Ageing, prevention, retention, crisis...

Dec 8, 2023

The podcast discusses topics such as healthy aging, breast cancer prevention, link between acute retention and genitourinary cancers, self-harm in young people, and a colleague's catastrophe. They also touch on strategies for staying warm in cold weather while working remotely, the importance of smoking cessation in older age, a heartfelt story of a memorial bench, and the challenges of rushing off on visits. Additionally, they highlight the increased risk of urinary and genital cancers in patients with acute retention and the need to widen the range of underlying causes for planning urgent care or emergency department discharges without catheter.

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Introduction

00:00 • 2min

Staying Warm in Cold Weather

01:42 • 2min

Healthy Aging and Promoting Quality of Life

03:30 • 11min

Importance of Smoking Cessation in Older Age

14:11 • 16min

A Heartfelt Story of a Memorial Bench

30:39 • 4min

Challenges of rushing off on visits and the introduction of Red Whale Bites

34:49 • 2min

Increased Risk of Urinary and Genital Cancers in Patients with Acute Retention

36:57 • 6min

Widening the Range of Underlying Causes and Self-Harm Rates

42:38 • 9min

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Join us for a relaxed round up of recent Red Whale primary care Pearls of wisdom. This month, Nik and Caroline discuss:

Healthy ageing: adding quality to years? What does ‘healthy ageing’ look like? What are the 3 trajectories of ageing? How can we work as a primary care team to promote the basics that increase the chance of healthier ageing?
Preventing breast cancer: what’s our role? The MHRA are now licensing anastrozole for primary prevention of breast cancer in postmenopausal women at moderate to high risk. We discuss our article on Breast cancer: genetic risk, and explore how to assess risk, the evidence for preventative medication and some of the side-effects people taking it may experience.
Acute retention: sort the catheter… then think why? A Danish study showed that those who go into acute retention are at an increased risk of being diagnosed with genitourinary cancers in the following 12 months. How much should we worry about this?
Self-harm: creating a safety-plan. The UK has one of the highest rates of self-harm in Europe and whilst it can occur at any age, it is most common in young people and females. The 2022 NICE Guidelines on self-harm recommend that whilst we are waiting for CAMHS support and assessment, we can help by encouraging the young person to develop a safety-plan. Would you feel confident to do this?

And hear about a colleague’s car-tastrophe…

NICE patient information leaflet - familial breast cancer:
https://www.nice.org.uk/guidance/cg164/ifp/chapter/About-this-information

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Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.

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