Posters

Introduction: Polypharmacy is a major risk for older patients aged 65 and above. Commonly prescribed medications may have anticholinergic properties causing dry mouth, constipation, and urinary retention which can exacerbate delirium in older adults1. ACB scores help quantify the cumulative effect of these medications. ACB scores of three or more are associated with confusion, falls and death2. Aim: To evaluate whether automated alerts of ACB scores help reduce scores and encourage medication reviews in older patients. Method: Over two weeks, automated alerts were set up within the hospital’s

Introduction Falls are a significant health concern, with one in three people over 65 experiencing at least one fall annually. Greater Manchester is leading a world-first pilot of eFalls technology to support healthy ageing and reduce fall-related injuries in older adults. The pilot aims to proactively identify individuals at moderate risk of falling and offer early interventions to maintain their independence and wellbeing. Method The eFalls pilot launched in February 2025 and will run for nine months within the South Wigan Ashton North (SWAN) primary care network in Wigan, Greater Manchester

Abstract title - Compliance with Nutritional Assessment Guidelines and Its Impact in Older Adults with Neck of Femur Fractures: A Re-Audit at Med Abstract Author Name - R Nahar1; V Debnath1; F Jamil2; S Kumar3; A Khattak4; M Shoaib5 Abstract Provenance - 1. Dept of Elderly Care, Medway Maritime Hospital; 2. Dept of Elderly Care, Medway Maritime Hospital; 3. Dept of Elderly Care, Medway Maritime Hospital; 4. Dept of Elderly Care, Medway Maritime Hospital; 5. Dept of Elderly Care, Medway Maritime Hospital; 6. Dept of Elderly Care, Medway Maritime Hospital; Abstract Content - Title- Compliance

Background Pop-Up Digital assessments utilising screening tools such as the 4AT could been seen as a method to improve early diagnosis. The aim of this project is to improve the use of the 4AT through a redesigned pop-up Delirium Assessment, and to see whether its use would improve following raising awareness though ‘Dementia Action Week’. Methods Thirty patients' medical records from emergency admissions containing the medical coding criteria ‘Confusion’, ‘Delirium’, and ‘Dementia’ were included for each cycle. Patients under 65, and those admitted for less than 24 hours were excluded. The

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 Falls, in older patients living with frailty, are a common presentation to the medical take. Assessment of bone health is a key component of the comprehensive geriatric assessment and a risk factor for fragility fracture. We collected baseline data highlighting that bone health in this cohort was commonly overlooked. In response, our quality improvement (QI) project led to the development and implementation of an acute bone health assessment toolkit with overall enhancement in assessment. Methods Using QI and Plan-Do-Study-Act (PDSA) methodology, baseline data was collected for

Title: Improving Bone Health in Patients with Parkinson’s Disease: A Retrospective Study in a DGH Background: Parkinson’s disease (PD) is a neurodegenerative disorder primarily affecting movement, but its impact on bone health is often overlooked. Over 40% of individuals with PD experience recurrent falls, with more than a two-fold increased risk of hip fractures and nearly double the risk of non-vertebral fractures—largely influenced by mobility impairments, vitamin D deficiency, and long-term effects of medication. The aim of this study was to evaluate local compliance with bone health

Title: Improving Bone Health in Patients with Parkinson’s Disease: A Retrospective Study in a DGH Background: Parkinson’s disease (PD) is a neurodegenerative disorder primarily affecting movement, but its impact on bone health is often overlooked. Over 40% of individuals with PD experience recurrent falls, with more than a two-fold increased risk of hip fractures and nearly double the risk of non-vertebral fractures—largely influenced by mobility impairments, vitamin D deficiency, and long-term effects of medication. The aim of this study was to evaluate local compliance with bone health

Introduction Fragility fractures are associated with increased morbidity and mortality. Early identification of patients at risk is essential for prevention. Bone health assessment tools are recommended in current clinical guidelines for those at risk. Despite this, baseline audit data showed that only 3% of patients admitted to a geriatric ward following a fall had a bone health assessment completed within 72 hours of admission. This project aimed to increase the completion rate of bone health assessments to over 90%. Methods A series of targeted interventions were implemented over four

