Posters

Introduction The Older Persons Assessment and Liaison team at North Manchester General Hospital (NMGH) reviews geriatric patients using a Comprehensive Geriatric Assessment (CGA), as directed by the British Geriatric Society. The Anticholinergic Burden (ACB) score is an integral part of the CGA however it is often overlooked. ACB is the cumulative effect of taking one or more drugs used to block Acetylcholine. A greater ACB score increases the risk of developing adverse drug reactions such as; falls and urinary retention. As such, it is integral that we work to reduce patient ACB scores during

Delirium is a neuropsychiatric syndrome characterised by an acute fluctuation in attention and cognition and affects approximately one quarter of older patients admitted to hospital (1) (2). Delirium results in increased length of stay, increased risk of long-term cognitive impairment, increased mortality, and results in significant patient and carer distress (3) (4) (5). Electronic patient records for adults admitted to the Frailty Acute Medical Unit (fAMU) at Huddersfield Royal Infirmary from 2022 to 2024 were reviewed to assess whether delirium was identified, and whether this was discussed

Introduction: Discharge summaries (DS) for older patients can be more complex due to an increasing life-expectancy and multiple co-morbidities. However, this is not always reflected in the quality of DS produced. It is generally agreed that good quality DS should reduce readmission and improve patient care after discharge. Aims: Identify areas of weakness in Discharge summary V4 a on an elderly care ward at Salford Royal Hospital (SRFT) using a pre-established assessment and scoring tool. Secondary aims were to use interventions an educational session, poster (S.M.I.L.E) and acronym expansions

Introduction: Advance care planning is a process that allows individuals to make decisions about their future healthcare, including end-of-life care, by discussing and documenting their preferences, values, and goals with healthcare providers and loved ones.These are especially critical for patients with serious, life-limiting conditions or for frail older adults who may face unexpected health crises.It is a commonly recognised barrier to care planning however that senior doctors often do not have the time to complete it for all patient’s who require them and that junior doctors lack

Introduction Geriatric medicine is inherently complex and requires multidisciplinary integration. Simulation-based training is recognised as a method to enhance learning and improve patient outcomes. This project aimed to develop a multi-professional simulation programme within care of the elderly to mimic the multi-professional practice of geriatrics. Methods Ten half-day simulation sessions were run across two sites over two years. The scenarios cover frailty, orthogeriatrics, acute delirium, Parkinson’s disease, thrombolysis and palliative care. There were 57 participants, including 24

Direct Oral Anticoagulants (DOACs) have revolutionized the management of stroke prevention in non-valvular atrial fibrillation (AF), particularly in patients >65 years old who are at higher risk of thromboembolic events and bleeding complications. DOACs offer efficacy comparable to warfarin with a better safety profile and fewer dietary interactions making them suitable for elderly patients. However, challenges remain in patients with renal impairment, polypharmacy, poor nutrition or elevated bleeding risk. An audit at Derriford Hospital, Plymouth, evaluated DOAC prescriptions for stroke and

Introduction: Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) decision and plan for escalation of care are essential components of holistic care for frail and elderly patients. Inappropriate resuscitation attempts in those populations lead to distress and harm. Improving communication about end-of-life care plan between healthcare professionals and patients/ families is key to delivering dignified care and reducing emergency “inappropriate crash calls”. Aim: The aim of this project was to assess and improve the completion rate of DNACPR forms and care escalation plans for patients

Background: The Comprehensive Geriatric Assessment (CGA) is a multidimensional interdisciplinary tool, designed to promote holistic care of elderly patients and provide a framework for intervention. There is evidence that the CGA reduces mortality and slows progression of frailty. Performing such interventions in the acute setting can be complex and time-consuming. Introduction: The Older Person’s Assessment Unit (OPAU) at Weston General Hospital allows early identification of frailty and prompt intervention. We aimed to promote elements of the CGA by providing a tool for utilisation

A lighter load: Tackling ACB (Anticholinergic burden) in geriatric wards: Background: Exposure to high levels of anticholinergic and sedative medications significantly increases the risk of fall-related hospitalizations, delirium, and mortality in the elderly. While the dangers of traditional anticholinergic medications are well-documented, the cumulative effects of drugs with mild to moderate anticholinergic properties often go unrecognized in everyday clinical practice. Objectives: To identify the primary contributors to anticholinergic burden (ACB) in geriatric wards and propose practical

INTRODUCTION Polypharmacy represents a significant challenge in the vulnerable elderly population, where concurrent use of multiple medications increases the risk of interactions and adverse reactions, often precipitating acute events and complicated hospital stays. This necessitates thorough medication reviews to mitigate these risks; a hospital admission allows for such opportunities. METHODS This project aimed to evaluate and address the medication burden among elderly patients, following WHO's Global Patient Safety Challenge: Medication Without Harm. 50 patient’s medications were reviewed

