European Geriatric Medicine - Supplement 1 - Volume 6

Poster presentations / European Geriatric Medicine 6S1 (2015) S32

–

S156

S133

Methods:

Data obtained from electhronichal clinical records.

All residents who have died in care home(41) were included.

Excluding deads in Hospital(9). Residents without dementia (9)

were excluded.

Results:

100% of people with dementia and dysphagia (22) required

monitoring and involvement of the interdisciplinary team in the last

days of life (symptom control, comfort care, the family continued

support and follow-up the end of life).

84.4% of deaths with advanced dementia (with or without

dysphagia), haven’t been referred to emergencies or have required

any hospital or geriatric referral in the last 12 months.

Conclusions:

Advanced dementia and its complications are the

most frequent reason of death in care homes.

Dysphagia has a great impact on the QoL of residents, family and

staff (being present in 68.8% of advanced dementia in the last 12

months of life).

Dysphagia has strong impact on residents,

for causing

complications. With its control, an indicator of quality of care and

the need of increase the involvement of all staff and make the

necessity of changes in care plan.

P-378

When community care takes a step into geriatric research

S. Linnerud

, K. Os

, I. Mathiesen

, J. Hisdal

, B. Bjelke

Centre of Developing of Institutional Service in Akershus,

Finstadjordet, Norway;

Otivio AS, Oslo, Norway;

Centre of

Developing of Institutional Service in Akershus, Lørenskog nursing

home, Oslo, Norway;

Akerhus University hospital, Lørenskog, Norway

Background:

Geriatric research has traditionally involved geriatric

patients, and has found place mainly in hospitals and the specialised

part of the healthcare sector. Despite this, most elderly spend

their time in the community and some are in regular contact

with the community care. A new research platform has been

created in Norway where the municipal arena is the principal

scientific partner. This is exemplified by Lørenskog nursing home,

one of 40 Centres for Development of Institutional Services in

Norway, running a collaborative project called “New technology for

reduction of pain caused by reduced circulation in the lower leg

of the elderly”. The aim of the project is to improve peripheral

circulation in the lower limbs.

Objectives:

The main objective of the project has been user-

controlled development and testing of technology to improve

quality of life for patients with reduced circulation in the lower leg.

Methods:

The three main objectives of the project were: A: To

develop a device that could improve reduced circulation in the

lower leg. B: To investigate the effect on blood flow due to

treatment. C: To evaluate the device in nursing homes in relation

to compliance data and quality of live.

Results:

The project has developed a device, a boot, producing

a pulsating negative pressure. The device increases blood flow,

measured with ultrasound in the Dorsalis pedis artery. The third

part of testing of the device in nursing homes, is still in progress.

P-379

Older adults’ room preference in an acute hospital setting:

single versus shared accommodation

C. Osuafor

, H. Butt

, T. Abdusalam

, T. Daly

, J. Duggan

, L. Kyne

Medicine for the Older Person, Mater Misericordiae University

Hospita, Dublin, Ireland;

Medicine for the Older Person, Mater

Misericordiae University Hospital, Dublin;

Medicine for the Older

Person, Mater Misericordiae University Hospital, Dublin, Ireland;

Mater Misericordiae University Hospital, Dublin, Ireland;

Mater

Misericordiae University Hospital, Dublin

Objective:

The objective of the survey was to determine whether

older adults would prefer to be in a single room or a room shared

with other patients following admission to an acute hospital.

Methods:

In March 2015, we surveyed inpatients on their

room preference. Using a physician administered questionnaire,

information was obtained from patients who agreed to participate.

Patients were asked their preferred choice of room and their

preferred meal location either at bedside or a common dining room

with other patients. Reasons for their answers were also sought.

Results:

160 patients (80 men and 80 women) participated in

the study. Mean age was 78 years (65–96 years) and average

length of stay was 23 days (1–233 days). 116 (72.5%) patients

were in shared rooms while 44 (27.5%) patients were in single

rooms. 62% of patients in shared rooms said they would prefer

shared accommodation, whereas 63.6% of patients in single rooms

expressed preference for single rooms. A higher number of patients

(71.6% of those in shared rooms and 52.3% of those in single rooms)

preferred to have their meals at their bedside.

Conclusion:

The results from our survey shows that the room type

patients were already exposed to was likely responsible for the

marked difference in room preference. Contrary to other arguments,

our report suggests that older inpatients will do well in any room

they are in as long as issues regarding privacy and protected meal

times are addressed.

P-380

Survey on geriatrics in 19 countries

K. Pitk¨al¨a

, S. Jyvakorpi

, T. Strandberg

University of Helsinki, University of Helsinki, Finland;

University of

Oulu, Oulu, Finland

Aims:

We investigated the status of geriatrics and position of

geriatricians by a survey in 19 countries.

Methods:

Electronic survey was delivered for a convenience sample

of 19 geriatricians in 19 countries.

Results:

In 10 countries geriatrics was specialty of its own, in seven

a subspecialty and two countries geriatrics was not recognized

as specialty. The number of geriatricians per capita 80+ years

varied between 400 to

6000, mean being about 2100. Most

respondents thought that their country should double the number

of geriatricians. The most common working place for geriatricians

was acute geriatric ward or rehabilitation. There was, however, wide

range of positions for geriatrics in various countries. While most

thought the most adequate place for geriatricians is acute geriatric

ward some also would have placed geriatricians to coordinate

community care, outpatient clinics and memory clinics. All thought

that acutely ill or multimorbid geriatric patients should be taken

care by geriatricians, 63% would place geriatricians also in nursing

homes, and 79% to take care of dementia patients. 89% thought

that GPs should take care of older people in community care.

The biggest problems in older people’s care according to the

responders were lack of geriatric knowledge, attitudes, and lack

of geriatricians. According to respondents, older people’s health

promotion or comprehensive geriatric assessment were not well

implemented in their countries. Of the respondents, 56% thought

geriatrics is not a popular specialty in their country.

Conclusions:

The position of geriatrics and organization of older

people’s care varies widely between countries.

P-381

Positive impact of Bio Psycho Social (PBS) assessment on

nursing home organisation

S. Henni

, F. Delamarre Damier

, S. Bruel

, S. Piessard

, on behalf

of AGREE: French Nursing Home Organisation

Angers and Cand´e Hospital, Cand´e, France;

Ehpad Montfort, St

Laurent sur S`evre, France;

Ehpad St Sauveur, St Sauveur le Vicomte,

France;

S`evre and Loire Hospital and Faculty of Pharmacy, Nantes

University, Vertou, France

Introduction:

Admission in nursing home (NH), key moment

in elderly person life, should be considered as a milestone in