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Bari-Italy (AAB) for a multicenter survey on to determine the needs

and preferences of caregivers for improving the assistance of dementia

patients, and guiding technological development of MARIO.


A six minute video on technological devices and functions

of MARIO was showed, and all caregivers fulfilled a 43-item question-

naire that explored four areas: A) Acceptability, B) Functionality,

C) Support devices, and D)Impact.


Caregivers declared that to facilitate acceptance (within

60.4%) and to improve functionality of MARIO (within 52.8%) should

be important/likely/useful.

Within 65.9% of caregivers reported that following support devices in

MARIO could be useful for their patients: (1) for monitoring bed-rest

and movements, (2) for monitoring the medication use, (3) for

monitoring the ambient environmental conditions, (4) for regulating

heating, humidity, lighting and TV channel, (5) for undertaking

comprehensive geriatric assessment, (6) for link to care planning, (7)

for monitoring physiological deterioration, and (8) for monitoring

cognitive deterioration.

Within 64.5% of caregivers declared that MARIO should be useful to

improve quality of life, quality of care, safety, emergency communica-

tions, home-based physical and/or cognitive rehabilitation programs,

and to detect isolation and health status changes of their patients.


MARIO is a novel approach employing robot compa-

nions, and its effect will be: (1) to facilitate and support persons with

dementia and their caregivers, and (2) reduce social exclusion and



Improving the quality of discharge summaries for older patients

D.J. Forster, S.E.L. Gilson.

Hampshire Hospitals Foundation Trust


Discharge summaries are often the only communica-

tion between secondary and primary care following hospital admis-

sion. It is crucial they are completed, with adequate information,

especially for patients with multiple comorbidities and functional

impairment. The Academy of Medical Royal Colleges issued


Clinicians Guide to Record Standards

indicating what discharge

summaries should include.


Details of all patients over 80 on a given day across 5 medical

wards were collected. When available, discharge summaries were

reviewed using AClinicians Guide to Record Standards as our standard.

Re-audit using the same methods occurred 4 months later, following

the introduction of a new discharge summary format and depart-

mental teaching highlighting the importance of discharge summaries.


120 patients were sampled in cycle 1. 113 discharge

summaries were available. 129 patients were sampled in cycle 2,

with 73 discharge summaries available at the time of sampling. 34%

discharge summaries used the new format. Improvements were seen

in completion of diagnosis on discharge (92

98%); past medical

history (50

75%); explanation of medication changes (68


functional status (35

39%); resuscitation status (3

36%) and follow

up plans (85

89%). Where the new format is used, all standards were

met except for explanation of medicine changes (94%) and functional

status (56%).

Key conclusions:

The old discharge summary is still being used. When

used, almost all standards are met with the new format. Focus is now

on increasing use of this and including functional status when it is



Appropriateness of emergency department visits of older

population living nursing homes (75 Year old and over) in


s hospital

N. Marques


, E. Barnay


, V. Scolan


, M. Maignan


, S. Perrin-Besson



F. Trinchero


, E. Dubie


, P. Lesage


, G. Gavazzi




Tertiary hospital of

Chambéry, France;


University Hospital of Grenoble-Alpes


The attendance of emergency department (ED) by

the older population who are dependent is constantly increasing.

This study analyzed the consultation of ED by elderly who are 75

years or older, coming from nursing homes, and described the

inappropriate ones.


Descriptive retrospective epidemiological study conducted

from January to June 2014 at the ED of Chambéry Hospital. The

assessment of relevance was performed on a grid of explicit criteria

with the French version of the Appropriateness Evaluation Protocol

(AEPf). The distinction between irrelevant admissions (AEPf-) and the

relevant ones (AEPf +) was done and then two experts independently

overrode the AEPf



465 admissions were included.136 (29,2%) were AEPf

. The


were less polymedicated (83% versus 68%; p = 0,0003). Their

hospitalization rate was lower (43% versus 77%, p < 0,001). Out of the

136 AEPf

, 17 were finally considered as justified (12,5%), 60 (44%)

unjustified by experts and 59 (43,5%) were subject of disagreement

(k = 0,16, p < 0,0001). For the unjustified group, diagnostic or thera-

peutic advice was the main needed expertise at ED. After the

override, preventability rate was 13,7% according to geriatrician,

versus 24,7% for the ED expert.


The admissions of patients from nursing homes were

deemed irrelevant for 29,3% of cases. Experts confirm that half of them

were not relevant for ED admission. The preventability rate was

assessed differently depending on whether the expert is a geriatrician

(13,7%) or an Emergency Physician (24,7%).


How to create a geriatric outpatient care

J. Gorjão Clara


, L.M. Batista


, S. Estevão


, F. Parreira


, S. Fernandes




Hospital CUF Descobertas,


Faculty of Medicine of University of Lisbon,

Lisbon, Portugal


With the increase of the life expectancy, the prevention and

treatment of aging-associated diseases became a challenge for

healthcare professionals. According to literature, specialized health

services for elderly patients are still an area in development in

Portugal, although the awareness of this need have increased greatly

in the last years. To address this problematic, a multidisciplinary

geriatrics outpatient care was created in a private hospital, which until

then only existed in a public hospital. The applied model, based on the

Comprehensive Geriatric Assessment, has been used in Faculty of

Medicine of University of Lisbon for five years. To make this model

useful to those who would want to follow it, this study describes the

methodology and the indicators used during clinical evaluation. This

work could serve as an example of aworkflow to be replicated in other

health care units, contributing also to improve the practices and

teaching of geriatric care in Portugal.


Being a Type II or III patient is the main inclusion criteria.

Due to the multidisciplinary character of the outpatient care, patients

evaluation is done in a multiple-step procedure. A set of assessment

scales is applied, being the collected data evaluated statistically. The

last step comprehends the combined analysis of all the outputs, aiming

to adapt the treatment to the patient

s needs. The satisfaction level and

health improvement is evaluated posteriorly through standardized



Despite being a new service, preliminary results indicate

improvements in the patients

quality of life and in the customization

of their clinical care.


Exploring staff training in the use of monitoring technologies in

care homes

A. Hall


, C. Brown Wilson


, E. Stanmore


, C. Todd




University of

Manchester, UK;


University of Queensland, Brisbane, Australia


This study explores facilitators and barriers to imple-

mentation of monitoring technologies in nursing and residential care

homes for people with dementia.


AYinian case study approach [1], with participants recruited

from three dementia-specialist care homes in North-West-England.

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