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S134
Poster presentations / European Geriatric Medicine 6S1 (2015) S32
–
S156
our collaborative management. Patient data collection must be
comprehensive to help nurses/aid nurses taking into account any
Bio Psycho Social (BPS) dimension of the person.
Objectives:
The main objective was to establish an exhaustive BPS
assessment in our nursing home. The secondary objective was
to evaluate our BPS by our nurses/aid nurses using a qualitative
questionnaire and a team focus group assessment.
Methods:
We have performed the BPS according a modified
geriatric comprehensive assessment; medical screening was done
before the inclusion process to avoid any unstable acute pathology.
Evaluation by focus group method was done after the process,
anonymous and qualitative questionnaire was performed 7 days
after the last inclusion.
Results:
Between 10/10/2014 and 30/04/2015, the admission
committee met 18 times, 81 cases were screened and the project
team has made 29 BPS assessments. A total of 84% of nurses/aid
nurses have considered better understanding of the patient and
they have claimed more self satisfaction in doing their own job.
Conclusion:
BPS approach could be summarized by answering
to five simple questions who, how, why, when and by whom,
before any admission in NH. Assessment was based on a total
interdisciplinary, each professional player in the nursing home was
important. Beyond the workers satisfactions we have achieved a
positive impact on the organization. This approach also represents
a significant managerial level.
P-382
The MARIO European Project
–
Managing active and healthy
aging with use of caring service robots: Aim and design
D. Sancarlo
1
, F. Giuliani
2
, G. D’Onofrio
2
, D. Casey
3
, V. Dupourque
4
,
G. Pegman
5
, I. Trochidis
6
, A. Bleaden
7
, S. Nolfi
8
, T. Messervey
9
,
C. Kourou
10
, I. Polian
11
, A. Greco
1
1
IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo, Italy;
2
IRCCS “Casa Sollievo della Sofferenza”, San Giovanni Rotondo,
Italy;
3
NUI Galway, Galway, Ireland;
4
Robosoft SA, Bidart, France;
5
R.U.Robots Limited, Manchester, United Kingdom;
6
Ortelio LTD,
Coventry, United Kingdom;
7
Stockport Metropolitan Borough Council,
Stockport, United Kingdom;
8
Consiglio Nazionale delle Ricerche, Roma,
Italy;
9
R2M Solution SRL, Catania, Italy;
10
Caretta-Net, Thessaloniki,
Greece;
11
UNI Passau, Passau, Germany
Objectives:
The MARIO project (Managing active and healthy
aging with use of caring service robots) is a European research
projectfinanced under the Horizon 2020 research and innovation
framework. It involves10 partners from 6 EU countries. The
main aimis to develop a robotic system capable to effectively
address the needs of the elderly in different settings through a
multidimensional multidisciplinary user centred approach facing
loneliness, isolation, dementia and health status recognition.
Methods:
The project will last 36 month and isstructured
in 11 work packages (WP). In the first phase an extensive
international survey in an elderly frail populationwill be performed.
The questionnairewill be builtusing a structured approach
involvingfocus groups, end users, health care associations, health
care and social workers and experts in the field. In parallelthe
consortium will develop the required architectural and technical
activities to integrate the robot hardware with the different
sensorsrequired to monitor and interact with the patients,
developing also the end user interface and a redesigned of a
pre-existing robot platform. The last phase is about testing and
validation of the prototypein three different settings: hospital, long
term care and private
houses.Anintense dissemination activity will
be carried out in different European countries involving all the
different tiers involved in the care process.
Conclusions:
The MARIO project represents a novel approach
to design and put in action a companion robot anditsambitious
outcomes will be: to facilitate and support people with dementia
and their caregivers, reduce social exclusion andisolation and
determine health status changes autonomously, thus improving
the care process.
P-383
Potentials for optimizing pain management in nursing homes
M. Schreier
1
, U. Stering
1
, S. Pitzer
1
, B. Iglseder
2
, J. Osterbrink
1
1
Paracelsus Medical University Salzburg, Salzburg, Austria;
2
Department of Geriatric Medicine, Christian Doppler Clinic, Salzburg,
Austria
Objectives:
Pain increases with age and successful pain treatment
depends on adequate pain management. The aim of this study
was to analyse the pain situation and pain management in
Austrian nursing homes to identify potentials for optimizing pain
management.
Methods:
A non-experimental pre-post-study in 12 randomly
selected Austrian nursing homes operated by the same company
was conducted. Nurses and residents were asked about their
perceptions of pain management. Pain assessment of cognitively
intact as well as cognitively impaired residents was conducted
using standardized questionnaires and observations. Baseline data
was used to generate potentials for optimizing pain management.
Examples for best practise in pain management were explored
using qualitative group interviews with nurses.
Results:
Qualification of health-care professionals and systematic
pain assessment are important aspects for optimizing pain
management. Cooperation between nurses, physicians and other
involved health-care professions are also essential for pain
management as well as the availability of analgesics and physicians
in acute pain situations on the weekend. Nurses received semi
standardized pain management tutoring and a systematic pain
assessment was implemented. Some of the participating nursing
homes went above and beyond given pain management practices
and proactively optimized pain management, e.g. non-medical
pain treatments, in-house qualification and pain-workshops for all
involved health care professions.
Conclusions:
Improving pain management is possible. However, it
requires that all involved parties buy into changing current practice.
Internal and external structures must be adapted to improve pain
management and residents must be involved.
P-384
Low adherence to fall related advice in older persons evaluated
in a falls clinic
J. Spildooren
1
, L. De Coninck
2
, E. Van Cleynenbreugel
3
, K. Milisen
4
,
E. Dejaeger
3
, A. Nieuwboer
5
, S. Verschueren
6
, B. Aertgeerts
7
,
J. Flamaing
8
1
U Hasselt, Diepenbeek, Belgium;
2
Arteveldehogeschool, Gent, Belgium;
3
UZ Leuven, Leuven, Belgium;
4
Department of Public Health and
Primary Care, KU Leuven and University Hospitals Leuven, Leuven,
Belgium;
5
Belgium;
6
KU Leuven, Heverlee, Belgium;
7
KU Leuven,
Leuven, Belgium;
8
Department of Geriatric Medicine University
Hospitals Leuven and KU Leuven, Leuven, Belgium
Objectives:
Multifactorial interventions have positive outcomes
in terms of fall prevention. However, translating these results
to the clinic is difficult. This study documents the adherence to
multifactorial fall interventions of older persons, assessed in a falls
clinic by a multifactorial falls evaluation.
Methods:
Older persons who consulted the falls clinic were
interviewed 2 and 6 months later to evaluate the adherence to
the proposed multifactorial interventions.
Results:
This study is ongoing. At the time of the conference, we
will report results about 60 patients. Preliminary results on the
9 first patients show that 3 experienced a fall within 2 months
after their falls clinic visit. On average 12.4
±
2.9 advices were
given to the patients in the falls clinic of which 39.9% were