"What would make this treatment worth it for you?" The answer is rarely the number we were planning to improve. More often it is getting to the toilet unaided, sleeping through, fewer hospital trips, being at a wedding in May.

A meal delivered to the bedside does not prove that someone ate. Open packaging, position the person well, offer help and record actual intake when nutrition is a clinical concern. #nutrition

A 4AT (delirium test) score of 3 out of 12: possible cognitive impairment. This care home example scores 0 for alertness, 2 for the AMT4 (age, birth date, place, year), 1 for months backwards and 0 for acute change. Staff report no sudden change from her usual self. #Delirium

Delirium aftercare: name it in the discharge letter, teach the early signs of recurrence, expect gradual recovery, talk about frightening memories, book cognitive follow-up. The episode ends before the caring should. #delirium

Weight loss in an older person is a symptom that needs an explanation. Ask about appetite, swallowing, teeth, mood, medicines, bowels, shopping, cooking and illness. #nutrition

Bed rest is not benign for an older person. Even during necessary hospital treatment, preserve safe movement, transfers and time out of bed when possible. #mobility

#ONStorm #ONwx Keep Your Eyes to the Sky This Evening for a Rare Treat! 🛰️ Space lovers, rejoice! The International Space Station will fly directly over Southern Ontario this evening and it should be visible to just about anyone who looks. While you may have spotted it during the evening throughout the week, tonight will be rare because we are looking at completely clear skies across the region this evening. Considering how many celestial events are ruined by cloud cover in Southern Ontario (eclipses, comets, Northern Lights, etc), having fully clear skies is a huge win in our books! You will only have a few minutes to catch a glimpse of the ISS as it streaks across the sky at speeds approaching 28,000km/h. The Station will begin to be visible along the horizon in the southwest sky shortly after 8:30pm and it will quickly rise to being almost overhead, before falling below the horizon to the northeast less than 10 minutes later. The best window to see the ISS, at its highest point, will be from 8:36pm to 8:38pm. Now, don’t fret if you’re not directly under the path because it will still be visible quite high in the sky. The Space Station will look like a bright star to the naked eye as it races across the sky this evening. If you’re wanting a better look at it, you may think about using a telescope. However, it will be difficult for amateurs to track the Station using a manual telescope, given how fast it moves and how quickly it will disappear from sight. Instead, you may want to try high power binoculars, if you have a pair of them. With the ISS slated to be decommissioned in the next 5 years, this provides a great opportunity to catch a clear glimpse of this incredible spacecraft. - Alannah