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criteria for diagnosis clearer, and highlight the danger of treating

asymptomatic bacteriuria. We also intend to pilot removing leucocytes

and nitrites from our urine dipsticks to reduce over-diagnosis based on

these results which have a poor positive predictive value in older

people. We will evaluate the effect of these measures using a quality

improvement programme.


A survey study on perceptions and attitudes of nurses and nursing

aides toward oral and body hygiene for hospitalized geriatric


E. Janssens


, E. Steeman


, K. Milisen




Department of Public Health

and Primary Care, KU Leuven, University of Leuven, Academic Centre for

Nursing and Midwifery, Leuven,


Nikolaas General Hospital, Sint-Niklaas,


Department of Internal Medicine, Division of Geriatric Medicine,

University Hospital Leuven, Leuven, Belgium


Many nurses perform body hygiene for geriatric

patients on a daily basis while the performance of oral hygiene is

often skipped. Insight into perceptions of caregivers toward personal

hygiene for geriatric patients might help in setting up strategies to

improve nursing care for oral and body hygiene.


The Personal Hygiene Perceptions and Attitudes Question-

naire was developed, validated and distributed to 312 nurses and

nursing aids of a non-academic general hospital.


Most commonly reported barriers in performing oral hygiene



s resistance

(53%) and

Not enough time

(37%). This

was 37% and 6% for body hygiene, respectively. Overall 49% and 20%

experienced no barrier for body hygiene and oral hygiene, respectively.

Oral hygiene and body hygiene was a priority in 88% and 97%,

respectively. For all different oral care interventions, at least 75% of the

caregivers agreed on the statement

I have enough knowledge about

this specific care interventions


I think this care aspect of oral

care is important

. Only 21% performed oral care interventions

according to the recommended frequency. 100% indicated that they

had sufficient knowledge about all different nursing interventions for

body hygiene and considered these interventions as important.


Nurses give more priority to body hygiene at the

expense of performing oral hygiene. Oral care isn

t performed

according to the recommended frequency, most likely because of the

perceived barriers.


Contrast induced nephropathy in elderly patients undergoing CT

pulmonary angiogram

P. Jarvis, D. Tiwari, M. Vassallo.

Royal Bournemouth Hospital


The demand for acute admissions has risen relentlessly.

Early discharges are now a feature of many admissions. The risk of

contrast induced nephropathy (CIN) is around 2% with normal renal

function, this is much higher when patients have additional risk

factors such as diabetes, heart failure and being aged over 75 years. We

studied the incidence of CIN following in-patient CTPA in older adults

in order to develop guidelines for the ambulatory care environment.


Retrospective audit of 80 patients aged over 80 years having

an inpatient CTPA at Royal Bournemouth Hospital over 4 months.

Additional risk factors for each patient were sought. Baseline, pre and

post contrast renal function was assessed. The number of patients

developing acute kidney injury (AKI) after contrast administrationwas

identified and pre and post exposure preventative strategies were

assessed in all patients. The definition of AKI used was either a serum

creatinine rise by



mol/L within 48 hours or a serum creatinine


1.5 fold from the baseline value.


75% of patients studied had at least 2 identifiable risk factors

for CIN. 27.5% (22/80) of patients had no blood tests following

CTPA. Of the remaining patients 12% (7/58) had an AKI on post contrast

blood tests. 72% (53/74) of patients did not receive pre CTPA hydration.


Elderly patients are at greater risk of AKI following CTPA

and follow up blood tests should be requested. Additional risk factors

for CIN should be identified pre CTPA and I.V. hydration given if



Elderly people readmitted to hospital for acute medical


implications for occupational therapy

M. Jönsson


, P. Appelros


, C. Fredriksson




Department of Medicine,

Örebro University Hospital and School of Health Sciences, Örebro



Department of Neorology, Örebro University Hospital,


Department of Health and Medicine, School of Health Sciences,

Örebro University, Örebro, Sweden


Being old and visiting acute care several times has been

shown to be more than a medical problem. Aging individuals often

have a vulnerable life situation, with physical frailty combined with

mental disorders. In occupational therapy it is important to assess and

describe the elderly patients

ability to perform activities of daily living

(ADL) and cognitive function. The aim is to describe ADL, cognitive

function but also the risk for pressure sores, malnutrition and falls in

this group.


This was a comparative study, where data were collected

during four months. Persons 75 years, were assessed on one occasion

by an occupational therapist using the ADL-taxonomy and the MMSE.

Risks for pressure sores, malnutrition and falls were assessed using

Risk Assessment Pressure Sores, Mini Nutritional Assessment, and

Downton Fall Risk Index. External data was used for comparison.


60 persons were included, mean age was 84 years. The

patients had a median of 4 diagnoses. Mean hospital stay was 5 days.

Most patients were independent in food intake. There was a high

degree of dependency in other ADL activities. Nineteen of 48 patients

had 24 point or lower in MMSE. Compared to an age-matched sample,

these patients showed a higher risk for pressure sores, risk for falls and

dependency in ADL.


There is a need for assessments of ADL, cognition, risk for

falls, and pressure sores in older people who are readmitted to

hospitals. Such assessments, and necessary interventions taken, may

prevent unnecessary admissions.


Is it possible to use physical-functional tests in an emergency


B. Bæksted Jørgensen


, M. Gregersen


, E.M. Damsgaard





of Geriatrics, Aarhus University Hospital, Aarhus, Denmark


The use of physical-functional tests in geriatric patients

acutely admitted to an emergency department (ED) needs to be

examined to ensure that appropriate measures are provided when a

functional decline is demonstrated. The aim of this study was to

examine the feasibility of the


, the

30-s chair stand test


and the

Modified 30-s chair stand test

which allows use of arm rests.


Twenty-five community-dwelling 75+ years old adults

admitted to an ED during a period of 30 days. On random days the

patients with the most frequent geriatric diagnoses: pneumonia,

urinary tract infections, other infections, delirium, constipation,

anemia, COPD, dehydration, and heart failure were selected. The

patients were tested by the three physical-functional tests on the first

day of admittance and prior to transfer to a geriatric ward or discharge.

The tests were part of a comprehensive geriatric assessment in the ED.

They were performed by a trained physiotherapist and carried out on

the patient

s room and the hospital hallway.


The patients

mean age was 88.4 years (±4.3), (range 84


Sixty percent were women. The


could be performed

in 72% of the patients, the

30-s chair stand test

in 20% and the

Modified 30-s chair stand test

in 30%. Severely impaired cognitive

function, pain, unconsciousness, and severe osteoporosis made the

tests unfeasible.


Only the


may be feasible in an emergency

department to identify functional decline in very old geriatric patients

with acute illness.

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