Objectives: Many older people regularly access digital services, but many others are totally excluded. Age alone may not explain these discrepancies. As health care services offer more video consultations, we aimed to determine if living with frailty is a significant risk factor for digital exclusion in accessing video consultations, and if this changes if a person has a support network to help with access.
View Article and Find Full Text PDFBackground: the Geriatric Perioperative Care clinic at North Bristol NHS Trust was suspended in March 2020 during the COVID-19 pandemic. A virtual clinic was piloted to deliver preoperative health optimisation and shared decision-making for patients undergoing critical elective surgery. No literature existed on virtual preoperative clinics for older people to support the development.
View Article and Find Full Text PDFService redevelopment has taken place across the NHS in response to the COVID-19 pandemic. At North Bristol NHS Trust, six vulnerable medical staff in non-patient facing roles set up a virtual advice service called 'Ask the Medical Reg'. This service aimed to provide senior medical support to inpatient and community teams for general medical and COVID-19-related queries.
View Article and Find Full Text PDFBackground: In 2014, the Royal College of Anaesthetists (RCoA) launched the Perioperative Medicine Programme to facilitate the delivery of best preoperative, intraoperative and postoperative care through implementation of evidence-based medicine to reduce variation and improve postoperative outcomes. However, variation exists in the establishment of perioperative medicine services in the UK. This survey explored attitudes and behaviours of anaesthetists towards perioperative medicine, described current anaesthetic-led perioperative medicine services across the UK and explored barriers to anaesthetic involvement in perioperative medicine.
View Article and Find Full Text PDFIntroduction: national reports highlight deficiencies in the care of older patients undergoing surgery. A 2013 survey showed less than a third of NHS trusts had geriatrician-led perioperative medicine services for older surgical patients. Barriers to establishing services included funding, workforce and limited interspecialty collaboration.
View Article and Find Full Text PDFCochrane Database Syst Rev
December 2015
The Cochrane Oral Health Group withdrew this review as of Issue 12, 2015. The review is out of date and does not meet current Cochrane methodological standards. It will be superseded by a new Cochrane review on psychological interventions for managing temporomandibular disorders and the update of Zakrzewska JM, Forssell H, Glenny AM.
View Article and Find Full Text PDFCochrane Database Syst Rev
November 2011
Background: Psychosocial factors have a role in the onset of chronic orofacial pain. However, current management involves invasive therapies like occlusal adjustments and splints which lack an evidence base.
Objectives: To determine the efficacy of non-pharmacologic psychosocial interventions for chronic orofacial pain.
Aim: To explore the knowledge of chronic orofacial pain within general dental practitioners (GDPs) and dental specialists.
Methods: Following a recent national survey of GDPs and specialists on the diagnosis of facial pain, all those who responded were asked to answer four multiple-choice questions on chronic orofacial pain as part of a continuing professional development exercise. The questions were formulated using a review of the literature and consultation with a facial pain expert and were administered by post.
Unlabelled: The major dental diseases, including erosion, caries and periodontal disease, are preventable, and the Department of Health has produced guidelines in a 'Prevention Toolkit' to aid prevention of these diseases in primary care.
Aim: To investigate patients' knowledge of the key themes in the Prevention Toolkit and to compare their knowledge of the different dental diseases.
Methods: Patients attending a general dental practice in North West England were asked to complete a questionnaire while they waited to see their dentist.
Unlabelled: This article aims to give dental practitioners the background to the new NHS quality agenda. The clinical context of Lord Darzi's NHS review is examined alongside other policy documentation and Professor Jimmy Steele's independent review of NHS dental services. The potential impact of the new quality requirements on general dental practitioners is considered.
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