407 qualitative assessment of cognitive training for people living with dementia: an individualised approach is needed authors
ConclusionsCT was a feasible intervention for healthy older adults, and people living with dementia and MCI. Benefits were present, but the identified barriers need to be addressed for CT to be implemented successfully. (Source: Age and Ageing)
Source: Age and Ageing - June 12, 2021 Category: Geriatrics Source Type: research
434 look out! visual assessment tool: utility in older person ’s mental health care settings
ConclusionsThese findings demonstrate that the Look Out! test is applicable in mental health settings, helping to identify those with visual impairments and raising the need to complete the screening tool in all patients admitted to inpatient mental health facilities. (Source: Age and Ageing)
Source: Age and Ageing - June 12, 2021 Category: Geriatrics Source Type: research
573 delirium screening quality improvement project
ConclusionsEducation, raising awareness, and display of reminder posters can improve delirium screening uptake of at-risk patients on admission to medical admission units, despite growing pressures associated with the COVID pandemic. Further interventions are planned to improve and maintain awareness and uptake of delirium screening. (Source: Age and Ageing)
Source: Age and Ageing - June 12, 2021 Category: Geriatrics Source Type: research
487 nottingham (n-ice) cream-a more nutritious, palatable and preferred high protein, vitamin d fortified vanilla ice cream-a step too far?
ConclusionN-ICE Cream is highly acceptable, nutritious and preferred by the consumer group evaluated when compared to an ONS Amyes Complete ™ drink. (Source: Age and Ageing)
Source: Age and Ageing - June 12, 2021 Category: Geriatrics Source Type: research
472 a pilot colorectal and geriatric medicine (cgm) clinic for older, frail patients referred via a 2 week wait pathway
ConclusionOlder, frail patients are often not able, nor wish to undergo, invasive investigations but should not be disadvantaged or delayed in their pathway. Further work is needed to determine the most appropriate referral pathway for this group of patients. Holistic assessment that leads to improvement in symptoms and future planning may not be achievable through a solely surgical assessment. (Source: Age and Ageing)
Source: Age and Ageing - June 12, 2021 Category: Geriatrics Source Type: research
433 same speciality, different reality?
ConclusionsFrailty, multimorbidity and polypharmacy were prevalent in both cohorts. English patients were younger, with shorter hospital stay, mortality and use of antipsychotic medication but higher readmission rates. Involvement from Allied health care professionals was higher in UK hospitals. (Source: Age and Ageing)
Source: Age and Ageing - June 12, 2021 Category: Geriatrics Source Type: research
530 interpretation of hba1c values in geriatric patients with type 2 diabetes: large divergence between clinical practice guidelines
AbstractIntroductionAn individualised glycated haemoglobin (HbA1c) target according to the patients ’ health status is central in the glycaemic management of geriatric people with type 2 diabetes (T2D) in order to avoid hypoglycaemic events through an appropriate management of the glucose-lowering therapy (GLT). Current clinical practice guidelines (CPGs) provide different recommendations for pa tients’ HbA1c targets. Using real-life data from geriatric patients, this study aimed at assessing the concordance in interpretation of HbA1c values according to three current major CPGs from the Diabetes Canada-2018 (DC18), th...
Source: Age and Ageing - June 12, 2021 Category: Geriatrics Source Type: research
527 frailty and multimorbidity in type 2 diabetes: a uk biobank analysis
ConclusionAssessment of frailty/multimorbidity should be embedded within routine management of middle-aged and older people with T2D. Method of identification as well as features such as age impact baseline risk and should influence clinical decisions (e.g. glycaemic control). (Source: Age and Ageing)
Source: Age and Ageing - June 12, 2021 Category: Geriatrics Source Type: research
600 escalation decisions during the covid-19 pandemic amongst older adults
ConclusionWe significantly improved Treatment Escalation planning during W1 and W2 of pandemic by introducing the TEP in W1 and adding prompt to improve communication with patients/relatives in W2 (p = 0.02). (Source: Age and Ageing)
Source: Age and Ageing - June 12, 2021 Category: Geriatrics Source Type: research
508 improving patient safety by reducing the incidence of missed medications in elective surgical patients
ConclusionsSeveral processes in the healthcare system are set in stone, as they have been used for years, if not decades. However, we proved that simple changes in operating procedures can make a huge difference to patient safety, health and outcome. (Source: Age and Ageing)
Source: Age and Ageing - June 12, 2021 Category: Geriatrics Source Type: research
463 the use of ferinject to manage iron deficiency anaemia in patients with neck of femur fractures
ConclusionsThe introduction of the use of ferinject in NOFF patients with iron-deficiency anaemia leads to a reduction in the requirement of blood transfusions required and to a reduction of the range of discharge haemoglobin levels. Ferinject therefore aids in improved recovery of NOFF patients. It does not, however, appear to have any effect on readmission rates in this patient group. Further education is required amongst the orthogeriatric team about the indications and benefits of ferinject to ensure that all eligible patient receive ferinject, improving their recovery. (Source: Age and Ageing)
Source: Age and Ageing - June 12, 2021 Category: Geriatrics Source Type: research
499 developing a novel teaching programme for physician associate students within elderly medicine
ConclusionWe have demonstrated how a better structured teaching programme is valued by the physician associate students and will now proceed to develop and expand this model in elderly medicine and beyond. (Source: Age and Ageing)
Source: Age and Ageing - June 12, 2021 Category: Geriatrics Source Type: research
483 improving the provision of regional geriatric medicine teaching during the covid-19 pandemic
ConclusionVirtual teaching has been successful in Wessex Deanery, with high attendance and positive feedback. Trainees can engage remotely without the need for travel and disruption. After the pandemic we hope to develop a regional teaching programme integrating virtual and face-to-face sessions to improve attendance and accessibility. (Source: Age and Ageing)
Source: Age and Ageing - June 12, 2021 Category: Geriatrics Source Type: research
426 prevalence of, and risk factors for, dementia in adult outpatient referrals to a regional referral hospital in arusha, tanzania
ConclusionsThe prevalence of dementia in this population is lower than previously reported community-based rates in Tanzania, and similar to those in high-income countries. This is the first time the association between uncorrected visual impairment and dementia has been reported in SSA. Other associations identified are in keeping with previous literature. Further research on the management of dementia and its risk factors, and the support and education of carers and patients in east African populations is required. (Source: Age and Ageing)
Source: Age and Ageing - June 12, 2021 Category: Geriatrics Source Type: research
548 frailty analysis across populations: the use of the hospital frailty risk score in specialised services using nhs national data
ConclusionsThis study demonstrates the first application of the HFRS to a national dataset to describe service outcomes and mortality for older people undergoing a range of specialised interventions. This information was used to identify those that might benefit from holistic assessment, aid prognostication, commissioning and service planning. It informed the promotion of quality improvement work in this area via the Specialised Clinical Frailty Network. By implementing the HFRS, changes in outcomes can be plotted across years to assess improvements, performance and benchmarking. (Source: Age and Ageing)
Source: Age and Ageing - June 12, 2021 Category: Geriatrics Source Type: research
