Posters

Introduction NICE CG124 recommends that Hip Fracture Programmes should have responsibility for the whole pathway of patients’ recovery. Contacting patients at 120-days provides an ideal opportunity to examine how many of them are still on treatment and to offer support to those who are having problems. National Hip Fracture Database (NHFD) 120-day follow-up was introduced in patient’s electronic patient record (EPR) in December 2023. Methods All local hospital’s NHFD hip fracture patients (173) who have completed 120-day telephone clinic follow-up in year 2024 were included for data collection

Introduction In 2023, the average acute length of stay in the local hospital=23 days (national=16.0), 30-day mortality post hip fracture=6.6% (5.4%), prompt mobilisation=78% (81%) and return to original residence= 72% (74%). Nottingham Hip Fracture Score (NHFS) is most widely studied hip fracture risk stratification system especially in the UK, positively correlated with clinical frailty score (CFS), and is a simple tool to utilise on hip fracture admissions. High-risk identification distinguishes preoperative factors that are linked to clinical adverse outcomes after hip fracture surgery for

Background High-sensitivity cardiac troponin (hs-cTn) assays underpin accelerated diagnostic protocols for non-ST elevation myocardial infarction (NSTEMI). The 2023 European Society of Cardiology (ESC) guidelines recommend 0/1-hour or 0/2-hour algorithms. Despite strong evidence, adherence in practice is inconsistent. This study aimed to assess and enhance the compliance with the ESC 0/2-hour algorithm in a large UK district general hospital. Methodology A retrospective cross-sectional study was conducted at Blackpool Victoria Hospital. Adults presenting with chest pain who underwent hs-cTn

Introduction Radial compression (TR) bands are commonly used following coronary angiography, particularly in older adults. At a tertiary cardiac centre in South India, we observed significant delays in TR band removal, often exceeding two hours, contributing to discomfort, slower discharge, and risk of complications. Inconsistent documentation and unclear responsibility were key contributors. This quality improvement project (QIP) aimed to implement a 120-minute protocol to enhance efficiency, safety, and patient experience. Method Using NHS-aligned methodology and the Model for Improvement

Objectives: The review explores existing evidence to assess the care and support available to address climate change's health impact on the vulnerable communities dwelling older adults. Method: The review followed Arksey and O'Malley's framework for scoping reviews, and we searched 5 major databases: Web of Science, CINAHL, Scopus, PubMed, and EBSCOhost. All articles focused on older adults and climate change published in English were included without any restrictions on study design. A total of 29 studies met the criteria for review out of the initial 568 related articles. The final selected

1. INTRODUCTION: Knowledge of social history and functional baseline is of paramount importance in Geriatric Medicine. Often a lack of adequate history leads to poor treatment outcomes in patients with advanced frailty. At our hospital, we have tried to identify the possible areas of improvement in collateral history documentation and designed a short and objective proforma that allows any doctor to take a detailed collateral history for geriatric patients. 2. METHOD: We retrospectively reviewed the notes of 30 inpatients in geriatric wards to assess documentation across various domains of

Introduction: Timely completion of the Medical Certificate of Cause of Death (MCCD) is essential for legal reasons, to support grieving families, and to allow funeral arrangements to be made. On the acute geriatric ward, delays in tasks related to patient death and poor documentation were observed. It was hypothesised this was related to unclear responsibilities, lack of continuity in following up Procurator Fiscal (PF) referrals, and variable confidence in certifying death. Method: This quality improvement (QI) project was conducted from November 2024 to April 2025. Baseline data identified

Introduction Geriatric medicine requires a unique set of clinical and non-technical skills, including advanced communication skills, multi-disciplinary team management, balancing risks and benefit of treatment in complex multimorbid patients, and a focus on holistic person-centred care. Current simulation courses often focus on acute emergencies but lack the nuance and complexity of geriatric medicine. We describe the development of and feedback from a novel Geriatric Medicine Simulation Course in Wales. Methods The course was designed by a small team of geriatric medicine specialty registrars

Introduction Advanced care planning (ACP) conversations are very important in the geriatric department due to the frailty and co-morbidities of patients managed. The purpose of this audit was to establish if staff on the ageing and health wards were having these discussions and any barriers and facilitators to this. Method 1.A snap shot audit of DNACPR and ReSPECT forms in the ageing and health wards in Forth Valley Royal Hospital. 2. A Questionnaire regarding familiarity, use, facilitators and barriers in completion of ReSPECT forms sent to medical staff on ageing and health wards. The data

Introduction: Bowel charts can help detect changes in bowel habit, especially in patients with complex medical needs or limited communication abilities. Early recognition of constipation may prevent delirium, whereas recognising diarrhoea can prevent breakdown/infection of sores. SSKIN bundles, containing insufficient data on stool type/size, are sometimes used alongside bowel charts, leading to discrepancies. We aimed to improve accuracy of bowel charts over a 3-month period. Method: 10 patients from the Department of Medicine for the Elderly ward were randomly selected weekly for 6 weeks

