Posters

Introduction: Older adults with frailty are particularly vulnerable to harm from tight glycaemic control, with hypoglycaemia contributing to falls, cognitive decline, and increased mortality. National (JBDS: Inpatient Care of the Frail Older Adult with Diabetes) and local (Buckinghamshire, Oxfordshire & Berkshire–BOB) guidelines recommend individualising glucose targets according to frailty level, but adherence is inconsistent. This quality improvement project evaluated glycaemic management in inpatients with frailty, aiming to reduce hypoglycaemia and improve target setting in line with

Patients with advanced heart failure (New York Heart Association Class III–IV) frequently experience distressing symptoms including breathlessness, fluid overload, anxiety, and pain. Although national and international guidelines advocate for the use of palliative medications to manage these symptoms, their use remains inconsistent particularly opioids and anxiolytics. This audit aimed to evaluate current prescribing practices for symptom relief in this population and identify areas for clinical improvement. A retrospective audit was conducted on 35 patients with NYHA Class III–IV heart

Introduction Immobility during hospitalisation is a major contributor to muscle loss, deconditioning, functional decline, and prolonged length of stay in older adults. Evidence shows that increased mobility in hospitalised older people is associated with improved health outcomes, reduced functional limitation, and improved quality of life. Hospital-based mobility interventions, such as supervised walking and structured sit-to-stand protocols, help counteract the adverse effects of inactivity and support independence at discharge. Method This quality improvement project was conducted on the

Introduction: The risk of acute oropharyngeal dysphagia is increased in delirium, and is associated with longer hospital admissions, malnutrition, dehydration and sarcopenia. To promote swallow rehabilitation and facilitate recovery from delirium, nasogastric tubes may be trialled for feeding and medication. Methods: This retrospective observational study of senior health wards in a London hospital identified 24 patients with delirium who had a nasogastric tube inserted for acute dysphagia. Data was collected on the swallow rehabilitation (based on recommended IDDSI levels following assessment

Introduction The Frailty Assessment Unit (FAU) at the University Hospital of North Durham opened in April 2025. This is a hospital-based facility aiming to treat frail patients that can be discharged that day, or transferred to a suitable place of care more rapidly than by standard hospital pathways. Patients mainly come from Accident and Emergency or are referred by GPs. FAU have received pharmacist input since June 2025. Data was collected over a two week period to find the number and type of interventions made by the pharmacist. Method Data collection took place over a 2 week period in July

Abstract Content : Background: Delirium is a common but often under-recognized acute condition in hospitalized patients, associated with increased morbidity, length of stay, and healthcare costs. In Ysbyty Ystrad Fawr Hospital’s Medical Assessment Unit (MAU), a retrospective review of patients with a 4AT score ≥4 was done to find out deficiency in the assessment and documentation of delirium, as well as inconsistencies in key aspects of care. Methods: A quality improvement initiative was undertaken to enhance the recognition and management of delirium. A screening and documentation tool, the

BACKGROUND: Dementia is a leading cause of death among people living in care homes. Identifying palliative care needs in individuals with dementia remains challenging, often resulting in frequent hospital admissions and burdensome medical interventions during the final months of life. This review aimed to synthesise existing literature on prognostic tools designed to predict six-month mortality in individuals with dementia residing in care home settings METHODS: This systematic review was registered with PROSPERO (CRD42024623940). A comprehensive search of Embase, CINAHL, PsycINFO, and MEDLINE

Introduction Orthostatic hypotension, a fall in systolic blood pressure of 20mmHg or a diastolic drop of 10mmHg on standing up, is an important risk factor for falls amongst the elderly population. This quality improvement project aimed to improve consistent documentation of lying and standing blood pressure measurements, using sustainable and cost effective interventions. Polypharmacy review was an additional outcome. In this quality improvement project, we assessed the proportion of eligible patients who had lying and standing BP measurement. We made some interventions to improve this rate

Introduction: Purple urine bag syndrome is an uncommon but visually striking finding in catheterised patients, particularly those who are elderly, constipated, or in long-term care. It results from bacterial metabolism of dietary tryptophan, leading to pigment formation within the urinary catheter system. Although often benign, it can be an indicator of underlying infection or evolving sepsis. Case Presentation: A seventy-five-year-old male resident of a nursing home was admitted following concerns of fever, hypotension, and reduced consciousness. On arrival, he had a Glasgow Coma Scale score

Introduction Inpatient falls remain a major healthcare challenge, with an average rate of 6.6 per 1,000 occupied bed-days in NHS England and Wales hospitals. Prevention of falls during hospital stay based on identifying and managing the modifiable risks are challenging. Multifactorial falls risk assessment and prevention action plan (MFRA FPAP) is a proforma booklet adopted by ABUHB. Methodology The initial QIP (2022–2024) revealed incomplete and poor-quality MFRA. Falls champions were introduced for a period of time, it showed an improvement, but was not sustained. Due to a rise in in-patient

Introduction: Older adults undergoing vascular surgery are particularly vulnerable to hospital-acquired infections (HAIs) due to frailty, multi-morbidity, and the high prevalence of emergency interventions. HAIs in this population significantly affect recovery, length of stay, and survival. METHODS We conducted a single-canter retrospective analysis of vascular inpatients aged ≥60 years that developed new HAIs during admission between 1st June 2020 and 31st July 2021. Patients with diabetic foot infections, pre-existing surgical site infections (SSIs), or Clostridium difficile were excluded

Introduction: Phacoemulsification is a widely used cataract surgery technique, particularly in older adults, offering significant improvements in vision and quality of life. As the global population ages, understanding the outcomes and risks of this procedure in elderly individuals becomes increasingly important. This review aims to assess the safety, efficacy, and potential complications of phacoemulsification in older adults. Method: A search was conducted across three databases—PubMed, Scopus, and Cochrane—for studies published between 2020 and 2025. Inclusion criteria were studies focusing

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