Posters

Introduction Our district general hospital utilises an unselected medical receiving model where generic admission clerk-ins often miss salient information vital for comprehensive geriatric assessment (CGA). Recent Healthcare Improvement Scotland guidelines outlined people living with frailty that are admitted to an acute hospital are at risk of adverse outcomes. A standardised proforma for admissions to our medicine of the elderly (MOE) ward (clinical frailty score >5 required for admission) would ensure critical information was collated for more effective CGA, decision making and discharge

Older Patients’ and Caregivers’ Perceptions of and Attitudes to Deprescribing in Saudi Arabia: A Cross-Sectional Study T M Alenzy1,2; C Parsons1; H E Barry1; S A Alkahtani3 1.School of Pharmacy, Queen’s University Belfast, Belfast, UK; 2. Department of Clinical Pharmacy, College of Pharmacy, Princess Nourah bint Adulrahman University, Riyadh, Saudi Arabia; 3. Department of Clinical Pharmacy, College of Pharmacy, Najran University, Najran, Saudi Arabia Introduction: Development of effective deprescribing interventions requires thorough understanding of attitudes of relevant stakeholders

Introduction: Despite clear national guidelines and government support for Fracture Liaison Services, the osteoporosis treatment gap remains significant. The Fracture Liaison Service Database (FLS-DB), a national audit run by the Royal College of Physicians (RCP), has recently expanded its reporting to highlight this issue. Method: Previously the FLS-DB benchmarked data from those trusts submitting data to the audit. From January 2025, an extra column has been added to show ‘Missed Opportunities’ that includes data from sites not participating in the FLS-DB. Using local hip fracture data for

Introduction This quality improvement project (QIP) aimed to determine whether the acute admission of patients with Parkinson’s Disease (PD) is meeting the current NICE guidelines in the appropriate prescription and timely administration of anti-parkinsonian medications (APM). The project evaluated the accuracy of prescriptions, quantified delays in medication administration, and established the causative factors for delays. Methods This QIP was a retrospective study with two cycles analysed over a one-year period. Following consent and approval, notes for eligible patients meeting the

Introduction: In winter 23/24, the NHSCT tested an anticipatory care model in residential care homes. The model included a pharmacist medication review and pharmacy education element. Method: Across four residential homes the lead care homes pharmacist completed patient-centred, medication optimisation reviews, and carried out education sessions for senior carers. The number of recommendations/interventions made by the pharmacist was calculated. The number of recommendations/interventions relating to falls prevention, was also calculated. The clinical significance of each medicine optimisation

Introduction: Evidence is contradictory on the impact of the COVID-19 pandemic and imposed restrictions on psychotropic medication use among people with dementia. This study examined prescribing trends of psychotropic medications (antipsychotics, antidepressants, hypnotics and anxiolytics, antiepileptics) before and after pandemic onset, among care home residents with dementia in Northern Ireland. Methods: Medication data from a population-wide prescribing database were linked with demographic and care home data from administrative records. Participants included individuals living in a care

Venous thromboembolism (VTE) prophylaxis is commonly administered to patients across many hospital settings; however, it can be more challenging to address in frailty patients. These patients are more likely to have contraindications to anticoagulation and be “delayed discharges” (medically fit for discharge and at baseline mobility), at which point VTE prophylaxis may not be indicated. Method: This quality improvement project was carried out in the acute geriatric ward at St John’s Hospital. With the aim to improve VTE prophylaxis (appropriately prescribed and deprescribed when delayed

Introduction Despite the growing evidence from North America and Europe suggesting a decreasing trend in the incidence of dementia globally, the number of people affected by dementia is estimated to have increased by 117% (The Lancet Public Health, e105 - e125, 2019). This can be attributed to an ageing population, increased longevity, increased duration of the disease, and improved diagnosis. The aim of our study was to identify the mortality trend in AD over the last 10 years. Methods Data was collected from the Office of the National Statistics (England and Wales). The number of deaths from

Introduction: Physical activity and social connectedness play an important role in healthy ageing. Access to facilities such as libraries, parks, and community centres can facilitate physical activity, social interaction, and community building. Little is known about how older adults use places for physical or social activities. This study aimed to explore the places mid-to-older adults go to, and why they choose to engage or not engage in physical and/or social activities in particular places. Methods: Semi-structured interviews were conducted with community-dwelling adults aged 55-75 years

Introduction: Age friendly communities aim to create inclusive social and physical environments that facilitate older people to age actively, enjoy good health and continue participating fully in society. The built environment can profoundly influence older adults’ health and wellbeing. This study aimed to explore mid-to-older adults’ perceptions of the age-friendliness of their communities and how they defined localness. Methods: Semi-structured interviews were conducted remotely and in-person between September 2023 and March 2024 with community-dwelling mid-to-older aged adults (n=22; 65.0 ±

