Posters

Introduction Annually, around 130,000 people in Wales are reported to have at least one fall incident. Existing evidence suggests that Mental Health inpatient units, on average exhibit higher incidence of fragility fracture than acute hospital wards which could be contributed by medication such as antipsychotics and anti-depressants. Consequently, a quality Improvement project was formulated to evaluate fragility fracture risk among Elderly inpatient Mental Health unit and to analyse their adherence of treatment to the National Standards. Method Patients admitted to old age psychiatry ward at

Introduction There are few data on Parkinson’s disease (PD) in Africa, particularly in sub-Saharan Africa (SSA). The NIHR Global Health Research Group Transforming Parkinson’s Care in Africa (TraPCAf) is a four-year study, running from September 2022, investigating PD in seven African countries (1). In SSA, hypertension is highly prevalent, with many individuals remaining undiagnosed and, among those diagnosed, many untreated or poorly controlled (2). Method The TraPCAf project is recruiting a target of 1,000 people with PD (PwP) and 2,000 age- and sex-matched healthy controls. Data collected

Objective: Guidelines recommend use of rotigotine patches as an option if Parkinson’s patients are unable to take their usual oral medication, but this strategy has not been tested in clinical trials. We audited outcomes for such patients in a large UK teaching hospital. Background: This project was undertaken at University Hospitals of Derby and Burton. Method: In this retrospective study, data was extracted from the hospital’s electronic prescribing and medication administration system, Lorenzo. We examined data on every hospitalised Parkinson’s patient prescribed rotigotine at Royal Derby

Introduction: Alzheimer’s disease (AD) is a progressive neurodegenerative disease, characterised by memory and cognitive impairment. Autobiographical memory, or the memory of oneself, consists of episodic, self-defining and semantic components. AD profoundly disrupts autobiographical memory, causing individuals to lose their self-identity. Although previous research has shown that music can facilitate the recall of autobiographical memories, the extent and nature of this effect in AD is unclear. Specifically, it is debated whether music preserves neural networks involved in autobiographical

Introduction: The Lewy Body Dementias (LBD) incorporate both Parkinson’s Disease Dementia (PDD) and Dementia with Lewy Bodies (DLB). These conditions have a heterogeneous presentation and disease trajectory with much inter-individual variability. Accurate diagnostics and prognostication are becoming increasingly important in the potential disease modifying era. Cardiovascular autonomic dysfunction is a supportive diagnostic feature of DLB and a well-known non-motor phenotype of Parkinson’s Disease. It most commonly presents with orthostatic hypotension (OH) which can be easily measure

Introduction Blood-based biomarkers (BBMs) of Alzheimer’s and other dementia-causing diseases will be available for clinical use in Northern Ireland (NI) within the next five years. Globally, it has been proposed that BBMs will be utilised in primary care before referral to memory services. This study assessed GP willingness to use BBMs and identified requirements for implementation. Method Ethical and governance approvals were granted by QUB. A short, anonymous questionnaire assessing GP attitudes towards BBMs was distributed primarily via email. The Eastern GP Federations Support Unit (FSU)

Introduction Advance care planning (ACP) is a patient-centred discussion involving the patient, family, and healthcare professional to ensure care aligns with patient wishes. In Wales, this includes two recognised documents for those with capacity, and a best interests form for those without, completed by a Lasting Power of Attorney or IMCA. ACPs in the elderly population enhance quality of life, communication, and reduce hospital admissions. This project aimed to improve ACP completion in primary care. Method Forty-one residents, who were registered to Roath House Surgery, were sampled from

Background: In orthogeriatric patients, sleep quality is often overlooked despite its association with pain, mobility, and rehabilitation outcomes. This project assessed inpatient sleep quality on Elm Ward at Trafford General Hospital and evaluated interventions to improve sleep. Aim: To assess inpatient sleep quality and implement non-pharmacological and pharmacological interventions. Methodology: Baseline sleep quality data were collected from eligible inpatients using a sleep questionnaire prior to two Plan–Do–Study–Act (PDSA) cycles. The first cycle introduced non-pharmacological

Background: Effective planning for hospital discharge can best be achieved through shared decision-making to make fully informed decisions. However shared decision-making is challenging for both healthcare professionals and older people with frailty. There is limited consensus on the optimum way to achieve shared decision-making. This project aims to develop a multi-component intervention to prepare healthcare professionals, older people, and relatives/carers of older people to engage in shared decision-making. We will test the feasibility of implementing the intervention in Northern Ireland

Introduction When facing a sharp rise in the number of people living with dementia in Northern Ireland, delays in receiving a timely diagnosis and accessing specialist dementia support, it is imperative to find new ways to bring dementia care closer to home. An innovative 3-year partnership, established in 2024, between Dementia UK and Nationwide Building Society, aims to provide specialist nursing support to 100,000 families living with dementia across the UK. Recurrent clinics are delivered in Nationwide high street branches across Northern Ireland by a specialist dementia nurse, known as an

