Posters

Aim: Older adults living with dementia occupy approximately one quarter of acute hospital beds in England. The risk of hospital readmission within six months of discharge increases with comorbidities, reduced mobility, and limited interdisciplinary collaboration across care sectors. Subsequently, hospital readmission can increase the risk of mortality in this population. This study aimed to quantify the clinical determinants of readmission and mortality in older adults with dementia in England. Method: A retrospective cohort study was conducted using anonymised data from adults in England with

Improving bone health assessment in a geriatrics centre: Natalie Maria Jones IMT3 Introduction: The National Osteoporosis Guideline Group (NOGG) quotes that one in five men and one in two women will experience a fragility fracture in their lifetime. The cost of fragility fractures to the NHS in 2019, exceeded £4 billion (1). An important and often overlooked aspect of falls assessment is that of osteoporosis detection and treatment. This project aimed to improve % of patients receiving a bone health assessment within a tertiary geriatric unit to 100% by September 2025. Method: The project took

Background Use of anticholinergic medication is increasing, especially among the older population due to polypharmacy and co-morbidities. High anticholinergic burden is associated with adverse effects such as reduced mobility and future dementia risk. Acute hospital stay may be an appropriate time to target this commonly overlooked problem. Aims To explore the effects of deprescribing medications with anticholinergic burden on health outcomes of hospitalised older people. Method Medline, Web of Science, Cochrane Library and Embase were searched for relevant papers from database inception to

Background Dementia is a syndrome of chronic progressive degeneration of the brain. Dementia causes reduced ability to self-feed due to problems with: swallow, apraxia and visuospatial dysfunction. Malnutrition in dementia patients is associated with delirium, longer admissions and functional decline. Aim To improve food intake in patients with dementia by 25% through the introduction of high-contrast coloured crockery on a Care of the Elderly ward. Methods Food charts were used on Care of the Elderly wards to assess food intake. In Cycle 1, coloured plates were introduced on Ward A, with pre

Abstract title : Clinical Leadership in Pathways using Care Providers: Improving Flow, Experience, and Efficiency for Frail Older Adults Introduction: Frail older adults are often discharged from hospital with complex needs into community care services. Without senior clinical oversight, many experience fragmented care, delayed reviews, inappropriate care planning, and avoidable readmissions. This project evaluated the impact of introducing clinical leadership into a care provider pathway designed to deliver short-term, post-discharge domiciliary care. Methods: Over 11 weeks, 51 patients were

Thinking about the future: a QI project to educate and improve the understanding of advance care planning in the AMU. A Fisher; C Bruce; M Leyton; M Rainbow; J Evans Acute Medical Unit; Torbay Hospital; Torbay and South Devon NHS Foundation Trust Introduction: Advance care planning (ACP) allows patients with serious illness or deteriorating health to discuss future care preferences, supporting a more holistic, patient-centred approach. However, public awareness of ACP remains low and is cited as a key barrier to its uptake in clinical practice. A 2014 audit by the Royal College of Physicians

Thinking about the future: a QI project to educate and improve the understanding of advance care planning in the AMU. A Fisher; C Bruce; M Leyton; M Rainbow; J Evans Acute Medical Unit; Torbay Hospital; Torbay and South Devon NHS Foundation Trust Introduction: Advance care planning (ACP) allows patients with serious illness or deteriorating health to discuss future care preferences, supporting a more holistic, patient-centred approach. However, public awareness of ACP remains low and is cited as a key barrier to its uptake in clinical practice. A 2014 audit by the Royal College of Physicians

Background: Hip fractures represent a significant global health burden, leading to substantial morbidity, mortality, and healthcare costs. Delays in surgical intervention are consistently linked to poorer patient outcomes. This audit aimed to evaluate and enhance hip fracture management at Southampton General Hospital (SGH) through targeted quality improvement initiatives. Methods: An interventional clinical audit was conducted at SGH, a Major Trauma Centre, comparing a pre-intervention period (December 2023 – March 2024; n=272 patients) with a post-intervention period (September 2024 –

Introduction: An accurate stool chart is crucial to the care of older patients. Monitoring of bowels movements can help to avoid complications such as constipation, urinary retention, delirium, faecal impaction, diarrhoea, dehydration and AKI which all can lead to extended hospital admissions and deconditioning. Clear recording of bowel movements might allow the medical team to recognise the problem and promptly take action. Our project aimed to increase the accuracy of stool chart documentation on geriatric medicine wards, promoting earlier recognition of these complications. Methods: Initial

Introduction Parkinson’s disease (PD) is the second most common and fastest-growing neurodegenerative condition globally. Many older adults with PD reside in care homes, where staff may lack the necessary training to manage the condition effectively. This scoping review aimed to examine the evidence on education and training interventions for care home staff in relation to PD care. Method A scoping review was conducted in accordance with the PRISMA-ScR framework. Six databases were searched for empirical studies focused on PD-related training or education for care home staff. Inclusion

