European Geriatric Medicine - Supplement 1 - Volume 6 - September 2015

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S110 Poster presentations / European Geriatric Medicine 6S1 (2015) S32–S156
transferred to the Geratology wards while waiting for dedicated
stroke rehabilitation beds in two Oxfordshire community hospitals
(Witney and Abingdon). We explored their care.
Method: Discharge letters and electronic records of physiotherapy
sessions for patients transferred to the Geratology wards while
remaining on the “stroke pathway” were retrospectively examined
for diagnosis, co-morbidities, age, dates of transfer, length of stay,
discharge destination and physiotherapy input between January
2014 and January 2015.
Results: 40 stroke patients were transferred in the period reviewed.
At the time of discharge from the Geratology wards, the average age
was 86 years (45% were >90 years old). 60% had a nasogastric tube
in situ and 12% End of Life care. Their average stay in the Geratology
wards was 8.5 days. 25% of patients received physiotherapy upon
transfer, 25% waited between 1 and 6 days for physiotherapy and
50% received none during their stay. Only 44% of all transferred
patients reached the designated stroke rehabilitation beds.
Conclusions: On average 3 patients per month were transferred
from the Stroke unit to the Geratology wards while waiting for
dedicated community stroke rehabilitation beds. We identified
a need for increased provision of the appropriate rehabilitation
services on the Geratology wards or the capacity in stroke pathway
beds, to make this overflow unnecessary.
P-293
Individualized music in nursing home medicine: A hands-on
workshop
A. Myskja
National Competence Center for Arts & Health, Ski, Norway
The workshop will be practically oriented, with the aim of enabling
participants to apply the main skills taught in everyday clinical
work.
Main topics:
• Individualized music: Assessing preference
• Individualized music in practice
• Evaluating effects and adjusting therapeutic programs
• Care singing – a tool for procedures
• Rhythmic auditory stimulation: Aiding gait and sensorimotor
function
• Integrating new therapeutic strategies in a nursing home setting:
Success factors and obstacles
P-294
Music as psychosocial intervention in dementia care –
why and how?
A. Myskja
National Competence Center for Arts & Health, Ski, Norway
The lecture will provide an overview of the field, presenting
and evaluating the research status of the main music modalities:
Music therapy, individualized music, care singing and therapeutic
movement with music accompaniment. In addition, core findings
from Norwegian projects studying the application of music based
methods in geriatric settings are presented. A discussion of key
factors in successful implementation of music as therapeutic
modality in a dementia care setting will conclude the presentation.
Video samples will illustrate the key points of the lecture.
P-295
Driver licence restriction: effective to improve older driver
safety without unduly impairing mobility?
A. Naughton1, C. O’Byrne2, D. O’Neill 3
1School of Medicine, Trinity College Dublin, Dublin, Ireland; 2 Trinity
College, Dublin, Dublin, Ireland; 3Trinity College Dublin, Dublin,
Ireland
Objective: While medical conditions have been recognised as a
minor contributing factor to road traffic crashes, clinicians and
driver licencing agencies need mechanisms for promoting safe
mobility for those with age-related illnesses which can impact
on driving safety. Restrictive licensing has been proposed as a
possible intervention for decreasing the risk of crashes associated
with medical crashes, whilst not unduly affecting patient mobility.
We analyzed how the term ‘restrictive licensing’ is defined in the
literature, and to determine the effectiveness of this mechanism in
improving driver safety.
Method: A systematic literature review of MedLine and Transport
Research International Documentation (TRID), is the largest online
bibliographic database of transportation research.
Results: Medline returned 42 papers, and TRID 110: excluding those
which overlapped, we reviewed a total of 21 papers which met
inclusion criteria. Restrictive licensing is most commonly defined as
a geographical, time of day or speed restriction placed on the driver.
Personal and vehicle modifications are considered by some to also
be a form of restrictive licensing. Existing studies are supportive of
the efficacy of restrictive licensing programs, with reduced crash
rates for drivers carrying restricted licences compared to controls.
Conclusions: Restrictive licensing has consistently been shown to
be an effective mechanism of increasing driver safety without
unduly impacting driver mobility. It has significant potential to
have a positive impact on the ability of those with age-related
medical conditions to drive safely, provided that it is implemented
and policed in the correct manner.
P-296
Treatment of non-healing two diabetic foot ulcers with
N-acetylcysteine
H. Ozkaya
Istanbul Metropolitan Municipality Kayı ¸sda˘gı Darulaceze Nursing
Home.kayı ¸sda˘gı/Ata ¸sehir, Turkey
Diabetes mellitus (DM) is a complex, chronic metabolic disorder;
affects almost all age group of patients which requires continuous
medical care with multifactorial risk reduction strategies beyond
glycemic control. Diabetic foot is the major health problem
causing serious morbidity and mortality.N-acetylcysteine (NAC),
an aminothiol and synthetic precursor of intracellular cysteine
and glutathione.NAC has anti-inflammatuary, and antioxidant
our study, we apply local NAC to two diabetic foot
ulcers.The patient was 66 six years old woman and had Diabetes
Mellitus type II and also poor glycemic control.She had bilateral
diabetic foot ulcers on the sole of her feet.One of them was Stage II-a
and the other was Stage II-b according to Wagner
applied local NAC with wet dressing to ulcers twice a the
50th day, both of the ulcers have healed completely.Local Nac
therapy may be effective in diabetic foot ulcers.
P-297
Retrospective cross-sectional study of next-of-kin
demographics and community hospital length of stay
N. Read1 , R. Bloxham1 , P. Wearing2
1Oxford University Hospitals, Surrey, United Kingdom; 2United
Kingdom
Introduction: Hospital discharges can be complex and lengthy. It
is recognised that family issues, or involvement, influence length
of stay (LOS). Anecdotally, at a geriatric community hospital with
regular complex discharges, there are varying levels of engagement
of the next of kin (NOK). We have observed female NOK are often
more engaged in their relatives care but this has not been examined
in the literature.
Objectives: The study aimed to determine whether NOK
demographics (gender, civil status, distance from relative)
influences LOS.