Posters

Introduction The UK Parkinson's audit assesses whether patients with Parkinson's Disease (PD) are managed according to standards. Referring patients to physiotherapy (PT) and advising those with daytime sleepiness not to drive are two of these. In our clinic, patients identified as drivers are advised to inform the DVLA and will undergo a MOCA, sleep questionnaire and driving assessment. Project Aim Are we making early physiotherapy referrals and documenting driving status in newly diagnosed outpatients? Methods Online notes of newly diagnosed patients over a 12 month period were reviewed. A

Introduction: Sialorrhoea is a common non motor complication experienced by people with Parkinson’s disease (PD). Despite its prevalence there is conflicting evidence on how to effectively treat it. Our aim was to establish the efficacy and safety outcomes of pharmacological interventions used to treat sialorrhoea in people with idiopathic PD. Methods: We registered and conducted a systematic review and meta-analysis (PROSPERO: CRD42016042470). We searched 7 electronic databases from inception until July 2022. Quantitative synthesis was performed where data allowed using random effects models

Introduction People with Parkinson’s disease (PwP) are more likely to be admitted to hospital and have longer lengths of stay than those without Parkinson’s disease (PD). Parkinson’s UK and NICE have proposed standards of care for inpatients with PD, including that PD specialists are alerted when PwP are admitted to hospital. 66% of UK hospitals don’t have an alert system in place, including King’s Mill Hospital (KMH). Audit Over a 6 month period, referrals to the PD service in KMH were audited. 128 referrals were made; 5 per week on average. Hospital-wide, around 12 PwP are admitted weekly

Introduction From our observations and personal experience Parkinson’s Disease (PD) patients have complex medical needs and are often mismanaged during acute admissions. Medications are wrongly prescribed, particularly out of hours, leading to increased mortality and morbidity. 1 The aim of this project was to assess junior doctors’ understanding of managing the acutely unwell PD patient, with a particular focus on common prescribing errors. We addressed gaps in knowledge by providing teaching sessions and reassessing learning. Methods We designed a 9-point questionnaire which assessed

Introduction: Across the UK, emergency and assessment units are faced with the challenge of streamlining urgent care services which best meets the requirement of older frail patients. Method: Patient pathways were mapped using real-time and retrospective data collected from the notes of 30 frail patients over 75 admitted to ED under medicine. Frail patients were identified by the Frailty Intervention Team, and patient demographics were noted. Key touchpoints and the date/times of initial treatment and investigations were documented. Experience questionnaires produced by the Acute Frailty

Introduction Timely administration of medication for people living with Parkinson’s Disease (PwP) is critical. Missed or delayed Parkinson’s Disease (PD) medication can lead to motor complications, swallow impairment, and in some cases a neuroleptic malignant type syndrome. This can lead to morbidity and mortality and longer hospital stays. Our local policy on the nil by mouth (NBM) guidance for PwP is available on the intranet. We wanted to audit knowledge of, and adherence to this policy. Method An audit tool was used to collect responses from nursing and medical staff in the Clyde sector

Delirium is a condition characterised by an acute, fluctuating change in mental status, with features such as inattention and disorganised thinking. It is potentially life-threatening with a high morbidity and mortality. While it can affect up to 30% of all older medical patients, it is often under-recognised due to the fluctuating nature of symptoms. The 4AT assessment tool allows for early and rapid recognition of Delirium. AIM To improve the detection of patients with delirium using the 4AT assessment tool. METHODOLOGY Patients admitted to hospital with delirium or acute confusion were

Postural hypotension is defined as an abnormal fall in blood pressure upon standing and is an important cause of falls associated with significant morbidity and mortality. Screening for postural hypotension forms an integral aspect in the overall assessment of patients presenting with a fall and furthermore is non-invasive, inexpensive and reproducible. Aims To determine if a lying and standing blood pressure (LSBP) was requested and performed on patients aged >55 years presenting with a fall within three days of admission, and furthermore, to establish if staff could correctly perform and

The World’s population is ageing. It has been widely accepted in many countries to withhold medical therapy at the end-of-life based on medical grounds. Due to the lack of a policy, Do Not Resuscitate(DNR) orders are not currently implemented in our institute regardless of prognosis. In this study, we present the outcomes of the very old patients(80 years and above) who were admitted and underwent in-hospital CPR at our institute. This will allow for the discussion in the need to produce and apply a nationwide DNR policy in Bahrain Methods This retrospective study considered all patients

NICE TIA guidelines (2019) advise against performing CT unless there is suspicion of a relevant alternative diagnosis, instead recommending TIA clinic assessment to consider MRI (which should be on the same day as the assessment). This may be challenging in some trusts due to limited access to MRI. In a university teaching hospital, dedicated MRI slots for TIA clinic use were introduced to improve access to same-day scanning. This audit aimed to assess the timing of neuroimaging in TIA clinic, before and after the introduction of the dedicated MRI slots. Methods: We conducted a retrospective

