Session 1 - Optimising nutrition in the older adult

Chair: Dr Alick Nkhoma, Consultant Gastroenterologist, Royal Stoke University Hospital, Stoke on Trent

A multidisciplinary approach to assessing and optimising nutrition in the older adult
Ms Iona Bell, Dietitian & Ms Jessica Baggallay, Specialist Speech and Language Therapist, Addenbrooke’s Hospital, Cambridge

• Dementia and its effect on swallowing
• How to optimise feeding with high contrast plates, snack
• ‘Feeding at risk’

Managing nutrition in complex cases
Dr Ashit Shah, Consultant Gastroenterologist, New Cross Hospital, Wolverhampton

• Interactive cases
• Talks to underpin the GMC Guidance and ethics
• Shared decision making
• Predictive factors to identify success of artificial feeding
• Information to be shared with patients & families
• Is there a role of total parenteral nutrition (TPN) in frail elderly

Coffee / Tea

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Session 2 - Quick Updates: Tolerability of new and established medications especially in older and frail adults (parallel sessions)

A - Heart failure & chronic obstructive pulmonary disease (COPD)
Chair: Dr Matt Thomas, Consultant Geriatrician, Poole Hospital
Heart Failure - Dr Diane Barker, Consultant Cardiologist, Royal Stoke University Hospital, Stoke on Trent
COPD - Dr Prina Ruparelia, Consultant in Respiratory Medicine, St Bartholomew's Hospital, London

B - Diabetes & rheumatoid arthritis
Chair: Dr Elizabeth Keane, Consultant Geriatrician, Western General Hospital, Edinburgh
Diabetes - Dr Hema Bhat, Consultant Rheumatologist, Western General Hospital, Edinburgh

Close of parallel sessions and return to the lecture theatre

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JOHN MATHESON SHAW LECTURE
Chair: Professor Andrew Elder, President, Royal College of Physicians of Edinburgh
Social isolation, neglect and loneliness
Professor Martin Vernon, Consultant Geriatrician, Manchester Royal Infirmary & Former National Clinical Director Older People, NHS England and Improvement

Lunch

Session 3 - What can I do for your frail older patients?

Chair: Dr Pradip Sarda, Consultant Geriatrician, Queen Elizabeth Hospital, King's Lynn

Perioperative management
Dr Magda Sbai, Consultant Geriatrician, Perioperative Medicine for Older People Undergoing Surgery, Guy's and St Thomas' NHS Foundation Trust

• Assessing operative risks in older adults
• Perioperative care in frail & older adults

Haemato-oncology Dr Jemima Smith, Consultant Geriatrician, Western General Hospital, Edinburgh

• Challenges of identifying frailty in haematology
• Challenges of integrating with haematology unit
• The Macmillan Prehabilitation principles
• Complications of treatment
• Future development of a frailty haematology service

In the Community: The Silver City Project
Dr Robert Caslake, Consultant Geriatrician, Aberdeen Royal Infirmary

• What’s new?
• Challenges in implementation in other areas
• Cost benefit analysis

Coffee / Tea

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Session 4 - Neurology

Chair: Dr Sarah Keir, Consultant Geriatrician & Honorary Senior Lecturer, Western General Hospital, Edinburgh

Epilepsy
Dr Richard Davenport, Consultant Neurologist, Western General Hospital, Edinburgh

• Diagnostic challenges in older people
• Tailoring treatment
• Prognosis

Dementia
Dr Jerry Brown, Consultant Neurologist, Addenbrooke’s Hospital, Cambridge

• What is the diagnosis?
• Dementia, delirium or depression?
• Dementia subtype
• Interpreting cognitive tests

Neurological diagnoses not to be missed
Dr Louise Davidson, Consultant Neurologist, Western General Hospital, Edinburgh

• Overview and current concepts in home NIV for COPD
• Interactive cases
• Key diagnoses not to be missed – myasthenia gravis, motor neurone disease (MND), progressive supranuclear palsy (PSP), Creutzfeldt–Jakob disease (CJD) & prion disease and other leuco-encephalopathies
• Investigation and management

Close