Impact of a Digital Proactive Care tool, Fr EDA (Frailty End of life Dementia Assessment) on improving quality of care & outcomes across an ICS population of 1.34 million
Introduction: Adults living with frailty, dementia or nearing end of life, frequently experience identification/diagnosis delays, inequalities, avoidable harms, poorer outcomes and premature mortality. Frailty and End of Life Care (EOLC) evidence based Proactive interventions can improve outcomes, yet delivery across providers is low and inconsistent. Mid & South Essex (MSE) has a population of 1.3 million, 114,000 (9%) are estimated to be living with frailty, dementia or may have EOLC needs (most unrecognized), generating over 62% of 999 calls, 90% of hospital occupied bed days, 71% of
Comprehensive Nutritional Intervention for Delirium Prevention and Management in Geriatric Care
Improving delirium management through earily dection and proper documentation for continous care.
Improving frequency of 4AT scoring through micro teaching
Introduction Delirium is a neuropsychiatric condition affecting over 1 in 4 hospitalised older adults. Regular assessment of delirium throughout admission leads to earlier diagnosis and management and may potentially improve outcomes. The 4AT is a NICE recommended tool to detect delirium. Methods Retrospective case review was undertaken for a cross-section of older adults (n= 90) admitted to an inpatient geriatric ward in a tertiary London hospital. We recorded whether 4AT was completed at 3 key time points; during clerking, post-take ward round and at any point during inpatient stay. A plan
Development and early impact of a Dementia and Delirium Outreach Team in an acute hospital setting
An overview of the Dementia UK Consultant Admiral Nurse service supporting families affected by frailty and dementia
Abstract Content : An overview of the Dementia UK Consultant Admiral Nurse service supporting families affected by frailty and dementia Introduction: Emerging and increasing frailty often goes unidentified, and families living with dementia and frailty are missing vital opportunities to receive the right support at the right time. People living with frailty are less able to adapt to stress factors such as acute illness, injury, or changes in their environment, personal or social circumstances, leading to adverse health outcomes and an earlier loss of independence. Method: We have developed a
Improving the Diagnosis and Treatment of Mood Disorders in a Delirium Clinic
Introduction Evidence suggests a significant relationship between delirium and mood disorders. Pre-existing depression is a risk factor for delirium, and depressive symptoms frequently emerge as a sequela of an acute episode. Despite considerable symptom overlap, these conditions are distinct and require targeted management. This audit evaluated whether the introduction of formal mood assessment tools improves the detection and early treatment of mood disorders in a delirium follow-up setting. Methods A two-cycle clinical audit was conducted at a specialist delirium follow-up clinic. In Cycle
The Burden of Behavioural and Psychological Symptoms in Dementia (BPSD) in Post-Diagnostic Memory Services
Introduction: BPSD significantly impact patient wellbeing and caregiver burden [1]. The Cardiff and Vale Memory Service provides integrated assessment, diagnosis and post-diagnostic care to around 5000 community-dwelling people with dementia (PwD) across South Wales. BPSD frequently prompt escalation to the multidisciplinary team (MDT). This project aimed to evaluate the burden of BPSD within the service. Method: Over 5 weeks, surveys were completed for patients discussed at the MDT with BPSD concerns. The survey captured number and type of BPSD features, demographics and routine clinical