Sean Ninan @sean9n
Actual Geriatrician. LFC. funk, disco, hiphop+onitsuka tigers. tweets about medicine+older people. Also runs a 12 CPD point frailty course @leedsfrailtyed leedsfrailtyeducation.co.uk West Yorkshire Joined August 2009-
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New @BJGPjournal editorial to improve understanding of the eFI2 tool for routine frailty identification & management in primary care bjgp.org/content/75/755… Original @Age_and_Ageing eFI2 paper available here academic.oup.com/ageing/article… @GeriSoc @NIHR_ARC_YH @arc_nt @NHSEnglandCHS
What about America? Reports sound horrendous. Which 10 countries with more managers have good results for reducing doctor admin burden? Agree better processes would improve things and we need managers to help us with this but…
What about America? Reports sound horrendous. Which 10 countries with more managers have good results for reducing doctor admin burden? Agree better processes would improve things and we need managers to help us with this but…
The 4AT delirium assessment tool is already established as a well-validated & clinically effective method of delirium detection in practice. It is scored 0-12. Scores of 4+ indicate delirium; scores of 1-3 indicate cognitive impairment. A recent study found that scores of 1+…
It’s very curious to be middle aged and simultaneously feel that older generations and younger generations are somehow foolish or misguided. Can you remember what it felt like to be young? Can you imagine what it will feel like to be old?
The main message of the history of medicine is that observation should always trump theory. Theory leads people to see only what they want to see. I'm not talking just about Galen, the 4 humours and so on. I'm talking about the present.
In Correcting Severe Hyponatremia, Degree of Severity Matters Rapid correction of hyponatremia rarely is associated with osmotic demyelination syndrome, with the greatest risk in extreme cases. jwat.ch/47jOV68 #HospitalMedicine #hyponatremia
Emergency Department (ED) staff: screen ALL patients over 65 for delirium. Emergency departments are where it's most missed and most dangerous. Make it as routine as checking blood pressure.
Some studies show that in some undergraduate degrees nurses get no formal #delirium training. For an emergency that affects 1 in 6 hospital patients. Help me understand why this is.
Stop looking for "right" answers in life. Start treating everything as an experiment. Scientists have known this secret all along. Here's why it actually works
Lifestyle Interventions to Improve Cognition in Later Life: When Is Enough Enough? jamanetwork.com/journals/jama/… via @jmschott @ProfRobHoward @ajlees @dr_shibley @AlbertoEspay
Also 75% of inpatient medicine
🧠 I've written a new book on #delirium for families - coming out in August 2025. There's a real gap in public information on delirium & I'm aiming to help address this with this book. Get a free pdf of Chapter 1 via the link below👇 #familycaregiver
🗣️ Fantastic nurse-led ideas from @minipixie26 plenary at #DECLARED25 🏡 “Think IKEA” – create a home-like environment ⏱️ 60-min sepsis alert – rapid response saves lives 🧠 Reduce cognitive load – routines free up focus for cognition Empowered voices, better delirium care!
Every hospital should have a delirium champion. We have stroke and sepsis champions - why not #delirium? #PatientSafety
The resident doctors I work with tell me that this has also happened in much of Psychiatry training too. We need to rediscover the joy of supervision as well as the value it brings to the training of residents and reverse mentoring of their clinical supervisors.
The resident doctors I work with tell me that this has also happened in much of Psychiatry training too. We need to rediscover the joy of supervision as well as the value it brings to the training of residents and reverse mentoring of their clinical supervisors.
New opinion piece in @bmj_latest by me and @janekohara : whither patient and staff voice in the NHS post-Dash? Decluttering the patient safety landscape is necessary but will NHS organisations listen to patients and staff without independent advocacy? bmj.com/content/390/bm…

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MirrorBadge.com @MirrorBadge
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