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S106
Poster presentations / European Geriatric Medicine 6S1 (2015) S32
–
S156
Results:
Participants in the training group had improved in
mobility, memory and delayed recall of memory. There was a
significant positive correlation between success of training on
processing speed and grade of White Matter Hyperintensities.
While cerebral activations in healthy controls remained unaltered,
participants in the training group showed increased activations in
the precentral gyrus, the superior frontal gyrus, and the frontal lobe
with bipedal ankle movements.
Conclusions:
This exploratory study documents the feasibility of
a complex outpatient rehabilitation intervention through close
collaboration between centres and disciplines. These preliminary
data suggest that a training focussing on mobility, endurance, and
coordination also improves distinct aspects of cognition and may
induce neuronal plasticity. These results will inform a subsequent
intervention study.
Financial support:
This study was partially funded by a project of
the country of Styria.
P-278
Enabling meaningful activities in daily living and quality of
life in nursing homes: development of a multidisciplinary
client-centred approach
P. De Vriendt
1
, E. Cornelis
2
, R. Vanbosseghem
1
, V. De Smet
1
,
L. Van Malderen
3
, E. Gorus
4
, D. Van de Velde
1
1
Artevelde University College, Ghent, Belgium;
2
Universitair Ziekenhuis
Brussel, Jette, Belgium;
3
Vrije Universiteit Brussels, Jette, Belgium;
4
Vrije Uiversiteit Brussels, Jette, Belgium
Objectives:
Engagement of Nursing Home residents(NHR) in
meaningful activities of daily living (MADL) enhances their
autonomy and Quality of Life. This project aimed to develop an
approach to identify NHR’ needs for MADL and to guide NHs to
developing a creative and innovative attitude towards NHR’ MADL.
Method:
The approach was developed based on the steps of
Campbell’s (2008) ‘framework for design and evaluation of complex
interventions to improve health care’ including (1) a qualitative
study with NHR exploring their MADL needs; (2) a survey
with 143 NHR determining the components of a new MADL
approach; (3) a systematic review on interventions to enrich MADL;
(4) the development/evaluation of a new approach in three living
labs examining the feasibility, benefits for NHR and acceptability
for the staff; finally, to support implementation; (5) a qualitative
analysis of ‘good practices’ and (6) focus groups with different
stakeholders (nurses, management, activity coaches, occupational
therapists) to identify their visions on MADL.
Results:
A client- and activity-oriented approach was developed,
characterized by an active participatory attitude of NHR and
caregivers. Based on a systematic therapeutic process, four phases
are distinguished, from an initial ‘getting to know each other’, over
an all-encompassing evaluation of the wishes, desires, priorities,
facilitating and inhibiting factors. After cataloguing the resources
and strengths of the NHR, a plan to enable NHR’ preferred MADL
can be developed. Alongside, a toolbox was developed.
Conclusion:
This promising empowering approach needs to
be further examined in a RCT to evaluate its outcome and
implementation potentials.
P-279
‘Having something meaningful to do’ is correlated with Quality
of Life in residential care
. . .
or not?
P. De Vriendt
1
, E. Cornelis
2
, R. Vanbosseghem
1
, V. De Smet
1
,
L. Van Malderen
3
, E. Gorus
4
, D. Van de Velde
1
1
Artevelde University College, Ghent, Belgium;
2
Universitair Ziekenhuis
Brussel, Jette, Belgium;
3
Vrije Universiteit Brussels, Jette, Belgium;
4
Vrije Uiversiteit Brussels, Jette, Belgium
Objectives:
Engagement in meaningful activities of daily living
(MADL) optimizes people’s Quality of Life (QoL) and serves as a
mediating factor in both psychological and physical health. This
study explores the meaningfulness of activities of nursing home
residents (NHR) and its correlation to QoL.
Methods:
A survey was administered to 143 cognitively healthy
NHR (M 85
±
5.72 years; 43 men; 106 women) including cognitive,
functional and mobility evaluations, a MADL questionnaire and the
Anamnestic-Comparative-Self-Assessment for QoL (ACSA).
Results:
Respondents reported a QoL of 1.78 (range −5 to +5;
modus 3) and an important loss in number of MADL since their
admission in the NH (household M 4.39
±
1.73 and leisure M
15.87
±
7.29). Self-care-activities remained intact although help
was needed. 38 respondents gained ‘new’ activities (e.g. making
crosswords, using a computer). Participants scored low on their
activity-performance (4.5/10), performance-satisfaction 5.3/10 and
the activity-challenge (5.4/10). Both inhibiting and facilitating
factors were related to the capacities of the resident, the support
of the environment and the organized activities, which were
experienced as unchallenging. No correlations were found between
QoL and the number of activities, performance nor satisfaction with
activities. A small, although significant correlation was observed
between QoL and ‘activities according to the individual wishes’
(r = 0.272; p
<
0.05) and ‘activities within the neighbourhood’
(r = 0.167; p
<
0.05).
Conclusion:
Professionals are expected to enable MADL and to
promote NHR’ autonomy and QoL. Based on our study, this appears,
however, to be hardly the case. It remains a challenge to identify
the needs of NHR and enable them to engage in MADL.
P-280
Assessment of activities of daily living of the residents of a
special nursing home
H. Elbi
1
, S. Rahman
1
, S. Altan
1
, F. Nazik
2
, A. Kaplan
1
, E. ¨Ozmen
1
,
F. Sırrı ¸Cam
1
1
Celal Bayar University, Manisa, Turkey;
2
Bing¨ol University, Bbing¨ol,
Turkey
Objective:
In this study, it was aimed to evaluate the relationship
of the activities of daily living with the sociodemographic
characteristics of the elderly who live in a private nursing home in
Manisa.
Methods:
47 people staying at private nursing home in Manisa were
included to the study. Dependence in the daily living activities of
elderly people was evaluated with the Katz Activities of Daily Living
Index and Lawton and Brody’s Instrumental Activities of Daily Living
Index. Interviews was applied with the residents of nursing homes
by intern doctors between 2012–2014.
Results:
Study was carried out with 24 women (51.1%) and 23
men (48.9%). 57.5% of the residents is the equivalent of high school
and higher school graduates and 87.2% of them is single. Most
of them (89.4%) have at least one chronic disease. All individuals
are independent according to the Katz Activities of Daily Living
Index. The 27.7% of the residents is half-dependent, 4.3% of them is
fully dependent according to the Lawton and Brody’s Instrumental
Activities of Daily Living Index.
Conclusion:
As a result of this study, the well being of the socio-
economic and educational situation were found to be effective
positively at the level of dependence of the elderly.
P-281
Geriatric discharge to assess unit
F. Gardiner
1
, L. Wentworth
1
, A. Hill
1
, R. Panesar
1
1
University Hospital South Manchester, Manchester, England
Objectives:
Wellington House is an offsite discharge to assess unit.
It is designed to accept patients who have reached the end of
their acute hospital episode but are unable to return home, usually
due to an increase in frailty from deconditioning or consequence
of acute illness. The unit provides timely and appropriate care in