European Geriatric Medicine - Supplement 1 - Volume 6

S52

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

–

S156

P-074

Resilience in informal carers of people with dementia. An

exploration of the concept using a Delphi consensus method

K. Joling

, G. Windle

, R.-M. Dr ¨oes

, M. Huisman

, C. Hertogh

B. Woods

VU University medical center, Amsterdam, Netherlands;

Bangor

University, Bangor, United Kingdom;

VUmc, Amsterdam, Netherlands;

VU medical center, Amsterdam, Netherlands;

Netherlands

Objectives:

Living at home with help from family members will

become increasingly common for persons with dementia. Insight

in resilience regarding the challenges of being a dementia caregiver

might contribute to finding support strategies which enable them

to cope in their role. This study aimed to explore the concept of

resilience in dementia caregiving and identify its essential features.

Methods:

A Delphi consensus study was conducted, consulting a

multidisciplinary panel of informal caregivers and experts with

relevant professional expertise in dementia or resilience. Panelists

rated the relevance of various statements addressing essential

components of resilience; ‘adversity’ and ‘successful caregiving’

for informal caregivers on a 5-points Likert scale. Based on the

median and Inter Quartile Range, the most relevant statements

with moderate consensus were proposed in round 2 in which

panelists selected up to five statements in order of importance.

Results:

Moderate consensus was reached for all statements after

two rounds. Patients’ behavioural problems and feeling competent

as a carer were selected by both caregivers and professionals as

essential features of resilience. Furthermore, caregivers emphasised

the importance of social support, the quality of the relationship

with their relative and spending time together in an enjoyable way,

while professionals considered coping skills, experiencing positive

aspects of caregiving, and a good quality of life of caregivers most

relevant.

Conclusion:

The perspectives of informal caregivers and

professionals regarding the most important elements of caregiver

resilience varied. This should be taken into account when

developing more focused and effective support strategies for

informal caregivers.

P-075

Relationship of physical function and executive function in

elderly people with mild cognitive impairment (MCI)

T. Komatsu

, F. Togo

, T. Mitani

, K. Hasegawa

, K. Kitajo

Tokyo University of Technology, Tokyo, Japan;

Tokyo University,

Tokyo, Japan;

Watanabe Hospital, Kamisu, Japan., Kamisu, Ibaraki,

Japan;

Rhythm-based Brain Information Processing Unit, RIKEN

BSI-TOYOTA Collaboration Center, Wako, Saitama, Japan

Purpose:

The aim of this study was examined MCI and the

association with attention executive function.

Method:

The subjects that average age was 82 years 22 people

nursing home residents. The measurement used executive function

with Flanker task as cognitive function. And, was performed at 4

second intervals round in random order total 120 enforcement of

60 enforcement both stimulation challenge, were calculated error

rate and median reaction time. In addition, it also evaluated the

physical function with timed up and go test (TUG) and (IADL)

instrumental activities of daily living. A partial correlation make

an analyzed between with the relationship and various parameters

and was divided into two groups at the cut-off value by TUG.

Result:

TUG and grasp power and Flanker task congruent error and

was not significantly. However, there were significant differences

item when it was a cut-off value of TUG 10.9 seconds or more,

there was a significant difference in the IADL (p

0.05).

Conclusion:

We have a indicated that the probability to progress to

Alzheimer’s dementia, especially backward inhibition is thought to

be involved when quickly converted to a different problem from the

one task performance conditions with 8.5% MCI. It was suggested

that there is a possibility of finding a drop in early stage cognitive

function by carefully observing the IADL.

P-076

Fortuitous discovery of a syphilitic infection in the elderly:

report of a case

A. Martin-Kleisch

, J.-L. Novella

, A.-A. Zulfiqar

CHU Reims, Reims, France;

France

Objectives:

Sexually transmitted infections in the elderly remains

a taboo subject.

Methods:

We illustrate this problem in that clinical case.

Results:

A patient of 84 years was addressed to an assessment

of cognitive impairment lasting for several months. This was a

foreign patient, interrogation was not possible due to a language

barrier; autonomy was limited (transfer bed / chair with human

help). An additional assessment has been required. Syphilis serology

(part of the balance of a demential disease) was positive. Clinical

examination of the patient was normal elsewhere.

A review of sexually transmitted diseases was conducted after

approval of the patient and the family. Serology HIV 1 and

2, hepatitis B, C, E and

Chlamydia trachomatis

returned to be

negative. Confirmation of positive syphilis serology. The FTA assay

(IgG + IgM), are respectively 200 and

0.9, compatible with an

old syphilitic infection untreated, discovered incidentally. Lumbar

puncture with syphilitic research was negative. The husband of the

patient had died several years ago, the diagnostic information was

given to the family.

Brain MRI finds cortical atrophyl predominant in the frontal lobes

associated with stenosis with post-stenotic ectasia of the right

middle cerebral bifurcation. Radiological image did not correspond

to a syphilitic disease, this confirmed by an infectious view. No

syphilitic gums were found.

Cyclins antibiotics were prescribed for 15 days.

Conclusions:

Syphilitic disease is a rare entity; its diagnosis is

difficult, especially in the elderly.

P-077

Abbreviated Mental Test (AMT) 10; Specificity and sensitivity

of the questions

A. Michael

, D. Oliver

, P. Nightingale

Russells Hall Hospital, Dudley, United Kingdom;

Royal Berkshire NHS

Foundation Trust, Reading, United Kingdom;

University Hospitals

Birmingham, Birmingham, United Kingdom

Introduction:

AMT, 10-question test, is a commonly used cognitive

screening tool. A score of

8 indicates cognitive impairment. AMT4

(Age, Date of birth, year and place) is a frequently used shorter

version.

Objective:

To study the specificity and sensitivity of the 10 AMT

questions in predicting a score

Methods:

AMT4 was performed, in a UK teaching hospital, on

all admitted patients 75 years and older, who did not have a

diagnosis of dementia and had no delirium. AMT10 was performed

for patients who have a wrong answer for any of the AMT4

questions or if the patient (as noticed by patient/relative/carer)

had been more forgetful in the past 12 months to the extent that it

had significantly affected his/her daily life. Results of consecutive

patients over a 17-month period were retrospectively collected and

correlation analysis was done.

Results:

1174 admitted patients fulfilled the criteria, 67 patients

were excluded because of incomplete data. 1107 patients were

included; 675 female, 431 male, 1 not recorded. The mean age was

85.2 years. Results are summarised in the table.

Conclusions:

Excluding the questions of the Monarch and Second

World War (to minimise the effect of education and culture): Recall

of a previously given address, year, counting back from 20 to 1 and