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S136
Poster presentations / European Geriatric Medicine 6S1 (2015) S32
–
S156
P-388
Discharge summaries: maximising opportunities to improve
transition of care
A. Vilches-Moraga
1
, J. Turner
1
, J.K. Taylor
1
, A. Pearl
1
, O. Gaillemin
2
,
J. Fox
1
1
Salford Royal NHS Foundation Trust, Salford, Manchester, United
Kingdom;
2
Salford Royal Hospital NHS Foundation Trust, Salford,
Manchester, United Kingdom
Objectives:
Studies have demonstrated discharge summary quality
is insufficient in terms of timeliness, transmission, and content.
We introduced an ‘enhanced’ discharge summary for older people
discharged from our Acute Medical Unit to improve the transition of
care between secondary and primary care, and to improve patient
understanding.
Methods:
We compared consecutive discharge summaries against
approved discharge documentation standards before and after
changes in our practice. We also asked a cohort of older patients
and their General Practitioners (GPs) to comment on the quality of
our new discharge summaries.
Results:
We reviewed 60 discharge summaries, 30 before and 30
after the intervention.
Before, 12(40%) of summaries were written by a clinician involved
in the patient’s care and this improved to 23(76%). The mean
number of quality components increased from 4.75 to 5.2, with
the number of summaries including all 6 components increasing
from 10(33%) to 16(53%). Information for patients, written in non-
medical language, was included in 9(30%) summaries before and
22(73%) after.
Patients found discharge summaries useful especially when
signposting information was included. However, only 2/11 (18%)
had the written information explained to them verbally, which
they would have liked. Only 5/11 (45%) of GPs responded and all
described the new summary as good or excellent.
Conclusions:
Discharge summary quality is improved when
completed by a clinician involved in the patient’s care.
Simple changes to discharge summary content, including
signposting information, are viewed positively by patients and GPs,
but patients would prefer both verbal and written information.
P-389
Geriatric medicine in Poland
K. Wieczorowska-Tobis
Poznan University of Medical Sciences, Poznan, Poland
Poland belongs to those countries in Europe with the lowest relative
numbers of geriatric beds and geriatricians. Thus, the aim of the
study was to characterise geriatric care in Poland.
The data for this analysis was obtained from national and local
registers.
As of December 31st 2014 there were 343 certified geriatricians
and 818 geriatric beds (2.2 beds and 0.9 geriatricians per 100000
inhabitants). As far as geriatricians are concerned, 41 were older
than 65 years and 23 – older than 70 years. Moreover, only about
50% of them were active in the geriatric field, due to limited number
of geriatric units throughout the country. This state results from
restricted funding of geriatrics by the National Health Fund which
is responsible for public health care system in Poland.
There are strong regional differences in the distribution of geriatric
care is Poland. The best values has the Silesia region, with a total
of 256 geriatric beds. However, even in this region the number of
beds decreased by more than 10% between 2012 and 2014.
In this context it must be pointed out that, according to a recent
publication by the High Chamber of Control in which yearly costs of
health care for patients after geriatric and internal hospitalisation
were compared, the amounts spent were lower for those who were
hospitalised in geriatrics (about 400 Euro).
In conclusion, with no changes in the health care system in Poland
the future of geriatric medicine is uncertain.
P-390
Robots in the care for elderly
–
defining users requirements
K. Wieczorowska-Tobis
1
, A. Suwalska
1
, M. Cylkowska-Nowak
1
,
S. Kropinska
1
, S. Tobis
1
, A. Tapus
2
, C. Salatino
3
, H. van den Huevel
4
,
P. Barattini
5
, M. Ghrissi
6
, R. Rosso
7
1
Poznan University of Medical Sciences, Poznan, Poland;
2
ENSTA
ParisTech, Universit´e Paris-Saclay, Paris, France;
3
Fondazione Don
Carlo Gnocchi, Milano, Italy;
4
Smart Homes, Eindhoven, Netherlands;
5
Kontor 46, Torino, Italy;
6
Robosoft Services Robots, Bidart, France;
7
Elettronica Bio Medicale, Vicenza, Italy
“ENRICHME” (Horizon 2020) project tackles the progressive decline
of cognitive capacity in the ageing population adopting an
integrated platform with a service robot for long-term human
monitoring and interaction. In this context, it is important to
explore the impact of such a system on the users’ life (elderly
and caregivers). However, robots’ role must be defined carefully
by taking into consideration not only complex ethical and legal
issues but also the users’ needs and expectations. This study
aims to develop a tool to collect opinions about the robot-related
requirements.
Based on the literature review and experts’ opinions the Users’
Needs, Requirements and Abilities Questionnaire (UNRAQ) was
developed. It assesses the users’ willingness to interact with robots
and the role of robots considering also the social and assistive
perspective. Pictures of the Kompaï robot are shown to the users
in order to give them a more realistic image of the robot concept.
Data are collected in France, Greece, Italy, Netherland, Poland, and
UK.
The preliminary results show that currently THE elderly are not
ready to manage with robots, but they will be able in the near
future as the technology becomes more popular. They want the
robot to instruct them what to do in case of any problem with its
operation. They believe that they should control over the robot. It
should be noted, though, that also caregivers express the wish to
control over the robot.
Our preliminary results show the usefulness of the UNRAQ as a tool
to analyze robot-related requirements.
Pharmacology
P-391
STOPP/START version 2 criteria for potentially inappropriate
prescribing in hospitalised Spanish elderly
E.H. Azana Fernandez
Hospital San Juan de Dios, Le´on, Spain
Introduction:
Screening tool of older people’s prescriptions
(STOPP) and screening tool to alert to right treatment (START)
criteria were first published in 2008.
Version 2 of STOPP/START, with 114 criteria, represents a 31%
increase in the total number of criteria included in version 1.
Objectives:
Assess the prevalence of potentially inappropriate
medication use in older people.
Method:
We retrospectively studied patients hospitalised at
Geriatric Department during October to November 2014. Diagnoses
and pre-admission medication were recorded.
Results:
100 patients were included, mean patient age was
85.26
±
5.4 years. 72% were female. Mean Charlson’s index: 1.97.
Mean number of prescription medicines: 7.9. Polypharmacy (≥ 5
drugs): 76%. Excessive polypharmacy (≥10 drugs): 38%.
Potentially inappropriate medications (PIMs): STOPP identified 94
PIMs affecting 70 patients, the most frequently encountered PIM