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interactions. All identified PIPs have been then discussed by the

multidisciplinary geriatric team (MGT) for considering possible revi-

sions. MPI1 and 2 have been puted together for the analysis.


166 patients were enrolled (mean age 87 ± 5.4 years, females

72%) with a meanMPI score of 0.69, indicative of a very frail population

(MPI3 55.4% of total sample). Average number of drugs at admission

was 5.3 ± 2.4 for MPI1+2 and 6.4 ± 3.1 for MPI3 patients (p < 0.05).

Between admission and discharge the number of detected PIPs

decreased by 6.7% and 49.2% in MPI 1 + 2 and MPI3 respectively.


The prevalence of polypharmacy and PIPs are higher

in MPI3 subjects and in this group prescriptive appropriateness

improved more effectively after evaluation of MGT. MPI may be useful

to put more focus on patient care.


Should elderly patients presenting with facial injuries have a

targeted follow-up in place? A service evaluation

T. Noton, M. Baxter, C. Paget, S. Harris, S. Sharma.

University of

Southampton, University Hospital Southampton NHS Foundation Trust


The proportion of elderly patients over 65 years of age is

increasing in developed countries. Maxillofacial injuries in over-65s

are commonly caused by falls, possibly signifying an increase in

frailty. The comprehensive geriatric assessment (CGA) addresses this

increase, while reducing subsequent frailty-type admissions. No

studies have considered whether to introduce the CGA following

presentation with a facial injury.


To investigate whether facial injury in the elderly is a sign of

increased frailty by using secondary healthcare needs as a marker

of need. To establish whether there is a difference in the hospital

admission time pre- and post-facial injury. To investigate the number

of frailty-type admissions post-injury. To look at patients


morbidities in order to further target the CGA.


Patient records were searched in the Emergency

Department to identify elderly patients who presented with a facial

injury. Records were analysed between October 2008 and October

2013. Standard statistical tests were used to look for differences in

admissions pre and post injury.


107 patients were identified. There was a statistically

significant difference between the number of days spent in hospital

pre-versus post-injury; 3.34 days:6.33 days (P = 0.031). 39% of patients

re-admitted following facial injury with a frailty-type admission.

There was a significant relationship between haematological co-

morbidities and frailty admissions post-injury (P = 0.019).


Facial injury may be a suitable proxy marker for frailty.

Our findings suggest that implementing the CGA would be worth-

while, as presentation with a facial injury is a marker for increased

future healthcare needs.


Personal preferences and motivations of a person and two

relatives before total hip arthroplasty: a case report with a

narrative analysis

E. Oosting


, J. Dronkers


, T. Hoogeboom


, N. van Meeteren



W. Speelman




Hospital Gelderse Vallei, Ede,


Maastricht University,



Radboud University Medical Center, Nijmegen,


Top sector

Life Sciences & Health, The Hague,


Tilburg School of Theology,

the Netherlands


Besides medical or physical functioning [1] related

information, health providers should have insight into the personal

impact of a disease in a person

s life. The purpose of this study is to get

insight into personal preferences and motivations of a patient involved

in a physical therapy intervention.


Mrs A, a 76-year-old woman with severe comorbidity is

preoperatively referred to a physical therapist (PT) for functional

assessment and training before total hip arthroplasty (THA). The

patient, her daughter and her PT were asked to write a story about

their daily life. All stories were analyzed according to the narrative

scheme [2], which consists of four phases: 1. Motivation; 2. compe-

tences; 3. Performance; and 4. Evaluation.


Mrs A was mainly motivated by her will to do enjoyable

social activities and stay independent. Although she has the

competence to try her best to undertake those activities (a perfor-

mance) that make her proud (evaluation), her pain and physical

limitations were anti-competences that motivate her to attend

health care. Although the PT seemed to be aware of these personal

participation goals, her main focus was on improving and evaluating

functions and activities [1]. The daughter alsowanted her mother to be

able to do enjoyable activities and did not see herself as an informal


Key conclusion:

The narrative method was a valuable tool to clarify

personal preferences and motivations of this person within her

context before THA. This knowledge could help caregivers in applying

shared decision-making and patient centered treatment and goal



[1] WHO.

ICF. international classification of functioning, disability and


. Geneva: World Health Organization; 2001.

[2] Speelman WM. A spiritual method for daily life practices. In:

Hense E, Maas F, editors.

Towards a Theory of Spirituality

. Leuven:

Peeters; 2011. p. 55



Comparison of geriatric syndromes according to gender over

seventy-five years old in the elderly

C. Kilic


, A. Baskent


, G.B. Bahat


, F. Tufan


, M.A. Karan





of Internal Medicine, Division of Geriatrics, Istanbul University, Istanbul

Faculty of Medicine,


Department of Physical Medicine and

Rehabilitation, Istanbul University, Istanbul Faculty of Medicine, Istanbul,



In this study, individuals over seventy-five years old living

in the communitywas undertaken to examine the situation of geriatric

syndromes according to gender.


In the study; 203 patients, 67(33%) were male and 136(67%)

were female. The mean age 80,92 ± 4,3(76

99); of group total; in

men 80,75 ± 4.5(76

92) years, and women women 81,01 ± 4,2(76


years. Patients with urinary incontinence, fecal incontinence, sleep

disorders, falls, chronic pain, malnutrition and the effects, visual

impairment, hearing impairment, immobility, cognitive impairment,

balance and gait disturbances, depression and constipation, geriatric

syndromes were questionned. General total, average, and percentage

comparisons between gender groups were evaluated using appropri-

ate statistical methods.


The mean number of geriatric syndromes in cases were

4,0 ± 2,5(0

11). The mean number of geriatric syndromes in men by

gender was 3,0 ± 2,2(0

10), while in women was 4,5 ± 2,5(0


respectively. Women

s average number of geriatric syndromes, were

statistically higher than men to be highly significant (t =


p = 0.000). When the groups by gender in the prevalence of geriatric

syndromes examined, about urinary incontinence, sleep disorders,

chronic pain, malnutrition and the effects, immobility, balance and

gait disorders there was statistically significant difference (p < 0.05).

Other; there wasn

t any statistically significant difference in fecal

incontinence, falls, visual impairment, hearing impairment, cognitive

impairment, depression and constipation (p > 0.05).


Old age is a period of life that is accompanied by a lot of

health problems. This study shows that the number of geriatric

syndromes in the female gender are higher than in men of the

elderly. It will be considered that, the programs for the elderly, would

be useful for the necessary evaluation regarding common geriatric


Poster presentations / European Geriatric Medicine 7S1 (2016) S29