Posters

Introduction Data analysis within the Older Person’s Unit (OPU) identified increasingly complex and physically dependent patients. Elderly Mobility Scale (EMS) lacks sensitivity in highly dependent patients, with a pronounced floor effect obscuring functional gains in those requiring two‑person assistance. We aim to identify a more accurate outcome measure (OM) for functional change in hospitalised older adults. Method This iterative project comprised: Scoping: benchmarking with 11 acute older adult wards nationally Medline-based literature search, yielding 1298 articles: 5 were reviewed

Introduction Alzheimer’s disease (AD) is biologically heterogeneous. High-dimensional omics may identify molecular strata relevant to precision medicine, but it remains unclear how studies differ in molecular inputs, computational methods, subtype outputs, and validation approaches. This scoping review mapped computational approaches to omics-driven AD and AD-spectrum subtyping. Methods A scoping review was conducted using Joanna Briggs Institute methodology. MEDLINE, EMBASE, and Web of Science searches identified 8,238 records. Two reviewers independently screened records using Covidence

Delirium is a neuropsychiatric condition commonly affecting hospitalised elderly individuals. It is characterised by acute cognitive disturbance and can present with agitation and aggression putting patients and staff at risk. Sedatives for rapid tranquilisation of agitation are not without risk in elderly populations and should be given as a last resort, at the lowest effective dose and with clear documentation of justification. This study aims to optimise these critical factors for safe rapid tranquilisation in elderly agitated patients. This study used the electronic patient record system

Introduction: In April 2025, Darlington Memorial Hospital introduced a same-day Frailty Assessment Unit (FAU) and Hospital at Home (H@H) virtual ward service, both staffed seven days a week by senior clinicians and advanced therapists. These services aimed to provide earlier comprehensive geriatric assessment, facilitate admission avoidance, and support more older adults to receive care in the community. This work built on best practice from other trusts nationally, and aims to forward the agendas of the NHS 10-year Health Plan for England and Getting It Right First Time to move care from

Background: Clinical Frailty Scale (CFS) assessment is a validated tool that supports clinical decision-making, escalation planning and holistic care for older adults. At our Emergency Department, CFS was routinely assigned at triage but was frequently found to be inaccurate when compared with consultant geriatrician assessment, potentially influencing patient management. We aimed to improve the accuracy of CFS documentation by 20% over six months. Methods: Baseline CFS scores recorded at triage were compared with the reference standard assigned by a consultant geriatrician during the post

Patients with Parkinson's Disease can deteriorate quickly without their critical medications in a timely manner. This can lead to an increased length of duration of hospital admissions and an increase in both morbidity and mortality. As a result, the Parkinson's Excellence Network recommends time critical medications must be given within 30 minutes of when they are due. Over a 24 month period, we aim to identify the barriers to this recommendation being achieved within ambulatory services such as frailty same day emergency care (FSDEC) and implement interventions to come closer to this target

Introduction: Vertebral fragility fractures (VFFs) are the most common osteoporotic fracture and are often under-recognized, leading to significant morbidity, mortality, and healthcare costs. Despite evidence-based guidance, including the GIRFT VFF Pathway, variation in assessment and management persists. This audit assessed compliance with the GIRFT pathway in various departments of a district general hospital to identify gaps in care and areas for improvement. Methods: A retrospective case note review was conducted of adult inpatients with suspected vertebral fragility fractures between 01

Introduction: Bedside teaching, involving direct patient interaction, is central to undergraduate medical education, helping students integrate clinical knowledge and build practical skills in a supported learning environment. Managing older adults with multimorbidity, frailty, cognitive impairment and functional decline require students to develop higher-level skills in history taking, examination, and functional assessment to provide safe, holistic care. However, older adults with complex presentations are underrepresented in bedside teaching, and foundation doctors often lack confidence

Introduction Orthopaedic trauma care is a key setting for acute geriatric inpatient management. Foundation Year One (FY1) doctors on orthopaedic rotations predominantly provide ward-based care, with surgical workload analyses showing that resident doctors spend most clinical time on prescribing, multimorbidity optimisation, and discharge coordination rather than senior-led operative decision-making. In this setting, FY1 doctors are responsible for the day-to-day delivery of core orthogeriatric care, including analgesia optimisation, delirium prevention, early mobilisation, fluid management

Introduction Entries onto the Electronic Patient Record must be saved under a designated ‘Type’, selected from a dropdown menu including: Progress Note, General Clinical Note, Ward Round Note, and other options. Specialities have specific note types, such as ‘Respiratory Medicine Progress Note’. Saving entries under the correct ‘Type’ enables them to be retrieved easily when filtering for speciality-specific input. This project aimed to quantify the proportion of respiratory ward round entries saved under the correct ‘Type’ and introduce an intervention to improve this aspect of medical record

