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P-090
Fatih district-geriatrics study: mood and cognition of old people
who live in community
O. Bulut
1
, O. Albayrak
1
, G. Bahat
2
, C. K
ı
l
ı
ç
2
, F. Tufan
2
, S. Avc
ı
3
,
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
Aim:
In this abstract, we aimed to investigate the mood and cognitive
problems of old population living in Fatih/Istanbul province.
Material and Method:
Elder people who live in addresses specified
with cluster sampling method were included in the study. Third and
fourth year students of
İ
stanbul Medicine Faculty worked as pollsters.
Pollsters took standart training for related evaluations. Elder people
whose ages between 65 and 101 were included in the study. Cognitive
condition scanning was done with mini-cog test and depression
scanningwas donewith GDS-SF. Life qualitymeasurement with EQ-5D
life quality survey, functional capacity evaluation with 6-items KATZ
Daily Life Activities Skale and 8-items LAWTON-BRODY Instrumental
Daily Life Activities Scale were evaluated accordingly. Number of
illness and drug, present dementhia, hypertension, diabetes and
hyperlipidemia diagnosis were noted.
Results and Discussion
: This study includes 204 old cases (94male,110
female). Average age: 75.4 ± 7.3 year. Table 1 summarizes demographic,
cognitive and mood, functuality and life quality evaluation data and
distribution between genders.While depression scanning pozitiveness
is meaningfully high in women (%22.6 vs %4.3; p < 0.001), mini-cog
scanning test and present dementhis diagnosis are similar in both
genders. Life quality measurement was meaningfully low; chronic
disease and the number of drugs were higher. There is no meaningful
difference between two genders about age about basic GYA point,
present HT, DM, HL diagnoses and subjective health status score.
Conclusion:
Old people in society have significant levels of cognitive
dysfuncion and depressive mood. Depressive mood, low-life quality,
multidisease and drug usage are more and education level and
functionality is less than men for women.
Key words:
geriatri, cognition, mood
P-091
Unmet needs in Portuguese primary care services: a focus on
dementia and other disabling conditions in old age
C. Balsinha
1
, M.J. Marques
1
, M. Gonçalves-Pereira
1
, S. Iliffe
2
.
1
CEDOC,
NOVA Medical School/Faculdade de Ciências Médicas, Universidade Nova
de Lisboa, Portugal;
2
University College London, London, UK
Introduction:
Older people are a heterogeneous group in terms of
multimorbidity and dependence, and amongst chronic diseases
dementia is a major cause of disability.
In Portugal, the primary care gatekeeper role ensures that older people
make large use of these services, often with (frequently undiagnosed)
dementia. Moreover, there are no effective national policies/strategies
regarding the primary care of older people or of dementia.
Little is known about older people
’
s perspectives/satisfaction regard-
ing primary care, although higher stages of activity limitation may be
associated with less satisfaction with medical services. On the other
hand, from the health professionals
’
points of view, GPs find taking
care of older people difficult, and specifically of people with dementia.
Recognizing the challenge of health services to meet long-term needs
of older people with complex chronic health problems, we aim to
explore patients
’
and professionals
’
perspectives regarding the
delivery of primary care services in Portugal, focused on disabling
conditions in general, and dementia in particular.
Methods:
This is a mixed-methods study with quantitative and
qualitative components. In the former, needs for care, quality of life,
and patient
’
s satisfaction will be measured. The latter explores the
perspectives of stakeholders (physicians, nurses, patients, carers)
through focus groups and in-depth individual interviews.
Results:
Here, we focus on the construction of the qualitative study
protocol, guided by literature reviews. Main areas include: patient-
centered care, primary care and older people.
Conclusion:
By exploring unmet needs, we hope to provide evidence-
base to best practice recommendations for older populations with
disabling conditions, including dementia, in Portuguese primary care.
P-092
Dementia
–
when the diagnosis goes beyond
S. Barbosa, P. Fernandes.
USF São Miguel Arcanjo
–
ACES Vale do Sousa
Sul, Paredes, Portugal
Objectives:
Syphilis is caused by the Treponema pallidum and is
spread first through sexual contact. It has predictable stages and awell
established diagnostic and treatment strategies.
Primary syphilis is a solitary nontender genital chancre. The charac-
teristic exanthema of secondary syphilis involves trunk, face and
extremities. The latent stage is further divided into early and late
latency. Three presentations of tertiary syphilis are neurosyphilis,
cardiovascular syphilis and late benign syphilis.
Methods:
Classic review and case report of Secondary Syphilis.
Results:
We present a case of a 73 year-old man, with Type 2 Diabetes,
Hypertension, Obstructive Pulmonary Disease and Duodenal Ulcer.
In April, 2014, he developed a story of weakness, fatigue, behavior
changes as irritability, abnormal gait and dysarthria. A dementia
screening study had been requested. After no significant results and
progressive worsening, he was sent to Neurology, whose main
diagnostic hypothesis was a vascular dementia and started treatment
with Carbidopa+Levodopa. In February, 2015, besides incontinence of
sphincters, he presented a generalized rash characterized by multiple
erythematous, scaly and pruritic lesions, that extended to the face,
trunk and members. Then it was requested VDRL, TPHA and FTA-Abs,
which were positive. Secondary Syphilis was confirmed and he began
treatment with Penicillin benzathine.
Currently treated with Carbidopa+Levodopa, he remains clinically
stable, keeping follow-up by Neurology and Dermatology.
Conclusions:
A high index of suspicion is required because of various
clinical manifestations of the disease. Attention to the history and
physical examination, testing of high-risk populations and appropriate
monitoring can keep this disease under control.
P-093
Promoting successful aging in chronic illness: a study protocol of a
randomized intervention program on physical activity in vascular
cognitive impairment
H. Bárrios
1
, M. Gonçalves-Pereira
1
, A. Verdelho
2
.
1
CEDOC, NOVA Medical
School, Universidade Nova de Lisboa,
2
Department of Neurosciences
(Neurology), Hospital de Santa Maria/ CHLN, Universidade de Lisboa,
Portugal
Introduction:
Primary prevention in young adults will improve health
in successive cohorts of older people, but much of the potential to
reduce disease burden will come from more effective primary,
secondary and tertiary prevention targeting older people. This is
especially important for age-dependent disorders like dementia.
Epidemiological studies suggest that physical activity can potentially
prevent functional decline and promote successful aging (SA) in
healthy elderly. However data on randomized trials of physical activity
on SA of people with vascular cognitive impairment is lacking.
Methods:
Our aim is to evaluate the effect of physical activity on the
components of SA (engagement, personal resources, cognitive
function and functional abilities) of subjects with vascular cognitive
impairment without functional deficit at baseline. As secondary
objectives, we intend to identify determinants of SA in a population
with vascular cognitive impairment, and study the impact of the
intervention on health resources utilization. Three hundred commu-
nity dwelling participants will be recruited, and randomized to
intervention (walking 45 minutes/day, 5 times/week, for six months)
or control group. Besides demographic variables, SA, cognitive and
Poster presentations / European Geriatric Medicine 7S1 (2016) S29
–
S259
S52