Advanced Clinical Practitioner and Occupational Therapist within North Manchester Community Crisis Response/urgent care service.
Manchester, England
Joined September 2015
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Beverley Clare retweeted
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+ are strongly linked with known dementia Dx. This opens up the possibility that the 4AT can serve a dual purpose as both a delirium assessment tool AND a tool that could help identify dementia.
In the UK the Triple Assessment is mandated for all >65 emergency hospital admissions. This is: vital signs (NEWS2) / Clinical Frailty Score / 4AT.
🌠 These new findings suggest that the 4AT could also assist in other healthcare systems, e.g. the 4Ms framework used in the USA. In one short (2 min) tool it could help address the delirium & dementia elements of the Mentation element of the 4Ms.
🔗 to editorial & other sources below 👇
#delirium #dementia #medtwitter
Beverley Clare retweeted
Infographic on #delirium prevention and management from the American College of Chest Physicians
Beverley Clare retweeted
5 tips for communicating with older adults with #delirium - from the Regional Geriatric Program of Toronto.
Beverley Clare retweeted
There is a new dementia awareness book that is free to download and read! 📖
'Challenging Assumptions Around Dementia' is co-authored by people living with dementia and people who support and care for those with dementia.
👉 link.springer.com/book/10.10…
#DementiaBook #Dementia
ALT Photographs of a row of books with the pages showing. They are on a dark brown shelf, and in the background are brown bookshelves with books on the shelves.
Beverley Clare retweeted
There’s a remarkable level of exclusion afoot for those who don’t have a smart phone, want to talk to a person, don’t understand apps. It is an insidious war on the old & the poor. Why does no one comment on it?
Beverley Clare retweeted
"If they shut down the ticket offices all over the country, it'd be horrendous."
As big rail companies try to get rid of ticket offices, Ruber Reuter speaks to people with disabilities to find out how the move could affect their daily travel.
Beverley Clare retweeted
Great work on showcasing how we & @north_crisis @south_crisis alongside other community services have such an impact on admission avoidance. Our ACP Andrea will be representing the @mcrlco on Friday. Go & say hello 👋🏻
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Beverley Clare retweeted
‼️ We need to use the word 'delirium' for #delirium.
🚫 no more 'acute confusion', 'acute on chronic confusion', etc.
➡️ Only use 'acute encephalopathy' for the underlying pathology
📕 Key consensus article: link.springer.com/article/10…
#WDAD2023 @iDelirium_Aware
Beverley Clare retweeted
🌟 Updated NICE Guidelines on Delirium.
➡️ Key change is the switch to the 4AT as the recommended tool for #delirium detection (with CAM-ICU or ICDSC in the ICU).
NICE guidelines: amat.co.uk/t/1U6ULisI2A
More info on the 4AT: the4AT.com
We have updated the following NICE Clinical guideline on AMaT.
Delirium: prevention, diagnosis and management in hospital and long-term care
Clinical guideline [CG103]
amat.co.uk/t/1U6ULisI2A
Beverley Clare retweeted
We have updated the following NICE Clinical guideline on AMaT.
Delirium: prevention, diagnosis and management in hospital and long-term care
Clinical guideline [CG103]
amat.co.uk/t/1U6ULisI2A
Beverley Clare retweeted
🧠World Delirium Awareness Day🧠is next Wed 15th March:
👉 worldwide activities and events to
👉draw attention to the importance of early recognition and intervention&
👉promote research, guidelines, and best practices
deliriumday.com/ #WDAD2023 #delirium @iDelirium_Aware
Beverley Clare retweeted
#delirium, predisposing and precipitating factors across various care settings - systematic review
@nchadborn @agilis @AleMorandi78 @marcoinzi @GiusepeBellelli @sharon_inouye
jamanetwork.com/journals/jam…
Beverley Clare retweeted
💚 ‘I can remember the nurse . . . her words were so kind. Even when I was in that state, I could feel someone taking care of me.’
❓ How can we reduce distress in #delirium?
🆕 open-access article on 3 key areas in delirium:
🔗 academic.oup.com/ageing/arti…
Beverley Clare retweeted
This is great news as OT’s who undertake Advanced Clinical Practice Masters course should not be disadvantaged or disempowered because of their profession. Looking forward to knowing the timetable @EllieCorbett2 @PayalWilson @bevmcr
@theRCOT is ready to evidence benefits to people's care of having OTs with greater prescribing responsibilities. We wait on the legislative timetable. Advocate using PGDs to evidence OT is ready. @RCOT_Paul welcomes e.g.s of how people's care would benefit from NMP OTs
Beverley Clare retweeted
@theRCOT is ready to evidence benefits to people's care of having OTs with greater prescribing responsibilities. We wait on the legislative timetable. Advocate using PGDs to evidence OT is ready. @RCOT_Paul welcomes e.g.s of how people's care would benefit from NMP OTs
Beverley Clare retweeted
Any OT ACP’s working in ED?
@ot_acp OT Trainee ACP working in ED here, starting my dissertation on the need for OT ACP to NMP. Have seen the tweets below, would love to hear some of the problems people have been having with regard to this and if there are any other OT ACP`s working in ED? Thanks!
Beverley Clare retweeted
🙌🙌 💯 we are at a huge disadvantage compared to our colleagues if this isn’t sorted out. OTs shouldn’t have to miss out on career opportunities and progression
Having NMP is an essential criteria for most ACP jobs.It’s time OTs develop this skill to remain in the competition. ACP roles are inter-professional and OTs are losing out. What is RCOT doing to solve this?
@RCOT__Karin @RCOT_Paul @SteveGFord @OdethRichardson