Old Tricks for New Dogs
Release Date: 07/15/2014
CotEcast #1 - Shownotes
Title: Old Tricks for New Dogs
Date: Mon 14th July
Host(s): Mark Garside, James Fisher, Pete Brock
Guest(s): Sean Ninan
Opening Question: Which fictional doctor would you most like to be?
Main Topic: Top tips for new doctors dealing with older patients
Each participant to identify one ‘top tip’ and one ‘pet hate’ (inc. how to avoid doing it)
- Pet Hate: "As far as I'm aware"
- Top Tip: Rule of 'stuff'
- Know your stuff
- Give a stuff
- Take no stuff and
- Remember, that despite all of this, stuff happens...
- Pet Hate: Fluids - too much or too little
- Top Tip: There is always something you can do to help a delirious patient
- Pet Hate: Unfounded diagnosis of UTI
- Top Tip: Get to know your patients
- Pet Hate: No collateral hx from confused pts
- Top Tip: Open questions, and give time to answer (eg. How are your waterworks/Tell me about your bowels, rather than 'Have you got any problems with') - Remember to ask this in the systemic enquiry
Top Three ‘CotEcast comandments':
- Don't diagnose UTI without good evidence
- Remember the rule of 'stuff'
- If you don’t know, ask!
References, links and resources:
- Sean's blog post - http://sean9n.wordpress.com/
- BGS blog on 'Geriatrician's Profanisaurus' - http://britishgeriatricssociety.wordpress.com/2013/12/23/the-geriatrics-profanisaurus-words-and-phrases-we-should-ban/#more-1954
- Failed Care Pathway (video) - http://www.youtube.com/watch?v=Fj_9HG_TWEM&sns=tw
- 'Myths and MSUs' Mini-GEM - http://www.youtube.com/watch?v=JPzz6fcmxoI
Delirium Mini-GEM - http://www.youtube.com/watch?v=1iKe-6lc5b0
- NICE IV Fluid guidelines - http://www.nice.org.uk/guidance/CG174
- AEME: @ElderlyMedEd
- Mark: @garside80
- James: @drjimbofish
- Pete: @petebrock7
- Sean: @sean9n
Email firstname.lastname@example.org with comments, questions, suggestions