Introduction Observations of the acute medical take suggested that patients who sustained a fall were affected by long delays and wait times to see both A+E and medical doctors. We felt that analgesia prescribing in these patients, many of whom sustained injury, was done poorly and some were being left without any analgesia leading to a negatively perceived patient journey. Our aim was to assess analgesia prescribing practices for patients following a fall with a view to improving experience. Method We completed three rounds of data collection, with 20 patients in each. We included patients

Introduction: Prion disease/Transmissible spongiform encephalopathies consists of a family of rare, progressive neurodegenerative disorders which have long incubation periods, are rapidly progressive and always fatal. CJD is caused by prions, which are abnormal pathogenic agents that induce abnormal folding of specific normal cellular proteins. This leads to brain damage and the characteristic signs and symptoms of the disease. There are 4 recognized forms – sporadic, genetic, iatrogenic and variant CJD. Review of 4 cases admitted to our acute ward for the elderly who were all ultimately

Introduction Health affects older people’s quality of life (QoL). Those experiencing health decline often require multiple medications (polypharmacy). This narrative review aims to explore the effect polypharmacy has on QoL and health-related QoL (HRQoL). We also wished to determine the QoL/HRQoL measurement tools employed and polypharmacy definitions used in included studies. Method Searches were carried out primarily in MEDLINE and EMBASE. Publication databases for The Irish Longitudinal Study on Ageing (TILDA) and the English Longitudinal Study of Ageing (ELSA) were also searched. Search

Aims Understanding patients' wishes regarding CPR before surgery is crucial. This study aims to assess the impact of a Do Not attempt Cardiopulmonary Resuscitation (DNACPR) decision on anaesthetists actions during theatre. Methods We used WhatsApp, to present a scenario of an 83-year-old with ischaemic heart disease, cognitive impairment, and an acute hip fracture. Anaesthetists were asked how they would handle various intraoperative events and whether a prior DNCPPR would influence their actions. Results A Total of 74 UK anaesthetists all but one of them consultants completed the annoymous

Introduction: Ireland's population aged 65 and older increased by 40% in the last decade. ALONE is a national organisation that enables older people at age at home. The ALONE model is being delivered within the Enhanced Community Care (ECC) programme, which aims to ensure health services work in an integrated way to meet population needs. This presentation, designed using the RE-AIM Framework, presents preliminary effectiveness results from ALONE's national service evaluation. Methods: Phone-based surveys using validated measures (Shortened Warwick-Edinburgh Mental Wellbeing Scale, EQ-5D-3L

Introduction In the UK, concerns regarding the safe use of bedrails, especially in nursing homes and a person’s own home, prompted a National Patient Safety Alert in August 2023. A scoping review was conducted to identify and map the literature relating to bedrail use in hospital and community settings and identify future areas of research. Methods The scoping review was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The search was conducted using MEDLINE, EMBASE, EMCARE, COCHRANE, BASE, CINAHL, and Google Scholar. Two

Introduction: Quality education in ageing at medical school can positively influence students’ attitudes towards older people. The ‘Medicine in the Community Module’ integrates 2-weeks of clinical placement in geriatrics into a 6-week mandatory teaching module in the final 18-months of student training. In 2010, we found an association between module completion and interest in pursuing a career in geriatric medicine. Method: We administered an 18-item survey on career interests to medical students before and after the 2024 module. Results were analysed within the cohort to assess impact of the

Introduction: Colorectal adenocarcinoma (CA) is the second most common cause of cancer mortality in the United States (US) and the United Kingdom (UK). The median age of diagnosis is 70-72 years old. This study aims to explore the factors associated with survival in older patients with CA. Methods: A total of 191,417 patients with CA diagnosed between 2011 and 2021 who are aged 65 years or older were extracted from the US Surveillance, Epidemiology, and End Results (SEER) cancer database. Univariable and Multivariable Cox regression was performed to explore the factors associated with survival

Introduction In-situ simulation has been shown to improve professional skills, team working and clinical care via social learning theories, benefiting all of the wider multi-disciplinary team – including nursing, physician associate and administrative colleagues – in addition to medical staff, by building camaraderie and a sense of belonging. Thus, a novel in-situ simulation training programme was created within the Department of Medicine for the Elderly at Broomfield Hospital; additionally forming part of an ongoing quality improvement project in medical education. Method Cycle 1: 30-minutes

Introduction: 1 in 37 adults in the UK are diagnosed with Parkinson’s Disease (PD). The varied nature and specific symptom management of the condition requires a person-centred multi-disciplinary approach to care. Methods: On a care-of-the-elderly ward at Bristol Royal Infirmary, 3 cycles of a quality improvement project were conducted to upskill knowledge and confidence of the staff caring for PD patients. In cycle 1, baseline knowledge and confidence of staff were gathered using a data collection survey. 5 teaching sessions were organised addressing topics in PD such as medication