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Articles by Dr Geoffrey Phillips
Dr Phillips has held the position of full time Consultant Geriatrician within the Liverpool Teaching Hospitals since 1982 and is also an Honorary Lecturer in the University Department of Geriatric Medicine. His daily practice involves dealing with the full range of medical illness, which affects the elderly. This includes acute medical care, together with rehabilitation and the assessment of disability. He also has experience of continuing care needs and regularly assesses patients either in their own homes or in Nursing Homes at the request of General Practitioners. He has particular expertise in the assessment of dementia, testamentary capacity, pressure sores, falls and in the rehabilitation of elderly patients, following leg amputation and fractured hips. He has been trained in the Legal aspects of Report writing and giving evidence in Court and fully understands his responsibilities as a single joint Expert. He has considerable experience of attending Conference with Counsel. Whilst most cases are settled before trial, He has appeared as an Expert Witness frequently in the Coroner's Court, the County Court and the Crown Court.		Dr Geoffrey Phillips FRCP Consultant Geriatrician Royal & Broadgreen University Hospitals NHS Trust Broadgreen Hospital Thomas Drive LIVERPOOL L14 3LB
Articles:
Subject	Summary
Long-term Nursing Care – a Historical Perspective	Prior to the early 1980’s, virtually all-dependent elderly patients were either managed at home by their family, or else cared for on the long-stay wards of large geriatric or psychiatric hospitals. The nursing care was often excellent but the usually Victorian hospitals provided very poor facilities, with lack of privacy for patients and the buildings were expensive to maintain. At that time, almost 40% of the then NHS bed base subserved a long-stay role and, of course, being part of the NHS was completely free. A relatively small number of nursing homes, often run by charitable organisations, provided alternative facilities but even these were, at least in part, funded by Health Authorities. By contrast, a tiny number of privately run nursing homes existed and were almost always exclusively patronised by the wealthy.	Goto the Article
A Simple Guide to Age Related Cognitive Changes and Dementia	Contrary to popular opinion, most older people, including the very elderly, have no significant cognitive impairment. Cognition is the process by which knowledge is acquired and includes perception, intuition and reasoning. Increasing age is, however, associated with slower information processing and memory retrieval but even this is not universal and even when present, is not so severe as to interfere with day-to-day functioning. The perceived importance of information and its emotional associations will tend to aid memory storage and recall. Accuracy of recall is given preference over speed, but keeping track of more than one thing at a time and rapidly understanding complex material tends to become more difficult and can be further aggravated if vision and hearing are in any way impaired.	Goto the Article
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