Background: Sarcopenia is defined as the age-related progressive loss of skeletal muscle mass, strength, and function. Although many different interventions have been suggested for the management of sarcopenia, the effectiveness of such treatments is still uncertain. The objective of this review is to systematically assess the different intervention strategies currently reported and to evaluate their effects on muscle mass, muscle strength, and physical function outcomes in sarcopenic participants. Methods: Web of Science, ClinicalTrials.gov, and Scopus were systematically searched for

Lithium is the mainstay treatment for the management of treatment-resistant depression and long-standing bipolar affective disorder; Given the narrow therapeutic window and the fact that the elderly is an especially vulnerable population group, the need for monitoring is of particular importance. The purpose of this audit is to evaluate the practice for patients on lithium at an old age psychiatric community team and to compare these results with the 2020’s original audit. To then check for any improvements since the implementation of the last year’s measures and recommend changes. We

Background: Malnutrition (i.e., protein-energy malnutrition) in older adults is associated with significant complications and increased mortality, highlighting the need for effective treatments. Many randomized controlled trials (RCTs) testing the effectiveness of nutritional interventions for the treatment of malnutrition showed mixed results and there is a need for meta-analyses. However, evidence synthesis is hampered by the wide variety of outcomes and assessment methods in RCTs. This project, led by EuGMS Special Interest Group Nutrition, aims to develop a Core Outcome Set (COS) for

Background The Covid-19 pandemic led to many consultations being conducted remotely. Cognitive impairment is recognised as a potential barrier to remote healthcare interactions and is common but heterogeneous in Parkinson’s. Little is known about these consultations in real life. We explored the experiences of remote consultations for people with Parkinson’s and cognitive impairment, investigating the perspectives of people with Parkinson’s, caregivers and healthcare professionals. Method Semi-structured interviews were conducted remotely (video or telephone) with 11 people with Parkinson’s

Introduction: Resilient ageing is conceptualised as strive towards achieving satisfactory quality of life (QoL) at old age by embracing positive adaptation and coping mechanisms against adversities regardless of health conditions. Preventive Home Visit (PHV) including various types of home-care interventions were introduced to delay health deterioration and improved QoL. However, research related to resilience as an outcome measured for PHV is scarce. Therefore, this systematic review aims to evaluate the effectiveness of PHV in improving resilience among community dwelling older adults and

Advancements in HIV treatment has resulted in an ageing population in people living with HIV (PLWH). Increasing prevalence of frailty in older PLWH has been demonstrated, giving rise to multi-morbidities, polypharmacy and consequently, complex medical and social needs. Approximately 5650 people are living with HIV across Greater Manchester. With increasing patient complexity, a pathway was developed to help provide holistic care and improve quality of life for older adults living with HIV. A pilot involving multi-disciplinary professionals from the hospital frailty, HIV and community teams was

Introduction: Constipation is a common diagnosis among hospitalized patients. It results in considerable morbidity in elderly patients, healthcare utilization and economic burden. Laxatives are commonly prescribed but poorly monitored due to benign side effect perception. Aim: We undertook a review of the quality of laxative prescribing and subsequent monitoring amongst an inpatient cohort. We propose new standards: - Medication review at least once weekly - Documented rationale for choice of medication - Specified timeframe review and outcome documentation. We reviewed current hospital trust

Introduction There are 400 thousand people living with dementia (PLWD) in Egypt. Most of the care for PLWD is delivered by family members. Healthcare Professionals (HCP) supporting these families need adequate training. Involving HCP in designing and producing training material ensures sustainability of these educational resources as their content will be socially and culturally relevant. Methods The first part of the project involved the lead author (OM) meeting with 2 geriatricians to identify common challenging situations in dementia. A short video for training HCP in dementia using these

Introduction Ageing is associated with multimorbidity, polypharmacy and medication-related harm (MRH). A 2013 systematic review reported only one study of medication errors (MEs) in older Egyptian patients. Our study investigated MRH (adverse drug reactions (ADR), drug errors, and non-adherence) in older Egyptian adults after hospital-discharge. Methods Between 2018 and 2020, we recruited 400 Egyptian patients, aged ≥60 years on discharge from Geriatrics and Internal Medicine wards from 3 hospitals, and followed them up for 8 weeks. Study procedures adopted a modified PRIME trial methodology

Introduction Despite recognition of the status of gerontological nursing as a speciality , there is no specific UK competency framework for early career nurses working with older people. As part of a feasibility intervention to improve recruitment and retention of nurses within the speciality (ECHO Early Careers in Healthcare of Older People and PEACH Programme for early careers for care home nurses) , we developed a bespoke competency framework appropriate for nurse working within all sectors. Method The national and international literature on published competency frameworks was reviewed to