Posters for Midlands Region: End of life care virtual meeting

INTRODUCTION High anticholinergic burden (ACB) is associated with cognitive impairment, delirium, falls, and adverse side effects in older adults. Hospital at Home patients are particularly vulnerable due to frailty and poly-pharmacy. The aim of the project was to improve identification and reduction of high-risk ACB scores (≥3) by using ACB calculator and stopping unnecessary medications carrying side effects. METHOD A two-cycle quality improvement project was conducted within an Hospital at home service. At baseline, ACB scores were not routinely calculated. Interventions included awareness

Introduction Venous thromboembolism (VTE) is a major preventable cause of hospital-associated morbidity and mortality, particularly in older medical inpatients. Frailty, immobility, multimorbidity, acute illness, and prolonged admission increase VTE risk, while bleeding risk, renal impairment, falls, and polypharmacy complicate thromboprophylaxis decisions. National Institute for Health and Care Excellence guidance recommends clinicians assess all patients for VTE and bleeding risk at admission and reassess if the clinical situation changes. This audit evaluated compliance with VTE prevention

Introduction Primary care has a central role in dementia risk reduction, early recognition, cognitive assessment, referral, and longitudinal care. However, dementia-related work in primary care is constrained by limited consultation time, variable clinician confidence, fragmented pathways, and unequal access to specialist input. Digital tools, clinician education, and service-redesign interventions have been proposed to strengthen dementia care in this setting. We aimed to systematically review completed intervention studies evaluating digital, educational, screening, blended, or service-based

Introduction. The Recommended Summary Plan for Emergency Care and Treatment (ReSPECT) is an advance care planning tool used to ensure that patients receive care in line with their preferences and medical needs (Resuscitation Council UK, 2025). Over 2024/2025 DNACPR (Do-Not-Attempt Cardiopulmonary Resuscitation) forms were replaced with ReSPECT at Nottingham University Hospitals (NUH). ReSPECT is now the sole documentation method for resuscitation decisions at NUH in adults. This is a significant change, so this qualitative study aimed to identify what worked well and what could be improved

Introduction: ReSPECT (Recommended Summary Plan for Emergency Care and Treatment) forms should contain personalised recommendations for a person’s future clinical care. Our project assessed the quality of ReSPECT forms and attempted to understand the training resident doctors received and their confidence completing forms. Method: A scoring system out of 9 was created to assess the quality of ResPECT forms. The system assessed factors including legibility, patient and family involvement and mental capacity assessments. It also covered the clarity of documentation around resuscitation

Giant cell arteritis (GCA), also known as Horton’s disease - a large‑vessel vasculitis characterized by granulomatous inflammation of medium and large-sized arteries - is the most common primary systemic vasculitis in adults over the age of 50 . It shows a strong predilection for women, particularly those of Northern European ancestry. The classical presentation includes new‑onset headache, scalp tenderness, jaw claudication and visual disturbance, though the clinical spectrum is heterogeneous and may overlap with other conditions common in older adults . Delayed diagnosis of giant cell

Introduction A Quality Improvement Project on UHCW’s largest Care of the Elderly ward, aiming to reduce deconditioning, by using intra-MDT education to improve the proportion of patients sitting out in a chair. Method We measured the proportion of patients who sat out in a chair across five weekdays. We did this by: 1) Observing the number of patients sat out, 2) Discussing with nursing/HCA staff whether patients had sat out and if not, the reason why and 3) Reviewing medical/nursing/physio documentation. We also reviewed baseline mobility, to understand what proportion of our patients we

Introduction High quality end of life (EOL) care is essential to ensure comfort, dignity, effective symptom control, and care aligned with patient wishes. The West Midlands Palliative Care guidelines emphasise early recognition of dying, anticipatory prescribing, communication with patients and families, deprescribing non-essential medications, and individualised care planning. Delayed recognition of dying and inconsistent documentation may negatively affect patient-centred care. `To evaluate whether EOL care within an elderly care unit was delivered in accordance with West Midlands Palliative