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Results:
In the development stage, 100 individual learning
outcomes were identified, reflecting 16 domains. Following the stage
2 validation process, 98 items remained. All items were approved by
the relevant EU societies. In the final validation step, the curriculum
was formally approved by the UEMS sections for Geriatric Medicine
and Emergency Medicine (responsible for curriculae in the respective
disciplines).
Key conclusions:
This curriculum was developed as a formal
collaboration between EUSEM and EUGMS (European Task Force
in GEM) and reflects the need to match the educational development
of a workforce with the changing demographic of the patient
population. The next challenge is ensuring it is embedded into
practice. Future work to address these challenges is underway through
the development of a GEM conference, GEM textbook and dissemin-
ation of information through journal publication and conference
presentations.
O-064
Understanding of the information received at hospital discharge.
Improving communication with caregivers
M.M. González, M.C. Deza, I. Ferrando, C. Cánovas.
Hospital Nustra
Señora de Gracia, Zaragoza, España
Objectives:
The high prevalence of chronic illnesses suffered by the
geriatric patient sometimes makes difficult the understanding of the
information by the caregiver. We want to analyze the level of
understanding of the information given to the family and their
satisfaction.
Methods:
This is a descriptive and prospective study with
inpatients between October-December 2015. Interview with the
main caregiver after the patient
’
s discharge. Knowledge degree of
the patient
’
s medical history and consistency with the real
pathologies. Satisfaction with given information, used language.
SPSS.
Results:
172 patients included, mean age was 86,65. 64,5% women.
5,8% lived on their own, 19,2% with their spouse, 34,9% with offspring,
32,6% in residence. Barthel at discharge: <20: 37,5%, >60: 25,1%. MSQ
Pfeiffer >3: 54,5%. Charlson: 6,92. Knowledge degree about patients
’
medical history: tumor 63,6%, HBP (High Blood Pressure) 67,2%,
cardiac insufficiency 54%, COPD (Chronic Obstructive Pulmonary
Disease) 71,8%, diabetes 72,2%, renal failure 35,1%, anaemia 62,5%,
thyroid disease 25%, arthrosis 32%, stroke 68,8%, dementia 70%,
Parkinson disease 75%, depression 11,4%. Type of information: 40,1%
wants complete information in colloquial language, 28,5% what the
physician considers as appropriate, 14% very simplified, 5,8% in
complex medical terms. 4% goes to the Internet. Satisfaction level
with the information: 43% very satisfied, 43% satisfied, 7% improvable,
1,2% not satisfied.
Conclusion:
Caregiver
’
s satisfaction with the information received in
the hospital is adequate, but there is a low knowledge degree about
the patient
’
s illnesses. We haven
’
t found a relationship with the
main caregiver
’
s profile. It seems necessary to search for strategies
that facilitate communication with the family in the hospital
settings, after analyzing where the possible opportunities for
improvement may be (time, dedication, appropriate language or
environment).
O-065
Inter-professional education (IPE) in geriatric medicine:
experiences of medical and nursing students from Oxford
University Medical School and Oxford Brookes University
K. Boncey, G.S. Alg, S. Winner, L. Flynn, N. Butt, K. Ashton, J. Bowen,
M. Giles, N. de Savary, J. Martin, S. Tanner, S. Singh, D. Johnson,
H. Bothwell, J. Rudney, Z. Hussain, A. Aquata.
Department of Clinical
Geratology, John Radcliffe Hospital Oxford UK, Oxford University Medical
School, UK
Introduction:
There are concerns about effective teamwork between
nurses and doctors. Unreadiness for collaboration, poor com-
munication and bullying relationships affect the quality of patient
care. Unwell elderly patients with challenging/complex problems have
improved health outcomes when they receive collaborative care from
multidisciplinary teams (geriatricians, nurses, therapists). However,
little is known in geriatrics about the effect of IPE on readiness for
collaboration between nurses and doctors. Our study (started in 2015)
aims to determine this.
Methods:
Medical/nursing students participated in IPE sessions
supervised by nurses/geriatricians. The sessions involved discuss-
ing cases which highlighted scenarios involving collaboration
between healthcare staff. 54 nursing and 50 medical students
completed Readiness for Inter-professional Learning (RIPL) ques-
tionnaires, before and after sessions. Mean RIPL subscale scores
were compared with a Wilcoxson signed-rank test to determine if
the IPE intervention changed student
’
s attitudes. A group contain-
ing only medical students acted as a control. Free text feedback
addressed the roles of nurses/doctors and concerns about learning
together.
Results:
Nursing students in mixed groups had significant improve-
ments in 2 areas:
“
negative professional identity
”
(P = 0.0143) and
“
positive professional identity
”
(P = 0.0069). Medical students in
mixed groups had significant improvements in 3 areas, notably
“
teamwork and collaboration
”
(P = 0.0012), but also both
“
negative
”
and
“
positive professional identity
”
. None showed improvement in
the
“
roles and responsibilities
’
subscale. The control group had no
significant improvement in any subscale scores.
Conclusion:
This study continues to demonstrate IPE is an effective
teaching method in geriatrics which can improve student
’
s commu-
nication/teamwork skills and their perceptions of further shared
learning.
O-066
Gait pattern of healthy old people for fast walking condition
S. Gillain, M. Boutaayamou, C. Schwartz, M. Demonceau, C. Gerontitis,
E. Salmon, J-L. Croisier, O. Brüls, G. Garraux, J. Petermans.
University
Hospital of Liège, Belgium
Background:
Gait patterns of healthy ageing are needed to allow a
comparison with pathological situations. However few data are
available. Objective: To present gait pattern of healthy older specially
checked to be
‘
healthy walkers
’
.
Method:
140 volunteers benefited of a geriatric assessment
including clinical and functional evaluations in order to exclude
those having neurologic disorders, a history of fall, a previous
stroke, neuroleptic drugs or alcohol consumption, mood or
cognitive disorders and musculoskeletal complains. Gait data
were simultaneously recorded using a tri-axial accelerometer
carried on the waist and four 3D markers placed on each foot at
the level of the heel and the toe. Volunteers walked at fast self-
selected speed. The extracted gait parameters were: gait speed,
stride length, stride frequency, regularity and symmetry, swing and
stance time, double support time and minimum toe clearance.
Gait speed and stride length were normalized to the right leg
length. A statistical analysis was carried out using SAS 9.4 version.
Results were considered statistically significant at the 5% critical
level a (p-value < 0.05).
Results:
Data of twelve gait parameters from sixty six
“
healthy
walkers
”
mean aged of 70 years old (min 65 and max 88 years) were
presented according to gender and age. Significant differences were
shown according to gender.
Conclusions:
This work provides reference gait values from
healthy elderly people which can be used by clinicians and
researchers.
Oral presentations / European Geriatric Medicine 7S1 (2016) S1
–
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