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Hello, coming up today, deconditioning, can spending 10 days in hospital really age people 10 years?

Ineversely, what hospitals often do is they decomposate, not intentionally, but by the very nature of caring for people,

we are actually, sometimes in many cases, exacerbating their problems. So it's about cultural change, really. The NHS is very good for caring, which means in a bed, which is the complete wrong thing for frail older adults. So what we do is really, as soon as they arrive, if they're able to, we mobilise them, try and put them in their own clothes, and just sort of put in that culture, which is about they should be as independent as possible.

The classic one is somebody who gets submitted with a fall on a background of dementia.

And this person is then deemed at high risk of falls.

The cot sides are put up.

Their mobility is reduced.

They might be catheterised because they're being incontinent.

And they're being constrained within their bed.

And what we know is that you can lose 2 to 5% of muscle power

in the first 24 hours of unnecessary bed rest.

And the alcohol harm paradox.

Why is it that less affluent drinkers

tend to develop more problems than they're better off peers,

even if they drink exactly the same amount.

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