Trauma& Orthopaedic manager, Scotland. Director Parrot Trust Scotland. Focused on improving T&O care & parrot welfare. Colourful mix! #SHFA #parrottrustscotland

Joined January 2017
6 Photos and videos
Karen Adam retweeted
"You can't properly assess for delirium when someone already has dementia." Wrong. New meta-analysis (Keane et al. 2026): 4AT shows 88% sensitivity, 79% specificity in dementia populations. 5 studies. 1,304 patients. International data. #delirium #dementia
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Karen Adam retweeted
The Nursing Delirium Screening Scale (NuDESC). Designed for inpatient monitoring for new #delirium.
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Karen Adam retweeted
Mrs Smith, 78, hip fracture patient, described as "confused & aggressive" Ward round note: "?UTI. Start antibiotics." No mention of "delirium" My reaction: What about her distress - untreated pain? Dehydration? Medication review? Telling the family the diagnosis? Etc. Why we need Delirium 8 👇
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Karen Adam retweeted
Caregiver handout on #delirium from the Regional Geriatric Program of Toronto.
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Karen Adam retweeted
“We had no structured training. It felt like guesswork, not clinical care.” -- a nurse commenting on his experience of providing care to people with #delirium ➡️ For me, a massive upscaling of good quality delirium education is the single most important change we need to make to improve care.
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Karen Adam retweeted
Why Patient-Centred Care Isn’t Enough Anymore It’s time to move beyond just patient-centred care to active patient partnerships 🤝 💭 Why is this critical? ✅ Empowered patients ✅ Improve quality of care ✅ Boost satisfaction ✅ Lower costs ✅ Meet safety standards Read more 👉 patientexperienceagency.com.… #ANZHFR #HealthPartnership #PatientExperience
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Karen Adam retweeted
The 4AT can be scored in patients who cannot speak or are too unwell to undergo cognitive testing. No patients are Unable To Assess (UTA) with the 4AT. This improves uptake and accuracy in diagnosis. See the 4AT website for more details.
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Karen Adam retweeted
⁉️ Think it's impossible to achieve high rates of DELIRIUM screening? Think again: ⭐️ 91% completion of 4AT ⭐️ hip fracture patients ⭐️ whole of Scotland data ⭐️ N=18,040 #delirium @rosespenfold @andrewhallortho @KarenAdam13 @NIDUS_Delirium @geri_doc @WesElyMD
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Karen Adam retweeted
Patients now safely drink water right up until they go for surgery at #NinewellsHospital and hundreds of other hospitals in the world @SipTilSend story is in today’s @Sunday_Post @CPOC_News @ANZCA @A_MacLullich @bmj_latest @scarlettmcnally
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Karen Adam retweeted
23 Feb 2025
The typical nil-by-mouth schedule has been no food for six hours before surgery and only “free, clear fluids” until two hours before, then nothing in the final two hours. Nil-by-mouth rules need updating to implement SipTilSend, writes @scarlettmcnally bmj.com/content/388/bmj.r306…
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Karen Adam retweeted
What does it mean to care at home? A reflection. #homecare #WorldCancerDay #socialcare #carecrisis scottishcare.org/what-does-i…

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Karen Adam retweeted
Excellent delirium poster from NHS Greater Glasgow & Clyde (Scotland) Do you have delirium information posters displayed in your institution? Link: nhsggc.scot/downloads/causes…
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Karen Adam retweeted
🤔 Delirium treatment is actually pretty complex. When we say 'delirium treatment' what do we mean? From finding & triggers, to maintaining physiological stability, to treating symptoms & reducing long-term complications, there is a lot to think about. I've cared for people with delirium for many years now, & it takes me at least 20 mins to work through all the variables, make a plan, & communicate it.
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Great opportunity to be part of audit.
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Karen Adam retweeted
Replying to @EdinOrthopaedic
The Scottish Arthroplasty Project (SAP) aims to encourage continual improvement in the quality of care provided to joint replacement surgery patients. 🆕View the latest annual report here: publichealthscotland.scot/pu…
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Karen Adam retweeted
Replying to @KarenAdam13
The annual Scottish Hip Fracture Audit report is out today and reviews performance in relation to care standards. Evidence behind care standards was also updated and refreshed earlier this year. 🔹Report: publichealthscotland.scot/pu… 🔹Evidence: publichealthscotland.scot/me…
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Karen Adam retweeted
Really excited to share details of this FT b6 post trauma orthopaedics. It’s a really great team and don’t hesitate to give Jane a call. Exciting role, full training and reg cpd! Hit the link below @Specialist Physiotherapist - NHS Scotland apply.jobs.scot.nhs.uk/Job/J…
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Congratulations @docfarrow !
24 Apr 2024
Congratulations to the new Associate Surgical Specialty Leads Abhinav Singh (Paediatrics), Chris Bretherton (Adult Trauma), and Luke Farrow (Adult Elective)! @OrthoSingh @BrethertonC @docfarrow
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Karen Adam retweeted
Fantastic opportunity to contribute to a national collaborative study. Asking some very important questions around waiting for Arthroplasty. Help us get the WAIT-DATA we need. Tia
📣NEW: Collaborative Study 📣 What Are the Implications To Delayed Access to Arthroplasty? 📅 🦴 🇬🇧UK study 🏥Open to all units 🧍‍♂️Patient survey ✍️ Collaborative authorship Register here: 🔗 tinyurl.com/ycyprf2v @scottish_ntc @IMPACTAudits @StAndMedicine #orthotwitter
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Karen Adam retweeted
Brilliant! @balhousie has led the way with day case arthroplasty in Scotland and been a key member and leader in Scottish orthopaedic @scotorth
12 Apr 2024
Meet BADS Council Member, Edward Dunstan, Orthopaedic Consultant & Clinical Lead ERAS NHS Fife. He has a specific interest in Day Case Hip Replacements, driving and spreading the best practice in #DaySurgery for the benefit of patients. Read more: bads.co.uk/about/bads-counci…
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