Mortality audit for suprapubic catheterisation across three NHS hospital trusts
Introduction: Suprapubic catheter (SPC) insertion is recognised as an alternative to urethral catheterisation to enable urinary drainage or continence control. This audit aims to establish the 1 and 2 year mortality associated with SPC insertion and to identify factors that may be linked with mortality. Methods: Data were collected for demographics, medical co-morbidities, indication for procedure and mortality from 1st February 2018 to 1st February 2020 across three NHS trusts. Multivariate regression analysis was undertaken to assess correlation between mortality and collected data. Results
Does Medicines Optimisation improve quality of life and healthcare experience for people receiving haemodialysis?
Introduction People receiving haemodialysis, have the highest medicine burden of all chronically ill populations. This high medicine burden, exposes people to medication related problems impacting on quality of life and healthcare experience. Medicines optimisation, reviewing medicines to manage polypharmacy and improve outcomes, in the general population, is associated with decreased risk of death, decreased referral to nursing home, lower drug costs and improvements in patient’s perception of health. Method A literature review searching, Cochrane, Google scholar, Delphi, CINAHL, Medline and
The Introduction of a Ward Round Proforma to a Geriatric Medical Ward
Background: Ward round entries form the backbone of medical documentation, forming the context in which new diagnoses and safe handovers are made. They are also an important legal record that should be clear and up to date. Ward round entries without important information, including vital observations and examination findings, cause ambiguity as to whether these aspects of patient care have been reviewed. Aims: To ascertain the level of completeness of ward round entries with respect to salient features of patient care. To design and implement a ward round proforma which aids this completeness
GeriPall Project—Bringing the best of Geriatric Medicine and Palliative Care together for patients with severe frailty, dementia and/or neurodegenerative conditions
Listen to “What Matters Most” to the individual however it is expressed. A gap persists for people with advancing frailty, dementia, neurodegenerative conditions whose end-of-life needs are NOT recognized NOR appropriately met but nonetheless have no acute specialist palliative needs. End of life is harder to recognize with slowly deteriorating trajectory. Challenge indiscriminate use of single condition protocols as underlying frailty becomes increasingly irreversible at this stage. Identification: CFS 7 – 9 registered with a local GP on acute frailty unit, other medical and surgical wards
Prothrombotic complications in metastatic pancreatic carcinoma: A case presentation
Pancreatic cancer represents one of the most prothrombotic neoplasms secondary to high tumoral expression of tissue factor, cytokine release, activation of leukocytes and hypofibrinolysis. Studies have shown that the incidence of thrombotic complications can reach up to 36%. We present a case of an 84-year-old male patient who was admitted onto the Geriatrics ward with a 3-day history of sudden-onset dyspnoea, productive cough, pallor, and general malaise. Admission blood revealed microcytic anaemia (Hb 91 g/L), neutrophilic leukocytosis (WCC 29.9 x 10^9/L, Neut 26.9 x10^9/L) and elevated C
Do hospital-based deconditioning prevention programmes work?
Introduction: A summary of the best available evidence in relation to the importance and awareness of hospital associated deconditioning (HAD) and barriers associated with hospital-based deconditioning prevention in order to evaluate the effectiveness and feasibility of deconditioning prevention programmes. Additionally, to gather available evidence focused on the implementation of a national programme. Method: Literature search of Published and unpublished studies and trials were searched using various databases; HDAS (Healthcare Database Advanced Search) databases (OVID platform) Embase