Posters for 2025 Wales Autumn Meeting

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 Bone health declines with age, with almost 3 million people in the UK living with osteoporosis. Osteoporosis is a common condition affecting older people where bone density is reduced, increasing the risk of fragility fractures. Most patients are diagnosed following a fracture, and only then prescribed bone protection. Older people have an increased falls risk due to muscle weakness, impaired vision and balance, pain, postural hypotension and medications; increased falls frequency correlates to increased fracture incidence. We aimed to evaluate whether bone health was routinely

Introduction: Hospital Acquired Deconditioning (HAD) describes a patient’s reduction in performance following hospital admission. Medication review and assessment of medication management is a component of Comprehensive Geriatric Assessment. Hospital admission may necessitate the temporary transfer of medication administration to healthcare staff. For some patients, this may result in deterioration in medication management skills that impact discharge planning. This may be avoidable if individuals are supported to maintain these skills in hospital. Method: Two PDSA cycle quality improvement

Abstract: Audit of Cardiac Arrests at Nevill Hall Hospital (October 2022 - February 2025) Introduction This comprehensive audit examined cardiac arrests at Nevill Hall Hospital, part of Aneurin Bevan University Health Board (ABUHB), over a 28-month period. The study investigated relationships between patient frailty, comorbidities, resuscitation appropriateness, and clinical outcomes in a unique step-down hospital setting. Following health board restructuring, Nevill Hall operates without on-site specialties, anaesthetics, or intensive treatment unit facilities, comprising multiple Care of the

Introduction. Discussions about resuscitation provide patients with the opportunity to be involved in highly consequential decisions about the care they receive. Such discussions often occur in response to a clinical deterioration late in the hospital admission or do not happen at all (Parliamentary and Health Service Ombudsman, 2024). This QIP aimed to increase the proportion of care of the elderly (COTE) inpatients at South Tyneside District Hospital with a documented discussion about resuscitation status. Method. Three rounds of data (n=31, n=31 and n=75) were collected at a snapshot in

Abstract Background: The global population of people aged 65 years and over is expected to rise from 761 million in 2021 to 1.6 billion by 2050. Many of these older adults have multiple comorbidities and functional impairments that make them particularly vulnerable during acute hospitalisation. Engagement in meaningful activities can be vital to older people’s care, particularly in acute hospitals. Evidence suggests that such engagement can have a positive impact on the patients’ hospital journeys. To ensure individualised support, it is important to understand the purpose of meaningful

Background: ​Frailty is a multidimensional syndrome characterised by diminished strength, physiological reserve and increased vulnerability. Psychiatric inpatients are a high‑risk, often overlooked population. They typically have reduced life expectancy and are frequently excluded from most research, which leaves their complex healthcare needs unmet. By identifying frailty in this cohort, clinicians can more accurately stratify risks and tailor interventions to each patient’s unique vulnerabilities, and ensure that frailty considerations inform best‑interest decisions. Closing this critical

Background This QIP was conducted within the complex care department at Royal Bolton Hospital, led by a resident doctor under consultant supervision. Introduction Regular mobilisation during hospital admission is essential for maintaining independence, supporting mental wellbeing, and reducing length of stay. On the complex care ward, many patients were observed wearing hospital pyjamas and remaining in bed for much of the day. Staff perceived a lack of emphasis on mobility. This QIP aimed to assess and improve mobility by raising awareness of its importance and encouraging patients to wear

Background Constipation is a common yet under-recognised issue in older hospitalised adults, often driven by reduced mobility, inadequate hydration, poor dietary intake, and polypharmacy. It contributes to significant complications, including discomfort, delirium, and avoidable escalation to pharmacological interventions. Despite national guidelines, bowel care remains inconsistently addressed in routine practice. This project aimed to evaluate current inpatient constipation management and promote guideline-aligned, holistic care for older people. Methods A hospital-based quality improvement

Background "Dignity in death" (DiD) refers to avoiding suffering at the end-of-life by meeting individuals' physical, emotional, and spiritual needs compassionately and respectfully. This includes upholding autonomy, preserving individuality, and fostering open discussions about death while aligning care with the person’s values. Holistic care prioritises comfort and dignity, treating death with understanding rather than fear (Ignacio et al., 2016). However, little is known about how care home staff perceive "dignity in death," despite extensive research on hospital and hospice staff (Hemati

Background: Hip fractures represent a significant global health burden, leading to substantial morbidity, mortality, and healthcare costs. Delays in surgical intervention are consistently linked to poorer patient outcomes. This audit aimed to evaluate and enhance hip fracture management at Southampton General Hospital (SGH) through targeted quality improvement initiatives. Methods: An interventional clinical audit was conducted at SGH, a Major Trauma Centre, comparing a pre-intervention period (December 2023 – March 2024; n=272 patients) with a post-intervention period (September 2024 –

DNAR QIP abstract Introduction: Advanced Care Planning (ACP) involves making decisions about future care, including resuscitation. When resuscitation is deemed not in a patient’s best interest, a Do Not Attempt Resuscitation (DNAR) order is made to prevent harm. NHS England recommends that ACP decisions be shareable as this improves efficiency of repeated discussions and ensures patients’ wishes are respected. In Wales there is no consistently used ACP documents which increases risk of unwanted management as well as inconsistency in the ACP documentation. Methods: This study aimed to improve

Background: Frailty is a growing public health issue due to the aging population. Early recognition and awareness are key in preventing deterioration and promoting independence. A leaflet was created to: Encourage conversation about frailty. Highlight the importance of lifestyle interventions and discharge planning. Include local contact numbers and community support services. Support early detection, reduce avoidable hospital admissions, and promote healthier aging at home. Aims: Assess the effectiveness of the leaflet in improving patient and carer awareness. Support recognition and