471 let ’s talk dementia
ConclusionThe QI project has highlighted that education and accessible tools can improve cognitive screening numbers. An important note is, due to increased pressures during the COVID pandemic it is plausible that screening rates were adversely affected. Despite this, our figures still show positive improvement. The next cycle of our project includes surgical wards and we expect by the time of presentation to have this data to show. (Source: Age and Ageing)
Source: Age and Ageing - June 12, 2021 Category: Geriatrics Source Type: research
520 an evaluation of virtual music therapy to patients on an acute health care of older people ward during the covid-19 pandemic
ConclusionIt is feasible to deliver virtual music therapy to inpatients on Health Care of Older People wards. Feedback shows that this was largely acceptable to staff and patients. Improvements in mood, relaxation and distraction were found. (Source: Age and Ageing)
Source: Age and Ageing - June 12, 2021 Category: Geriatrics Source Type: research
468 improving advance care planning skills in junior doctors
ConclusionWe have shown that there is a necessity for ACP to be considered for Geriatrics inpatients, and that providing structure and training in this challenging area offers benefit to both patients and junior doctors. (Source: Age and Ageing)
Source: Age and Ageing - June 12, 2021 Category: Geriatrics Source Type: research
559 IDENTIFYING PATIENTS WITH MOOD DISORDER FOLLOWING ADMISSION WITH HIP FRACTURE WITH A VIEW TO STARTING TREATMENT & amp; PROVIDE ADVICE
ConclusionImplementation of a standardised and validated mood screening tool enabled us to identify that a quarter (25%) of the patients had, or probably had depression. This allowed us to intervene with simple measures such as verbal advice and an information leaflet and consider pharmacological intervention where appropriate. (Source: Age and Ageing)
Source: Age and Ageing - June 12, 2021 Category: Geriatrics Source Type: research
524 quality improvement project: incorporating comprehensive geriatric assessment into community hospital clerking
AbstractElderly patients transferred to community hospitals often have complex medical, social, psychological, functional and pharmacological backgrounds that require careful assessment in order to create and deliver a high quality, patient-centred care plan. Unfortunately, time pressures experienced by staff in acute hospitals can make Comprehensive Geriatric Assessment (CGA) unfeasible for every patient. Moreover, junior members of the medical team may be unsure as to which aspects of a patient ’s background and presentation constitute important elements of a CGA. Failure to recognise and document pertinent issues can ...
Source: Age and Ageing - June 12, 2021 Category: Geriatrics Source Type: research
411 efficacy of cdss in improving anti-resorptive bone protective therapy amongst orthogeriatric inpatients: a comparison study
ConclusionThis study highlighted the significance of a CDSS to improve inpatient ABPT prescribing by non-specialists and to reduce outpatient specialist appointments. This could have a major impact on the long-term reduction of mortality rates amongst orthogeriatric patients and the reduction of future healthcare costs. (Source: Age and Ageing)
Source: Age and Ageing - June 12, 2021 Category: Geriatrics Source Type: research
501 discharge after hip fracture surgery in relation to mobilisation timing by patient characteristics: a national database study
ConclusionIrrespective of dementia, delirium, hypotension, prefracture ambulation or residence, early compared to late mobilisation increased the likelihood of discharge by 30-days. Fewer patients with these conditions, poorer prefracture ambulation, or from residential care mobilised early. There is a need reduce this care gap by ensuring sufficient resource to enable all patients to benefit from early mobilisation. (Source: Age and Ageing)
Source: Age and Ageing - June 12, 2021 Category: Geriatrics Source Type: research
500 30-day survival and recovery after hip fracture by mobilisation timing and dementia: a uk database study
ConclusionEarly mobilisation led to increase probability of survival and recovery for patients (with and without dementia) after hip fracture. Early mobilisation should be incorporated as a measured indicator of quality internationally. Reasons for failure to mobilise early should also be captured to inform quality improvement initiatives. (Source: Age and Ageing)
Source: Age and Ageing - June 12, 2021 Category: Geriatrics Source Type: research
535 elf 2: defining the denominator elf study group
DiscussionThis trainee led collaborative project aims to improve understanding of the older adult population being considered for emergency laparotomy. With the ageing population being the dominant health users of the future, defining the denominator is essential for shared decision-making. (Source: Age and Ageing)
Source: Age and Ageing - June 12, 2021 Category: Geriatrics Source Type: research
525 everyone needs to poop: reducing constipation in the elderly inpatient population
ConclusionsPerson dependent intervention was ineffective at reducing constipation highlighted by staff sickness due to Covid-19. A prescribing bundle is more system based. If used at admission hopefully will be effective and sustainable. (Source: Age and Ageing)
Source: Age and Ageing - June 12, 2021 Category: Geriatrics Source Type: research
475 developing a virtual care home support forum during the covid-19 pandemic
ConclusionIt has been an unprecedented year for the NHS, and the care home sector has suffered significantly. In order to provide the best level of care for patients and support for our community colleagues, we must work collaboratively, including provision of education and training. To ensure equal access for all, maintaining user-safety and compliance with government legislation, virtual webinars proved to be an excellent modality. We plan to continue providing training, teaching and support through this means in the future. (Source: Age and Ageing)
Source: Age and Ageing - June 12, 2021 Category: Geriatrics Source Type: research
496 non-randomised feasibility study of the rehabilitation potential assessment tool (repat) in frail older people in acute setting
ConclusionRePAT was found to be acceptable and tolerated by staff, carers and patients. It allowed clinicians to make explicit their reasoning behind rehabilitation potential decision-making and encouraged them to become more cognisant of ethical dilemmas and biases. (Source: Age and Ageing)
Source: Age and Ageing - June 12, 2021 Category: Geriatrics Source Type: research
495 CONVERSATIONS ON LIVING & amp; DYING: AN INTERVENTION TO INCREASE COGNITIVELY-ABLE, COMMUNITY-BASED FRAIL ELDERS ’ ENGAGEMENT WITH ACP
ConclusionsTo our knowledge this is the first intervention underpinned by behaviour theory that focuses on supporting H&SCPs to engage community-dwelling, cognitively-able frail elders with ACP. Refinements, such as additions to the toolkit, have been suggested. However, H&SCPs appear to find the intervention acceptable, feasible, engaging, and useful in their practice. (Source: Age and Ageing)
Source: Age and Ageing - June 12, 2021 Category: Geriatrics Source Type: research
547 quality improvement project in prescribing thickeners post stroke
ConclusionThis project has built up a multidisciplinary system to a multidisciplinary problem. Through repeated cycles and system improvement, we have seen and demonstrated a collaborative effort resulting in consistent and improving results. (Source: Age and Ageing)
Source: Age and Ageing - June 12, 2021 Category: Geriatrics Source Type: research
528 evaluating the prescription of opiates in patients with neck of femur fractures in out of hospital and emergency care setting
ConclusionPatient safety should be high on the agenda whilst caring for frail patients with Hip Fractures and opiate prescription is one of the most critical in the patient ’s journey. Reducing harm by prescribing the optimal opiates helps to reduce mortality, morbidity, improve rehabilitation and patient flow within the NHS pathways. A guideline has been published to aid opiate prescription in elderly patients. (Source: Age and Ageing)
Source: Age and Ageing - June 12, 2021 Category: Geriatrics Source Type: research