Introduction: Urinary tract infections (UTIs) are the second most common community-acquired infection and the leading cause of hospital infections in individuals over 65 years. UTI treatment is a major driver of antibiotic resistance (AMR), with E. coli being the primary pathogen causing this in the UK. Further, asymptomatic bacteremia is common in over 65s and does not lead to increased morbidity. However, unnecessary antibiotic exposure increases the risk of harm, including AMR and C.difficile infection, contributing to the rising AMR-related mortality. Method: This study aimed to assess

Introduction: The cornerstone of catheter-associated urinary tract infection (CAUTI) prevention is avoiding unnecessary indwelling urinary catheter (IUC) insertion [1]. As part of a long-term project to reduce the number of catheters, the most common inserted device used across MOE wards in our hospital, we recently undertook a project to improve planning (does it need to stay, can we remove it?) and the reliability of information reconciliation around their use. Methods: We designed a data collection tool, analysing key aspects of IUC care, measured our performance at least twice-yearly using

Introduction Peri-operative care of the Older Person undergoing Surgery (POPS) is an evidence-based multi-disciplinary intervention known to improve care and outcomes in older patients undergoing surgery. A POPS service has now been established in the Southwest Scotland Vascular Network (SSVN); to the best of our knowledge, the first of its kind nationally. We report our early experience. Methods SSVN opted to fund one whole time equivalent geriatrician using a vacant consultant surgeon salary. This has permitted the daily input of expert geriatricians for all patients over 60 in our service

Introduction: Anticholinergic medications have been associated with an increased risk of cognitive impairment, falls, and higher all-cause mortality. Falls, delirium, and dementia are common presentations leading to admissions of older patients. Therefore, there is an emphasis on reducing the anticholinergic burden (ACB) in the elderly. This study investigated if the burden changed between the points of admission and being an inpatient. Methods: A retrospective cross-sectional audit was conducted on geriatric inpatients (≥85 years or ≥75 years if diagnosed with Parkinson’s disease as per local

Introduction: The UK’s ageing population presents growing challenges for health and social care.1 Age-related impairments in mobility, strength, cognition, and endurance contribute to the development of frailty and decreased physical activity in older adults.2 Despite the World Health Organization’s recommendations for regular physical activity among older adults, participation remains low due to physical, psychological, and social barriers.3 This study is aimed to explore these barriers and understand older adults’ preferences regarding physical activity to inform the co-development of

Introduction Patients with frailty at Tiree Medical Practice (TMP) are identified and managed by a Multi-Disciplinary Team. That team also provide out of hours and emergency care on the island meaning quick access to patient information is essential. The aim of this project was to improve frailty record keeping at TMP. It was intended that by 30 April 2025, a full Frailty Record (FR) would be held for at least 90% of patients identified as having frailty. The process of determining the parameters of the FR was dynamic but the final definition was an entry containing: Identifying details

Quality Improvement Project : Enhancing Stroke Unit Ward Round Documentations in a Large District Hospital Author Name - T Han; R Ehsan; A T Moe; K S Tun; D Ramsey Provenance - Princess Royal University Hospital Background This improvement project was undertaken within the Stroke Unit (SU) at Princess Royal University Hospital under King’s College Hospital NHS Foundation Trust. The multidisciplinary stroke team includes consultants, registrars, junior doctors, nurses, and therapists. Patients are typically admitted from the Hyperacute Stroke Unit (HASU) following initial stabilisation and

Introduction Collateral history is a cornerstone of geriatric inpatient care, informing decisions on diagnosis, discharge planning, and long-term support. Older adults often present with cognitive impairment, frailty, or limited communication capacity, making accurate history-taking essential. A baseline audit of 30 inpatients showed only 10% had all ten domains of collateral history documented. In 46% of cases, collateral history was taken more than once. Documentation was often inconsistent across notes from different professionals, hindering holistic understanding. Based on our baseline

Background: Atrial fibrillation (AF) is a common cardiac arrhythmia, particularly among older patients. Its presence in patients undergoing hip fracture surgery can complicate perioperative management and is associated with increased morbidity. Evaluating both pre-existing and new-onset AF in this population can guide more targeted interventions, vigilance and improve patient outcomes. Objective: To analyze the prevalence of pre-existing AF and the incidence of new-onset perioperative AF among older patients undergoing surgery for hip fractures. Method: A retrospective analysis of patients

Background This audit was conducted on a Care of the Elderly (COTE) ward in a district hospital focusing on males over 65 years of age who developed acute urinary retention (AUR) during their admission. Introduction AUR is a common emergency in males that is responsible for 30,000 hospital admissions a year. The suboptimal management of AUR can lead to failed TWOC, recurrence of AUR, as well as an increased risk of urinary tract infections and multiple hospitalizations. The aims of this audit were to review management of AUR on a COTE ward over a 3 month period and compared this against NICE