Introduction: The British Geriatric Society has been a forerunner in describing the potential benefits of a comprehensive geriatric assessment and advance care planning for all patients and focusing on wellbeing strategies for this vulnerable patient group. QIP project was undertaken with the aim to look at the fast track discharges and advance care planning documentation in accordance with the EOL care strategy 2008. Through reviews of individual cases, it is thought that advance care plans (with recognition and interventions for patients thought to be in their last year of life) would

Background The study was set in a 15-bed older adult psychiatry ward. Staff involved were doctors, ward manager, nurses and nursing associates. Introduction Overall pain assessment was poor due to the under-recognised importance of recording pain. The aim of this quality improvement project was to implement strategies to improve rates of pain assessment and assess for effective change. Methods An initial review of patient records was done prior to intervention, recording when a pain assessment template used by the trust (Abbey pain scale) was documented using the following criteria: 1. within

Introduction Early identification and multidisciplinary management of frail patients in acute care is a national priority, as reflected in the NHS Long Term Plan1, NHS Improvement (NHSI)2, and Getting It Right First Time (GIRFT)3. Sunderland Royal Hospital’s acute frailty services run daily from 08:00–20:00 across the Emergency Department (ED) and Emergency Admissions Unit (EAU), assessing patients with a clinical frailty score (CFS) ≥5. Morning duties are primarily dedicated to reviewing overnight admissions on EAU, which can lead to a delay in assessment of new patients arriving in ED. As

A Quality Improvement Project in Managing AKI in post operative femur fracture and other orthopaedic patients. Authors:; B Khoshnaw1; W Y Ooi1; M Motsara1 Provenance: 1. Lincoln County Hospital, United Lincolnshire Teaching Hospitals NHS Trust. QIP supervised by Dr P Mathew, Orthogeriatric Consultant, Lincoln County Hospital. Introduction Acute Kidney Injury (AKI) is a serious and preventable complication in older adults following orthopaedic surgery. At Lincoln County Hospital, inconsistent AKI recognition and response led to a Quality Improvement Project (QIP) aiming to embed the trust’s AKI

Introduction The Clinical Frailty Score (CFS) allows appropriate frailty assessment to guide management plans for oncology patients. CFS documentation is not standard at our trust. We aimed to introduce CFS documentation in the Acute Oncology Service (AOS) clerking proforma and evaluate its use in patients aged >65 to help guide management. Methods Data was obtained from inpatients on the oncology wards via NerveCentre. Three PDSA cycles were completed: Cycle 1: An evaluation to identify how many patients had a documented CFS. Based on this, a poster was created, emailed to oncology staff, and

Introduction Parkinson’s disease increases fracture risk due to higher fall rates and increased osteoporosis prevalence. This two-cycle bone health audit assessed adherence to the BONE-PARK algorithm at Florence Nightingale Community Hospital’s Parkinson’s clinic and evaluated improvements over 12 months. Methods Fifty patient records were reviewed to assess bone health management, focusing on fracture risk assessments (FRAX/QFracture), serum calcium, vitamin D, and follow-up actions, establishing a baseline before intervention. A re-audit of 39 patients after 12 months assessed progress

Introduction: Delirium is a common acute presentation among older adults, particularly following acute illness or surgery e.g. neck of femur fractures. Early recognition is crucial, as delirium is associated with increased morbidity, mortality, and prolonged hospital stays. NICE guidelines recommend the use of a validated tool, 4AT, for delirium screening in all patients aged ≥65 upon admission. Aim & Objectives: Compliance with 4AT screening on admission 4AT assessment on new onset of confusion Train nursing staff on 4AT screening for early identification of delirium Methods: Prospective data

Introduction: Syncope is a common clinical problem[1] posing a diagnostic and therapeutic challenge, due to varied presentations and underlying pathologies[2]. Although an MDT approach is a recognised key component in patient care[3], there is no current guidance in the context of syncope. The Syncope Service in QEUH Glasgow is run by Geriatricians with a specialist interest in Syncope. A formalised monthly MDT, introduced in November 2017, involves Geriatricians, Cardiologists, a Neurologist and Cardiac Physiologists. Method: A retrospective case note analysis undertaken for patients reviewed

Introduction This Quality Improvement Project aimed to increase patient engagement and improve documentation of individual care preferences on geriatric wards. The focus was on enhancing communication—particularly for patients with cognitive impairment—to support personalised, patient-centred care. This was achieved by promoting the use of the "Getting To Know Me" (GTKM) form and "What Matters To Me" (WMTM) icon through dedicated staff support and visual aids. Method Activity Coordinators were assigned specific days to assist patients in completing the GTKM form and WMTM icon. Laminated visual

Background: Antibiotic stewardship is critical to combating resistance. Our Quality Improvement Project (QIP) aimed to evaluate and enhance antibiotic prescribing practices across three DME wards by assessing guideline adherence, therapy duration, end date documentation, and concurrent proton pump inhibitor (PPI) use. Older adults are at higher risk of antibiotic associated complications, especially C. diff infection. Methods: Baseline data were collected from the hospital's electronic prescribing system, evaluating prescriptions for indication appropriateness, duration compliance