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Objectives:
Understand the functional impact of the Cardiovascular
Rehabilitation Programme (CRP) of the Centro Hospitalar Lisboa
Norte
–
Hospital Pulido Valente (HPV-CHLN) in a group of elderly;
Assess the relevance of the following intruments: Tinetti Scale, Timed
up and Go Test (TUG) and the Functional assessment of balance and
gait (FABG), used in the Comprehensive Geriatric Assessment (CGA).
Methods:
25 adults (9
♀
and 16
♂
) over 65 years old (
χ
= 72 years)
submitted to coronary artery bypass graft surgery or valve replace-
ment surgery were assigned to the 12 week Cardiovascular
Rehabilitation Programme of the CHLN
–
HPV. An inicial assessment
was made in the beginning and again by the twelveth week using
the following instruments: Tinetti Scale, TUG and the FABG as well as
the 6 minute Walking Test and the International Physical Activity
Questionnaire (IPAQ).
Results:
A clear improvement in PM 6
′
, TUG and IPAQ after three
months was observed. CFM and Tinetti showed unrepresentative
results. Some limitations to the study include the size of the sample
and the fact that all subjects were post surgical patients.
Conclusion:
The functional impact of CRP in the elderly is clearly
positive. The application of TUG in the functional assessment of elderly
proved to be pertinent. It´s of the utmost importance to increase the
referentiation for CRP of the elderly patient, including post surgical.
P-463
Improving general ward outcome in female geriatric rehabilitation
unit through evidence-based practice: a collaborative approach
Hanadi Al Hamad, Amal Abousaad, Navas Nadukkandiyil, Ligi Roy,
Sheeba M jose, Manssor Kappachali, Faizal Umminiyattle, Maryam
Al Obaidely, Ashely Vargheese, FGRU Nursing Staff.
Rumailah
Hospital, HMC
Introduction:
Best Care Always Campaign was designed by Hamad
Medical Corporation (HMC) in partnership with Institute of Healthcare
Improvement (IHI) The campaign aim is to build the capability within
HMC to deliver the safest and the most effective care to the people of
Qatar which is HMCs strategic vision of healthcare. Female Geriatric
and Rehabilitation Unit (FGRU) was selected as pilot unit in Rumailah
Hospital. Problems were identified, change concepts were prioritized
and the work started by running small tests until we reach the reliable
process.
Aim:
To improve the general ward outcome by providing the safest and
quality care to the patients in specific time period. Ensure early
identification of patients at risk of deterioration in 100% of incidents
Avoid unnecessary catheterization for all patients in unit. Ensure at
least 90% compliance to the 5 moments of hand hygiene. All geriatric
patients are included in the monthly multidisciplinary round and
monthly goals set for them. Conduct safety briefing at least once daily
with as many as possible of multidisciplinary team members. Use
SBAR tool for at least 95% of all phone communication between RN and
doctors.
Methodology:
Use the Model for Improvement. Frequent Small Test of
Change. Empowerment of front-line staff thru training and education.
Display of real-time data on the Best Care Always Board. Committed
Multidisciplinary Team Approach. Leadership Active Involvement Key
Learning: Blame hides the truth about error. Culture must be change.
Communicate clearly. Document the facts. Focus on prevention. Learn
from your mistakes and others mistakes.
P-464
Facing the traumatic brain injuries in elderly people
N. Syrmos, N. Haftouras, V. Sanidas.
Ν
eurosurgical Division, General
Hospital of Volos, Volos, Greece
Introduction:
Traumatic Brain Injuries are serious traumatic situa-
tions worldwide.
Aim of this study was to highlight the etiological pattern and the
distribution of Traumatic Brain Injuries in Elderly People in the area of
Magnesia Regional Unit in Central Greece. According to the most
recent data (2011), the population stands at 190,010 people.
Methods:
From May 2014 to May 2016 (24 months), more than 400
elderly patients (>65 years old) presenting to Volos General Hospital
Emergency Department with Traumatic Brain Injuries were included
in this study.
