, FRAX and progressive supranuclear palsy.  Useful links this week:  FRAX: Sign Guideline 157: PSP Association:...

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"What we've learnt this week...." Episode 13

CotEcast

Welcome back to CotEcast! Having had a little break from recording due to Covid-19 the AEME gang are back with the thirteenth episode in the “What we’ve learnt this week…” series.

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AEME's top tips for new doctors show art AEME's top tips for new doctors

CotEcast

Christina, Dilani, Emma and Hannah get together this week to talk about their top tips for the new doctors! 

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"What we've learnt this week...."Episode 12

CotEcast

Welcome to the twelfth episode in the "What we've learnt this week..." series. These are short 15 minute or so podcasts where we discuss topics we have encountered in the preceding weeks; whether it be on the wards, in a journal, at teaching or even on Twitter!

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CotEcast Reflections on Covid-19 show art CotEcast Reflections on Covid-19

CotEcast

Emma, Christina and Dilani are back to reflect on some of the learning points they have taken from away looking after older people during the Covid-19 pandemic

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"What we've learnt this week..." Episode 11

CotEcast

Welcome to the eleventh episode in the "What we've learnt this week..." series. These are short 15 minute or so podcasts where we discuss topics we have encountered in the preceding weeks; whether it be on the wards, in a journal, at teaching or even on Twitter!

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The AEME gang sit down to discuss the recently updated British Geriatric Society guidelines on the assessment of pain in the older patient.  

 

 

Discussion topics:

1. Do we assess pain in the older patient well? If not, why not?!

2. What are the barriers to eliciting a good pain history?

3. What analgesics should you start and how?

4. Are there any non-pharmacological options for pain relief out there?

 

Our CotEcast Commandments: 

1. Do not think pain is part of the normal ageing process

2. Remember to ask about pain 

3. Start low and go slow 

4. Remember to regularly reassess response and side effects of analgesia 

 

References, Links and Resources:

The Assessment of Pain in Older people: UK National Guidelines; Pat Schofield, Age and Ageing, Volume 47, Issue supp_1, 1 March 2018

 https://doi.org/10.1093/ageing/afx192

 

Guidance on the management of pain in older people; Age and Ageing 2013; 42: i1–i57. doi: 10.1093/ageing/afs200

 

http://www.bgs.org.uk/pdfs/pain/age_ageing_pain_supplement.pdf