Introduction: Visual impairment is a key yet often neglected risk factor for falls in older adults. National guidance recommends that vision be assessed routinely as part of a multifactorial falls risk evaluation. This audit aimed to evaluate whether vision was appropriately assessed and documented in patients admitted with falls at Croydon University Hospital. Methods: A retrospective audit was conducted on patients admitted under the acute medical take following a fall between the 1st-12th of February 2025. Patient records were reviewed for documentation of vision assessment, history of

Background: Falls in frail older adults can cause prolonged hospital stays, raising the risk of further falls, infections, and decline. This case shows how delayed discharge and complex care planning can worsen outcomes in this group. Case Presentation An 86-year-old male with Alzheimer’s dementia, chronic kidney disease, and peripheral vascular disease sustained an unwitnessed fall at home while taking medication. He was found to have an avulsion fracture of the right anterior superior iliac spine (ASIS) with soft tissue changes and was managed conservatively under orthopaedics. His three

Introduction: Polypharmacy—commonly defined as the use of five or more medications—is highly prevalent among older adults and is associated with increased risks of adverse drug events, falls, cognitive impairment, hospital admissions, and reduced quality of life. Inappropriate polypharmacy, where medications provide limited benefit or cause harm, represents a significant patient safety concern. Structured medication reviews (SMRs), supported by validated deprescribing tools such as STOPP/START and Beers Criteria, are essential for identifying and addressing potentially inappropriate

Background: Urinary incontinence is common among older hospital inpatients and is associated with functional decline, skin damage, and delayed discharge. While guidelines recommend structured assessment and conservative management, continence care often remains reactive and inconsistent. This review uses behavioural science theory to explore the barriers and facilitators to implementing improvements in continence care for older people in acute hospital settings. Methods: A search strategy, across MEDLINE, EMBASE and EMCARE encompassed peer-reviewed literature from 2015–2025 using terms related

Introduction In older adults, the inability to rise independently after a fall increases the risk of long-lies and associated complications. Up to 65% of individuals attended by ambulance crews post-fall are assisted up without requiring further medical intervention. This study investigated the effectiveness of Floor-Rise Training (FRT) in improving floor-rise ability and reducing fear of falling in community-dwelling older adults. Method This pilot cluster-randomised controlled trial was conducted within five existing Otago exercise classes. Sixty-one participants aged ≥65 years were enrolled

Background Stairs are a serious safety hazard for older adults, with stair falls being the leading cause of accidental death [1,2]. Mechanistic, proof-of-principle, research has examined the development of interventions to improve staircase safety. The aims of this systematic review are to synthesise and evaluate stair fall interventions and identify those showing effectiveness and to establish a pathway to implementation for these interventions. Methods Five databases were searched for interventions seeking to reduce risk or occurrence of falls on stairs. Quality of the studies was assessed

Introduction: Inpatient falls are a common cause of harm in hospitalised older adults. National guidance from the 2024 National Audit of Inpatient Falls (NAIF) and Royal College of Physicians (RCP) outlines standards for timely and structured post-falls care. This quality improvement project aimed to assess local adherence to these standards and to implement a guideline to support safer, more consistent inpatient falls management. Method: A retrospective audit reviewed all inpatient falls reported via the Datix system in May 2024. Falls in clinical areas requiring medical review were included

Introduction: Approximately half of individuals aged 80 years and older experience at least one fall per year, costing the NHS an estimated £2 billion annually. Visual impairment is a recognised potentially modifiable risk factor for falls and their resulting consequences including injuries and hospitalisation. Despite this, visual assessment is often overlooked by clinicians when managing these patients, potentially due to the absence of standardised guidelines. Method: A first-cycle clinical audit was undertaken in an acute Geriatric Medicine ward between January 2025 and March 2025

Introduction Patients with Parkinson’s Disease (PD) are at an increased risk of developing osteoporosis. Vertebral fractures (VFs) are the commonest type of osteoporotic fracture and are frequently underdiagnosed, up to 70% going unreported. Individuals with VFs are at a significantly higher risk of experiencing subsequent fractures (relative risk increase of 2.8 for hip fractures and 5.4 for additional VFs). The presence of VFs are often not formally reported. VFs are also associated with an eightfold increase in morbidity. These complications could result in reduced independence and

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