Results:
All the patients underwent clinical and radiological evalu-
ation. Injuries were caused mainly by 1. falls-domestic accidents, 2.
road traffic accidents and 3. other types (assault, sport injuries, other).
Conclusions:
Τ
he appropriate neurosurgical care (3 consultant neuro-
surgeons) and the neurosurgical evaluation are very important in
order to minimize the serious consequences of the Traumatic Brain
Injuries, specially in elderly patients.
P-465
Factors effecting quality of life of elderly in community
R. Özdemir
3
, A. Bora
3
, G. Bahat
1
, C. K
ı
l
ı
ç
1
, F. Tufan
1
, S. Avc
ı
2
, M.A. Karan
1
.
1
Department of Internal Medicine, Division of Geriatric, Faculty of
Istanbul Medicine, Istanbul University,
2
Department of Internal Medicine,
Division of Geriatric, Faculty of Cerrahpasa Medicine, Istanbul University,
3
Faculty of Istanbul Medicine, Istanbul University, Istanbul, Turkey
Introduction:
One-of-the-main-objective-of the geriatric approach
is to provide a better quality of life. In-this-study, we-aimed-to-
investigate the factors associated-with-quality-of-life in community-
dwelling elders.
Methods:
Community-dwelling-elders between 60 and 101 years of
age included in the study. KATZ Activities of Daily Living (ADL) Scale
and the Lawton-Brody Instrumental ADL scale, EQ5D (Euro-Quality-
of-life five dimensions questionnaire), GDS-SF (Geriatric Depression
Scale), MNA-SF (Mini Nutritional Assessment-Short-Form) and FRAIL
scales were used to evaluate functional dependency, quality-of-life,
depression, Malnutrition, and fragility, respectively.
Results:
We included total of 204 elders (94 male-110 female). Mean
age was 75 ± 7.2 years. Age, sex, number of diseases and medications,
urinary incontinence, falls in last year, chronic pain, functionality
score, MNA and GDS scores were adjusted in multivariate analysis.
Worse quality of life score was independently associated with
following factors: advanced age (OR = 0.047, P = 0.001), urinary
incontinence (OR = 0.94, p < 0.001), chronic pain (OR = 1.02, p < 0.001),
lower ADL scores (OR =
−
0.16, p = 0.001), lower MNA score (OR =
−
0.15,
p = 0.001), high depression scores (OR = 0.24, p < 0.001). There was
no association between neither number of disease nor number of
medications.
Conclusions:
We observed that functionality, chronic pain, mood
disorders, malnutrition, urinary incontinence get more place than the
number of drugs and disease with regard to quality of life in the
elderly. Screening and management of geriathric syndromes should be
the main principle in the geriatric evaluation.
Keywords:
Geriathric; Sarcopenia; Nutrition.
P-466
The implications of a program physical activity in relation on
quality of life in the elderly population in Portugal
L. Pedro
1
, J. Pais-Ribeiro
2
, J.P. Pinheiro
3
.
1
ESTESL-IPL, Lisboa,
2
FPCE-
UP/UIPESPorto,
3
FMUC/CHUC, Coimbra, Portugal
Objectives:
Be physically active is very important for the independ-
ence, self-determination and quality of life (QOL) of the elderly. The
aim of this study is to show the importance of a program to promote
physical activity on quality of life in elderly population.
Methods:
This is a prospective study. The study includes 17 people,
aged between 66 and 83 years old, 75% female, 65% married, were
all retired and all had functional independence. The data collection
was performed on seniors universities. To access QOL we use the
questionnaire The Short Form Health Survey (SF-36), that includes
eight functional dimensions.
The program consists of an intervention to promote physical activity
with groups of eight people, in once aweek sessions of 90minutes. The
program was held for seven weeks. In each session were performed a
Poster presentations / European Geriatric Medicine 7S1 (2016) S29
–
S259
S152