Depression is such a widely known issue now that it barely needs introduction. It’s something we Elves have covered with interest, looking at the effectiveness of various treatments, like psychotherapy, medication and exercise. For older adults though, there remains a somewhat hazy picture of what treatments work best. Most of the evidence base for the [read the full story...]
We know a lot about the health consequences of drinking too much alcohol, but most of this research comes from studies of adults in their twenties, thirties and forties. But what about older adults? The European project VINTAGE reviewed and synthesised the available evidence relating to alcohol consumption in older people across many European countries. [read the full story...]
What do healthcare commissioners actually do? Ask a hundred people who work in the NHS and you’ll probably get a hundred different answers. The landscape is moving quickly as we approach the April changeover, and with management budgets getting cut, it’s an increasingly challenging area to work in. This new report from the Nuffield Trust [read the full story...]
Over 1 billion people on Earth smoke tobacco. WHO figures tell us that 80% of the smoking population live in low-middle income countries, most of which are not protected by any kind of smoke-free public health legislation. China is a particular black-spot in this regard. It has the largest tobacco smoking population in the world [read the full story...]
It’s estimated that around one quarter of patients in general hospitals in England have cognitive problems or dementia. Visiting hospital can be a frightening experience and levels of anxiety are only heightened by the visuospatial problems that often affect people with dementia. As part of the National Dementia Strategy, the Department of Health has supported [read the full story...]
Dementia is a huge issue. As our population ages, the incidence of the disease is on the increase and attempts to prevent and treat the condition with drugs have not been as successful as we hoped. A lot of effort has gone into investigating ways in which lifestyle factors such as diet can impact on [read the full story...]
A great deal of time and money has been spent on improving the diagnosis and management of depression and self-harm in primary care. The evidence tells us that collaborative care and case management can be effective approaches, which is all well and good, but these complex interventions are not always feasible. This new cluster randomised [read the full story...]
Benzodiazepines are an effective treatment for acute anxiety and transient insomnia, but guidelines advise that they should not be prescribed for longer than a few weeks as their long-term use can lead to dependency and falls in older people (amongst other things). The evidence appears compelling and yet benzodiazepines are still widely prescribed in the [read the full story...]
Some of the older elves in the woodland don’t join in with our social activities as much as they used to. The younger elves call them ‘cranky’ and laugh at them sitting alone in their tree houses. Personally I worry that they might be feeling lonely and I doubt that shutting themselves away from the [read the full story...]
Comorbidities are common in mental health and the relationship between physical and mental health conditions appears to be bidirectional. Having a chronic physical condition like diabetes can increase your risk of depression (by as much as 3 times). Having an enduring mental health problem such as psychosis can take 15-20 years off your life. In [read the full story...]