Introduction: What is the most significant conversation you’ve ever had? A question for which everyone reading will have their own answer. You may vividly recall what was said, where, by whom, and in what manner. In a healthcare setting, a clinician must always consider the ways in which our daily work can involve conversations as salient as this for our patients, their families and carers. Discussing ceiling of care is one such instance. With ReSPECT now reflected in HPFT policy as standard practice, this audit explores how patients and carers experience these discussions. ReSPECT forms

Introduction It is acknowledged that older people with a background of dementia are frequent attenders of Emergency Departments (EDs), where overcrowding, long waits and an unfamiliar environment can create a distressing experience for these patients and their carers. By identifying and understanding modifiable factors that shape these patient’s experiences, healthcare systems and professionals can aim to improve experiences for both this patient group and their carers. This qualitative analysis aims to identify and explore the factors that can impact the experiences of patients with dementia

Introduction Delirium affects up to 50% of older patients (aged over 65 years) in hospital and is associated with serious consequences including greater morbidity and mortality, longer hospital stays with consequent hospital acquired complications, and an increased likelihood of hospital readmission. Early recognition prompting effective management is critical in improving outcomes for patients with delirium.  Methods  This QIP was conducted amongst Foundation Year 1 doctors (FY1) working across all wards in a busy district general hospital to improve knowledge of delirium through educational

Background Physical inactivity in community-dwelling older adults is modifiable, and physical interventions are effective in reducing age-related decline and disease. Despite this, engagement and retention of older adults in community physical activity (PA) programmes are limited. This review explores factors affecting implementation of effective PA programmes for older people in the community. Methods Review of qualitative literature identified from MEDLINE, Social Policy and Practice, PsycINFO, CINAHL, Cochrane Library and Frontiers in Rehabilitation Science from 1999-2024. Data were

Background Chronic inflammation and metabolic dysfunction are posited to contribute to sarcopenia and physical frailty; both are targets for metformin therapy. We investigated correlations between physical performance measures and inflammatory and metabolic biomarkers in a group of older people with sarcopenia and frailty/prefrailty and investigated the effect of metformin treatment on this biomarker panel. Methods We analysed samples collected at baseline and follow-up (4 months) from the randomised controlled MET-PREVENT trial. MET-PREVENT recruited participants aged 65 and over with

Background Cognitive frailty, defined as the presence of physical frailty and cognitive impairment in the absence of dementia, is a common finding among older adults. The causative factors for cognitive frailty are not well understood. It is known that vascular factors such as arterial stiffness are associated with ageing and frailty. In the Frailty and arterial stiffness- role of oxidative stress and inflammation (FRAXI) study, the correlation between cognitive frailty (assessed by the mini-mental state examination (MMSE)), clinical frailty score (CFS) and arterial stiffness was explored

Background Frailty is known to be associated with vascular ageing. The causative factors for frailty are not well understood. Inflammation and oxidative stress are suggested to contribute to frailty, with some studies in humans investigating this. In this study, the correlation between biomarkers of inflammation and frailty were explored. Methods Fifty community dwelling adults ≥70years (mean age ± standard deviation: 79 ± 5years, 46% male) with clinical frailty score (CFS ≤ 6) were followed up for six months. Vascular parameters such as pulse wave velocity and cardio-ankle vascular index were

Introduction: Menopausal hormone replacement therapy (HRT) is first-line treatment for distressing vasomotor symptoms, and increasingly popular. However data on the association of HRT with ageing-related conditions including frailty is lacking. Method: We analysed women in the Danish population registry (n=471206) , Danish Twin Registry and TwinsUK cohort (n=1547). In Denmark, we assessed frailty age 65, 70 and 75, using a modified Hospital Frailty Risk Score. This linked to national prescribing data, to ascertain HRT use by age 55, adjusting for birth year, education and income. In TwinsUK

Older patients admitted to hospital with a surgical pathology often have multiple medical comorbidities, or develop medical complications during their admission. Such issues include delirium, electrolyte derangement, acute kidney injury, respiratory complications and diabetic or haematological pathologies. Where geriatricians are not integrated into the surgical team, the senior surgeon will often rely on junior doctors to manage these conditions. This can leave Foundation Year 1 doctors feeling overwhelmed and under-supported in the management of the frail and co-morbid surgical patient. Our

Introduction Blood tests are frequently ordered in geriatric wards, often without clear clinical justification. This can lead to patient discomfort, increased costs, and unnecessary workload on staff and laboratory services. This audit aimed to evaluate the frequency and appropriateness of blood test ordering and reduce unnecessary investigations in geriatric wards. Method We reviewed blood tests ordered over a 2-week period across the four geriatric wards at Leicester Royal Infirmary. Seven commonly requested tests were included: full blood count (FBC), urea and electrolytes (U&E), C-reactive