Family caregivers are the backbone of dementia care worldwide, yet their safety remains largely absent from discussions of dementia-related aggression and violence. This commentary outlines the multidimensional sources and underlying causes of aggression and violence towards informal caregivers in dementia care, highlighting the need for greater recognition across research, practice, policy and public discourse. First, research must move beyond the assumption that violence in dementia care is primarily a problem affecting formal care staff or people living with dementia themselves. Second, clinical and social care systems must recognise caregiver safety as an integral component of dementia care. Third, policy must explicitly frame aggression and violence towards informal dementia caregivers as both a public health and safeguarding concern. Fourth, public awareness efforts must challenge the silence and stigma surrounding this issue. By bringing caregiver safety into the centre of dementia care debates, this commentary calls for a more comprehensive and ethically responsive approach to supporting families affected by dementia.

When catastrophic engine failure occurred on a commercial aircraft, it triggered a cascade of system failures that threatened to overwhelm the flight crew. By 'inverting the logic' and focusing on the systems that remained operational rather than on accumulating malfunctions, the crew were able to land the aircraft safely. We suggest that this strategy has relevance for geriatric medicine, particularly in the assessment of frailty. Comprehensive geriatric assessment (CGA) and popular frailty models are predominantly deficit-oriented. They quantify vulnerability by counting impairments but fail to document reserve. Individuals with similar frailty scores will often have divergent outcomes following illness or stress. We suggest that reserve-physiological, cognitive, psychological and social-offsets the impact of accumulated deficits and helps to explain this heterogeneity. Deficit-focused assessments also shape patient identity and engagement. Potentially, this can create or reinforce a narrative of fragility or vulnerability. A strengths-oriented complement to CGA, which renders preserved capacity visible, may enhance prognostication, personalise intervention and support patient agency. The aviation-inspired strategy of 'inverting the logic' does not remove attention to risk; rather, it situates vulnerability within a broader context of preserved function and capacity to adapt.

Metabolic dysfunction-associated steatotic liver disease (MASLD) is the leading cause of chronic liver disease in older adults, driving hepatic decompensation and cardiovascular mortality. Randomised trial data on glucagon-like peptide-1 (GLP-1) receptor agonist (GLP-1 RA) therapy remain limited.