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P-408
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
Background:
A shortage of nurses in the speciality of older people
’
s
combined with outdated models of nurse preparation has contributed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.
Aims:
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.
Model:
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.
Conclusion:
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.
P-409
The impact of a structured education programon the knowledge of
evidence based secondary stroke prevention strategies:
preliminary study
I.T. Obi
1
, R. Carson
1
, J. McElligott
1
, M. Teeling
2
.
1
NRH, Dun Laoghaire. Co.,
2
THC, SJH, Dublin 6, Ireland
Introduction:
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.
Methods:
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.
Results:
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.
Conclusion:
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.
References
[1] Hankey G.J. Secondary Stroke Prevention.
The Lancet Neurol
. 2014;
13: 178
–
94.
[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.
Stroke
.
2011; 42(5): 1489
–
1494.
P-410
Allergies in elderly residents of a long term care institutions
M.F.C. Paula
1
, M.F. de Carvalho
2
.
1
Faculdade Israelita de Ciências da
Saúde Albert Einstein,
2
Faculdade Israelita de Ciências da Saúde Albert
Einstein, São Paulo, Brasil
Objectives:
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
(LTI).
Methods:
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.
Results:
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.
Conclusion:
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.
P-411
Geriatrics: a needed reality in Portugal
Z. Soares
1
, J. Louro
1
, E.D. Haghighi
1
, J. Barata
1
.
1
Internal Medicine
Department, Hospital Vila Franca de Xira, Vila Franca de Xira, Portugal
Introduction:
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
patient
’
s outcome.
Methods:
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
®
.
Results:
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
institutionalization.
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
–
S259
S138