Introduction Community rehabilitation supports older adults living with frailty or multiple long-term conditions to maintain independence and remain at home. However, wide variation in outcome measurement limits comparison between interventions and evidence synthesis. This systematic review aimed to identify and categorise outcome measures used in community rehabilitation research and examine their consistency and breadth. Methods A systematic review was conducted according to best-practice guidance and registered with PROSPERO (CRD420261296268). MEDLINE, EMBASE, CINAHL, Cochrane Library, Web

Delirium affects approximately 30% of medical inpatients over 65 and has an associated mortality rate of approximately 39%. Although one third of cases are preventable, delirium remains under recognised, delaying integrated care and prolonging admissions, leading to poorer patient outcomes. Aim - to evaluate diagnosis of delirium in patients aged ≥65 with an admission 4AT score of ≥4. To improve awareness of delirium and encourage completion of a ‘delirium screen’. Eligible patients were identified across four downstream medical wards within University Hospital Ayr. Medical notes were reviewed

Patients with hip fracture should start rehabilitation no later than the day after their operation (NICE Quality Statement). Only 69% of patients with a hip fracture were mobilised day one post operation in 2025 in North Tees Hospital putting it in the lowest performing quartile in the United Kingdom. Delayed mobilisation is shown to increase the risk of post operative complications such as pulmonary embolism and lower respiratory tract infections along with increasing lengths of hospital stay associated with increased risk of morbidity and mortality within the geriatric population. The aim of

Introduction Transdermal patches are frequently prescribed for older adults and require accurate documentation of the application site to ensure appropriate site rotation and reduce the risk of medication administration errors. A baseline review on Elderly Care wards identified poor documentation of patch application sites within the electronic patient record (EPR). This quality improvement project aimed to improve documentation through simple educational interventions. Methods A completed audit cycle was undertaken across Elderly Care wards at Huddersfield Royal Infirmary. Patients prescribed

Introduction: Drugs with anticholinergic properties identified by the anticholinergic burden (ACB) scale are associated with reduced cognitive and functional performance in elderly patients and poorer discharge outcomes. Research indicates that cognitive decline is dose dependent, scaling with cumulative exposure. Reducing ACB provides an opportunity to improve rehabilitation outcomes. The aim of this Quality Improvement Project (QIP) was to reduce the anticholinergic burden of medications for patients in the rehabilitation unit by using a series of interventions encouraging medication review

Introduction The burden of colorectal cancer (CRC) falls disproportionately on older adults in the UK (1-2). The current straight-to-test 2-week wait (2WW) lower GI pathway may not adequately assess older patients for their suitability for invasive initial investigations (3-5). Previous initiatives introducing a geriatric service as the first line of contact in this pathway demonstrated holistic shared decision-making with referred patients (4-5). This retrospective audit will evaluate if a similar service improvement project at Broomfield Hospital shared similar successes. Methods A

Introduction: Gompertz Law, published in 1825, states that the age-specific force of mortality increases exponentially with age. This has implications for ageing people and ageing populations. We sought to determine if Gompertz Law of Mortality is accurate in a contemporary cohort study. Method: We analyzed data from the Manitoba Follow Up Study – a closed prospective cohort study of men who qualified for air crew training in the Royal Canadian Air Force during the Second World War. The cohort was sealed in 1948 when 3983 men with a mean age of 31 years old were enrolled. The date of death up

Background: The Clinical Frailty Scale (CFS) is a summary measure of frailty intended to be completed after Geriatric Assessment. There are few studies on simply self-reporting the CFS (SR CFS). Objectives: 1. To determine if a SR CFS predicts mortality over a long time frame, and 2. To determine if the SR CFS adds prognostic information to the Frailty Index (FI). Methods: We analyzed data from The Manitoba Follow Up Study (MFUS), a prospective cohort study of men who qualified for air crew training during the Second World War. In 2015, we adapted the original 7 point CFS for self report (SR

Introduction: Polypharmacy, commonly defined as the use of ≥5 medicines, is highly prevalent among adults aged 65 years and older and is associated with adverse events, hospitalisation and increased treatment burden, particularly in those living with frailty. Medicines optimisation (MO) in older adults is a key priority within the LTHT Frailty Strategy. Pharmacists play a central role in multidisciplinary efforts to reduce inappropriate polypharmacy; however, little is known about hospital pharmacists’ confidence in delivering MO for this population. Methods: A survey containing Likert-scale

Introducing Virtual Reality as a Novel Educational Tool in a Dementia Education Program for Nursing Staff in a Teaching Hospital in Singapore Background: Singapore's rapidly ageing population has led to increasing numbers of older adults living with dementia, many of whom are hospitalized with behavioural and psychological symptoms of dementia (BPSD). These symptoms present significant challenges for healthcare professionals and are associated with caregiver burden, workplace stress, and frequent use of physical and chemical restraints. Conventional dementia education provides essential