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were women, mean age 87-years-old. AGC have been providing
care for 5 years or even longer. Half of the AGC felt stressed and
more of one third had sleep disturbances. Nevertheless, the AGC
considered themselves satisfied about their health, and they said
they had a good quality of life.
Conclusion:
Literature has begun to consider the contributions of
this “forgotten generation”.
The study highlights the important role that AGC play in family
caregiving. Clinicians may need to pay particular attention to
atypical family member caregivers such as AGC.
P-470
Traumatic musculoskeletal injuries in lower extremity in elderly
and referral from primary care to orthopedic trauma service
I. Sierra-Martinez
1
, L. Sierra-Martinez
2
, L.A. D´ıez-Su ´arez
1
,
R. Martinez-Fuerte
3
, N. Sanz-Gonz ´alez
4
1
Traumatology Department, Hospital of Medina del Campo
(Valladolid), Medina del Campo, Spain;
2
Valladolid Este Primary
Assistance Gerency, Valladolid, Valladolid, Spain;
3
Valladolid Este
Primary Assistance Gerency, Valladolid, Spain;
4
JCyL Primary
Assistance Gerency, Valladolid, Spain
Aims:
Using records from the Medical Record Information (MRI)
to determine the incidence of Traumatic Musculoskeletal Injuries
(TMI) and Fragility Fractures in Lower Extremity (FF-LE) in Elderly
and referral from Primary care to Orthopedic Trauma Service to
promote preventive activities from the Primary Care (PC) clinic and
Specialist Orthopaedic Surgery and Traumatology (OST)
Method:
Fragility Fractures are the most common complication
after trauma among people over 65 years of age, consuming
significant resources, health, social and economic developments
in the process of diagnosis and treatment. The authors conducted
descriptive cross-sectional study of patients with a diagnosis of FF
in people over 65 of age with registration in the medical record
Health Center Urban in Castille and Leon (Spain).
From the list of 16.294 patients with MRI:
>
65 years of age, 3615
(1562 men, 2058 women). Data are collected on a Excel spreadsheet
and analyzed using SPSS 9.0 for Windows.
Results:
TMI 627; 426 women, 201 men. Ratio female/male: 2/1.
FF-LE 337; 258 women, 79 men.
Hip Fracture: 203 cases (157 women, 46 men).
Femur fracture: 75 cases (58 women, 17 men)
Calcaneal fracture: 3 patients (2 women, 1 man).
Foot fracture: 56 cases (41 women, 15 men).
65% are between 81 and 85 years.
Conclusions:
50% of TMI have resulted in a FF-LE, with the highest
incidence in women by a ratio of male/female 3/1. The age group
with the highest incidence of FF-LE has between 81 and 85 years
(65%). From these results, a
Clinical Improvement Plan
including the
completion of a program of health education groups in our Health
and promote preventive activities from the Primary Care (PC) clinic
and Specialist Orthopaedic Surgery and Traumatology (OST).
P-471
Key role of the professionals in the Strategy of care for chronic
patients in Castilla y Le ´on
L. Sierra-Martinez
1
, R. Martinez-Fuerte
1
, N. Sanz-Gonz ´alez
2
1
Valladolid Este Primary Assistance Gerency, Valladolid, Spain;
2
JCyL
Primary Assistance Gerency, Valladolid, Spain
Objective:
To improve health outcomes and quality of life of
people with chronic diseases through a comprehensive quality care,
adjusted to the level of care needs and in coordination with social
services in an environment of sustainability.
Methods:
1. The “target population” selected in the so-called chronic patients
pluriphatologic those in which coexist “two or more chronic
diseases involving the occurrence of relapses and interrelated
diseases that affect a special clinic fragility and a gradual
decrease in their autonomy and capacity functional, generating
strong demand for attention to different care settings (primary
care, specialty care, social services).”
2. Strategic objectives:
2.1. Ensure continuity of care
2.2. Empowering and patient responsibility.
2.3. Innovation and knowledge management
Results:
1. Population Groups stratified:
G0: Healthy or not significant acute processes People.
G1: Patients with stable disease or with low initial need for
health care arena.
G2: pluripatol ´ogicos or a stable disease in advanced stage with
moderate need for health care patients.
G3: severe patients with multiple pathologies with high health
care needs and social needs often.
2. G3 2.58% (62702 individuals), G2 9.63% (233729 individuals),
G1 18.33% (454 293 individuals), G0 the 69.08% (1,677,446
individuals).
Conclusions:
The objective in the selected group as a target
population, 62702 individuals, is a major challenge for the
organization whose success will depend on:
1. Involvement and commitment of health professionals.
2. Participation of patients, their families and their associations.
3. The specific training of professionals.
4-An adequate information infrastructure to use a shared electronic
medical record (EMR).
P-472
Evaluation of the knowledge of hygiene and postural care
and an intervention on the same for the prevention and
improvement of chronic low back pain in elderly patients
who have a diagnosis of osteoarthritis lumbar
I. Sierra-Martinez
1
, L. Sierra-Martinez
2
, L.A. D´ıez-Su ´arez
3
,
R. Martinez-Fuerte
2
, N. Sanz-Gonz ´alez
4
1
Traumatology Department, Hospital of Medina del Campo
(Valladolid), Medina del Campo, Spain;
2
Valladolid Este Primary
Assistance Gerency, Valladolid, Spain;
3
Traumatology Department,
Hospital of Medina de Campo (Valladolid), Medina del Campo, Spain;
4
JCyL Primary Assistance Gerency, Valladolid, Spain
Objectives:
Quantify the improvement of chronic low-back pain,
after a customized educational intervention on postural hygiene
and care, and assess their impact on the ability to perform activities
of daily living.
Methods:
Cross-sectional study, applied to selected elderly patients
with diagnosis of lumbar osteoarthritis and its main query is
chronic low back pain (n = 50).
They are offered to participate in the study and in the case of
accepting, they passed an initial questionnaire with 3 parts, the first
with demographic data (age and type of daily activity), the second
in which the pain characteristics described (location, characteristics,
frequency, intensity, disability that occurs, involvement of sleep, use
of analgesics and visual analog scale of pain intensity (VSA)) and a
third data quality of life, mental state (Scale of anxiety/depression
Goldberg) and the impact of low back pain using the Spanish
version of the Roland-Morris Scale (scale of disability due to low
back pain and sciatica).
A subsequent quiz is taken, in a scheduled visit last three months,
after conducting an initial individual educational intervention,
using the same metrics. The intervention consisted of an oral
presentation of 15 minutes duration, supported by presentation
of illustrated leaflets and easy understanding and interpretation,
about hygiene and postural care in everyday domestic activities
to consider and a table of basic daily exercises aimed tone and