Table of Contents Table of Contents
Previous Page  144 / 290 Next Page
Show Menu
Previous Page 144 / 290 Next Page
Page Background


The Older Person

s Nurse Fellowship: innovation in higher

specialist nurse education

C. Naughton, N. Hayes, V. Tzouvara, C. Nicholson, J.M. Fitzpatrick,

Z. Zainab, G. Lee, C. Norton.

Kings College London and King

s College

Hospital NHS Foundation Trust


A shortage of nurses in the speciality of older people


combined with outdated models of nurse preparation has contributed

to a deficit in higher level leadership and expert knowledge in

gerontological nursing. Innovation in education is required to meet

the challenges of an ageing population with complex needs yet

restricted economic resources.


The Older Person

s Nurse Fellowship (OPNF) is a higher level

programme designed to develop senior clinical nurses to lead inno-

vation and quality improvement (QI) in older people

s services. The

programme integrates models of comprehensive geriatric assessment

(CGA) and QI with core nursing values of compassionate and dignified

care for older people.


The 12 month programme combines updates in clinical know-

ledge (CGA, frailty, deprescribing) with QI methodology to deliver

service improvement projects for older people. In 2015, eighteen nur-

ses lead a range of projects including: implementation of frailty path-

ways in emergency department (ED), acute, primary care and nursing

homes, depression, delirium and dementia screening in ED, mental

health and acute care, enhanced therapeutic environment in mental

health and acute care. Programme evaluation by students and organi-

sation stakeholders indicates benefits to patients and organisations,

career progression opportunities, national project awards as well as the

emergence of a critical discourse on workforce development.


The OPNF within 12 months delivered a cadre of future

nurse leaders with the knowledge, skills and confidence to modernise

services for older people. The programme highlights the potential of

clinical nurse leaders to deliver real improvements for older people

with modest financial investment.


The impact of a structured education programon the knowledge of

evidence based secondary stroke prevention strategies:

preliminary study

I.T. Obi


, R. Carson


, J. McElligott


, M. Teeling




NRH, Dun Laoghaire. Co.,


THC, SJH, Dublin 6, Ireland


People who have had a stroke are at increased risk of

stroke recurrence, which is as high as 30% and can be more devas-

tating. Secondary stroke prevention practices according to evidence

based researches if fully and rightly implemented can reduce the risk

of stroke recurrence [1,2]. This preliminary study aimed to explore the

knowledge and the impact of a structured education program on

current evidence based secondary stroke prevention strategies by the

doctors working in a stroke unit.


The doctors in the National Rehabilitation Hospital (NRH)

Ireland, were surveyed using paper based anonymised questionnaires

before and after the delivery of a brief structured educational program

on current secondary stroke prevention strategies. Both surveys

were carried out on all eligible doctors in NRH. The brief structured

educational program on secondary stroke prevention strategies was

given over three sessions involving the multidisciplinary team and the

electronic copies of the teaching materials made available on the

hospital intranet prior to the repeat survey.


Although the doctors in the NRH showed appreciable

knowledge of current secondary stroke prevention strategies in the

first survey, the repeat survey showed an overall improved knowledge

post the structured educational program.


Future studies are relevant to ascertain if the doctors

improved knowledge and its sustenance ultimately translates to

improved stroke management and prevention practices. It was

beneficial to leave the education materials for future intakes of

doctors on the hospital intranet.


[1] Hankey G.J. Secondary Stroke Prevention.

The Lancet Neurol

. 2014;

13: 178


[2] Mohan K.M., Wolfe C.D., Rudd A.G., Heuschmann P.U.,

Kolominsky-Rabas P.L., Grieve A.P. Risk and Cumulative Risk of

Stroke Recurrence: A Systematic ReviewandMeta-Analysis.



2011; 42(5): 1489



Allergies in elderly residents of a long term care institutions

M.F.C. Paula


, M.F. de Carvalho




Faculdade Israelita de Ciências da

Saúde Albert Einstein,


Faculdade Israelita de Ciências da Saúde Albert

Einstein, São Paulo, Brasil


verify the prevalence of allergies, characterize the socio

demographic profile of the elderly population with allergies, identify

the type of more common allergy and establish the measures used to

prevent allergic events in elderly residents of a Long-Term Institution



descriptive research, exploratory, of retrospective character,

based on quantitative analysis, level I. A study conducted in LTI -

Residencial Israelita Albert Einstein (RIAE), where 150 elders lived

during the data collection period.


150 records analyzed, 18.7% (28) of the elderly had some type

of allergy being registered: 75% (21) drug allergy, 28.6% (8) foods and

14.3% (4) other types of allergies. Regarding the characteristics of this

group of seniors: 75% (21) were female, mean age of 84 and SD (7.5),

43% (9) widowed, 78.6% (22) patients with arterial hypertension,

dementia 42.8% (10) and depression 32.1% (9). The most prevalent

type of drug allergy was to antibiotics 40% (10)% Iodine 20% (5) and

16% to analgesics (4). In relation to food allergies 21% (3) had lactose

intolerance. We found three measures to prevent allergic events: label

in the cover page of medical records and in the medical prescription

indicating the type of allergy, as well as electronic signage in hospital

management system.


the information gathered here promotes the recognition

of the most common allergies in this group of elderly. The importance

of preventive measures and clinical protocols are essential to improve

the service and ensure the control and prevention of allergies,

preventing most severe cases which are the anaphylaxis.


Geriatrics: a needed reality in Portugal

Z. Soares


, J. Louro


, E.D. Haghighi


, J. Barata




Internal Medicine

Department, Hospital Vila Franca de Xira, Vila Franca de Xira, Portugal


Portugal is one of the most aged population in Europe. It

is therefore important to understand the aspects that can contribute to

a better assessment of this population and consequently improve


s outcome.


A cohort study was conducted by evaluating the clinical files

of patients with 65 years old and above, admitted in Internal Medicine

ward of Hospital Vila Franca de Xira on the 19th of February 2016.

Demographic and variable analysis was conducted using Excel 2013




Of 144 admitted patients, 71,5% were 65 years old or more.

Average length of stay was 11 days. 76% had 1 to 5 comorbidities

and 51% took more than 6 drugs. 19% had a hospital admission on the

last 30 days. 30% of files lacked information about dependency

status; of those mentioned 55% were dependent. 54% lived at home

and 25% at care facilities; 21% had no reference to current housing.

Cognitive status was mentioned in 97% patient records. A large

percentage lacked nutritional and mood status information (81%

and 96% respectively) and 39% of files did not refer the risk of


Key conclusions:

In our Internal Medicine department a large

proportion of patients are elderly and health professionals seem

rather aware of some of the particular aspects concerning the approach

of these patients. However there are some areas that are still lacking

evaluation and clinical record supporting the importance of the

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