Background: The UK National Osteoporosis Guideline Group (NOGG) guidelines 2021 recommend that all older patients presenting to geriatric clinics or wards should have a FRAX assessment guide BMD measurement and referral for DEXA or starting of drug treatment. Aims: 1) To increase the proportion of patients assessed by the acute frailty service (AFS) undergoing FRAX assessment to 85%. 2) Offer 85% of AFS patients with low-risk FRAX scores lifestyle advice. 3) Refer 85% of AFS patients with intermediate (below treatment threshold) FRAX scores for DEXA scans. 4) Refer 85% of AFS patients with

Improving Advance Care Planning Within Residential Homes Introduction: As care home residents are living with advancing frailty and multi-morbidity, it is important to initiate advance care planning as part of the comprehensive geriatric assessment and create universal care plans (UCPs). There is evidence that it can reduce inappropriate escalations of care, reduce hospital admissions, increase the proportion of residents dying in their preferred place and improve both resident and relative satisfaction. Method: Retrospective audit in June 2024 of residents within the five residential homes

The elderly population ( cut off 65 and over, for this audit) are being increasingly prescribed direct oral anticoagulants(DOAC) for prevention of stroke in atrial fibrillation/ prevention and treatment of DVT/PE.This poses significant difficulties when stopping/ restarting these medications in the peri-operative period , due to the ever changing clinical circumstances in this period. Therefore , we performed an audit( in Glangwili Hospital, Jan-July 2024) , using the Welsh Frailty Fracture Network guidelines as our standard and found out(during the first cycle) that around 40 percent of

Introduction: Delirium is common in hospital inpatients, under-recognised, and associated with increased morbidity and mortality. NICE quality standards are that all at-risk adults newly admitted to hospital receive tailored interventions to prevent delirium. Aims: 1. To reduce time to diagnosis of delirium. 2. For 100% of patients with delirium to have tailored interventions, including behaviour/ bowel/ food charts, medication reviews, and family involvement. 3. To increase junior doctors’ confidence in recognising and managing delirium. Methods: Two changes were implemented and three cycles

Introduction: There is limited data on the prevalence of hypertriglyceridemia (HTG), a recognized risk factor for cardiovascular disease, in the northeastern region of Colombia. Therefore, we aimed to characterize the local prevalence of HTG and cardiovascular disease-related variables in the subsidized regime population of a city in northeastern Colombia during the period 2020-2022. Materials and Methods: We conducted a retrospective review of medical records from all health centers in Bucaramanga, Santander, Colombia. The study included patients aged 60-95 years who were part of the

Introduction Physical activity (PA) and replete nutritional status are key to maintaining independence and improving frailty status among frail older adults. We aimed to evaluate the feasibility and acceptability of training volunteers to deliver a remote intervention, comprising exercise, behaviour change, and nutrition support, to older people with frailty after a hospital stay. Methods Volunteers were trained to deliver a 3-month, multimodal intervention to frail (Clinical Frailty Status ≥5) adults ≥65 years after hospital discharge, using telephone, or online support. Feasibility was

Introduction: There are abundant anecdotal reports of healthcare professionals undergoing strain, specifically moral distress, in advance care planning (ACP) related work. This study measured perceptions of morally challenging scenarios (MCS) faced by ACP facilitators and frontline clinicians. Method: An online survey, which is currently ongoing, was sent to the ACP community and also frontline clinicians in Singapore. Purposive and snowballing sampling approaches were employed. Result: Participants rated their opinions on 23 MCS in ACP-related work that were earlier identified from 30

Introduction: A Clinical Audit was recommended by the ME following identification of potential safety signal because of possible non-compliance with guidelines on Anticoagulation in AF. The audit data collection tool was developed in discussion with the Chief Pharmacist and took account of up-to-date prescribing guidance from the Integrated Commissioning Board (ICB). Aim of the audit was to identify if, as per NICE guidelines patients had: o Risk for stroke (CHA2DS2-VASc) and bleeding (ORBIT) is assessed upon new diagnosis of AF? o Made aware of their risk assessments and involved in

Background: Prostate cancer and bladder outlet obstruction, often treated surgically, are increasing in the aging population, leading to more cases of stress urinary incontinence (SUI). While implantable continence devices are beneficial for many, a growing number of frail patients are unsuitable for surgery and rely on incontinence pads or penile clamps, which are limited to three-hour use to prevent tissue ischaemia. We present the first UK evaluation of the new PaceyCuff penile clamp, designed for 24-hour wear while maintaining blood flow, to assess its efficacy, safety, and impact on

Background: This cross-sectional study aimed to assess the socio-demographic, anthropometric, and patient characteristics of 94 Yoruba speakers aged 60 years and older, and to validate the Yoruba version of the Clinical Frailty Scale (CFS). Methods: This study used a cross-sectional design with a purposive sampling technique and a sample size of 94 participants. This study also made use of the World Health Organization methodologic guidelines on cultural adaptation of clinical scales. Convergent validity was assessed by evaluating the context that the Clinical frailty scale (CFS) relates to