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P-389: Geriatric medicine in Poland
S136
Poster presentations / European Geriatric Medicine 6S1 (2015) S32–S156
P-388 Discharge summaries: maximising opportunities to improve transition of care A. Vilches-Moraga1 , J. Turner1 , J.K. Taylor1 , A. Pearl1 , O. Gaillemin2 , J. Fox1 1 Salford Royal NHS Foundation Trust, Salford, Manchester, United Kingdom; 2 Salford Royal Hospital NHS Foundation Trust, Salford, Manchester, United Kingdom Objectives: Studies have demonstrated discharge summary quality is insufficient in terms of timeliness, transmission, and content. We introduced an ‘enhanced’ discharge summary for older people discharged from our Acute Medical Unit to improve the transition of care between secondary and primary care, and to improve patient understanding. Methods: We compared consecutive discharge summaries against approved discharge documentation standards before and after changes in our practice. We also asked a cohort of older patients and their General Practitioners (GPs) to comment on the quality of our new discharge summaries. Results: We reviewed 60 discharge summaries, 30 before and 30 after the intervention. Before, 12(40%) of summaries were written by a clinician involved in the patient’s care and this improved to 23(76%). The mean number of quality components increased from 4.75 to 5.2, with the number of summaries including all 6 components increasing from 10(33%) to 16(53%). Information for patients, written in nonmedical language, was included in 9(30%) summaries before and 22(73%) after. Patients found discharge summaries useful especially when signposting information was included. However, only 2/11 (18%) had the written information explained to them verbally, which they would have liked. Only 5/11 (45%) of GPs responded and all described the new summary as good or excellent. Conclusions: Discharge summary quality is improved when completed by a clinician involved in the patient’s care. Simple changes to discharge summary content, including signposting information, are viewed positively by patients and GPs, but patients would prefer both verbal and written information. P-389 Geriatric medicine in Poland K. Wieczorowska-Tobis Poznan University of Medical Sciences, Poznan, Poland Poland belongs to those countries in Europe with the lowest relative numbers of geriatric beds and geriatricians. Thus, the aim of the study was to characterise geriatric care in Poland. The data for this analysis was obtained from national and local registers. As of December 31st 2014 there were 343 certified geriatricians and 818 geriatric beds (2.2 beds and 0.9 geriatricians per 100000 inhabitants). As far as geriatricians are concerned, 41 were older than 65 years and 23 – older than 70 years. Moreover, only about 50% of them were active in the geriatric field, due to limited number of geriatric units throughout the country. This state results from restricted funding of geriatrics by the National Health Fund which is responsible for public health care system in Poland. There are strong regional differences in the distribution of geriatric care is Poland. The best values has the Silesia region, with a total of 256 geriatric beds. However, even in this region the number of beds decreased by more than 10% between 2012 and 2014. In this context it must be pointed out that, according to a recent publication by the High Chamber of Control in which yearly costs of health care for patients after geriatric and internal hospitalisation were compared, the amounts spent were lower for those who were hospitalised in geriatrics (about 400 Euro).
In conclusion, with no changes in the health care system in Poland the future of geriatric medicine is uncertain. P-390 Robots in the care for elderly – defining users requirements K. Wieczorowska-Tobis1 , A. Suwalska1 , M. Cylkowska-Nowak1 , S. Kropinska1 , S. Tobis1 , A. Tapus2 , C. Salatino3 , H. van den Huevel4 , P. Barattini5 , M. Ghrissi6 , R. Rosso7 1 Poznan University of Medical Sciences, Poznan, Poland; 2 ENSTA ParisTech, Universit´e Paris-Saclay, Paris, France; 3 Fondazione Don Carlo Gnocchi, Milano, Italy; 4 Smart Homes, Eindhoven, Netherlands; 5 Kontor 46, Torino, Italy; 6 Robosoft Services Robots, Bidart, France; 7 Elettronica Bio Medicale, Vicenza, Italy “ENRICHME” (Horizon 2020) project tackles the progressive decline of cognitive capacity in the ageing population adopting an integrated platform with a service robot for long-term human monitoring and interaction. In this context, it is important to explore the impact of such a system on the users’ life (elderly and caregivers). However, robots’ role must be defined carefully by taking into consideration not only complex ethical and legal issues but also the users’ needs and expectations. This study aims to develop a tool to collect opinions about the robot-related requirements. Based on the literature review and experts’ opinions the Users’ Needs, Requirements and Abilities Questionnaire (UNRAQ) was developed. It assesses the users’ willingness to interact with robots and the role of robots considering also the social and assistive perspective. Pictures of the Kompaï robot are shown to the users in order to give them a more realistic image of the robot concept. Data are collected in France, Greece, Italy, Netherland, Poland, and UK. The preliminary results show that currently THE elderly are not ready to manage with robots, but they will be able in the near future as the technology becomes more popular. They want the robot to instruct them what to do in case of any problem with its operation. They believe that they should control over the robot. It should be noted, though, that also caregivers express the wish to control over the robot. Our preliminary results show the usefulness of the UNRAQ as a tool to analyze robot-related requirements.
Pharmacology P-391 STOPP/START version 2 criteria for potentially inappropriate prescribing in hospitalised Spanish elderly E.H. Azana Fernandez Hospital San Juan de Dios, Le´ on, Spain Introduction: Screening tool of older people’s prescriptions (STOPP) and screening tool to alert to right treatment (START) criteria were first published in 2008. Version 2 of STOPP/START, with 114 criteria, represents a 31% increase in the total number of criteria included in version 1. Objectives: Assess the prevalence of potentially inappropriate medication use in older people. Method: We retrospectively studied patients hospitalised at Geriatric Department during October to November 2014. Diagnoses and pre-admission medication were recorded. Results: 100 patients were included, mean patient age was 85.26±5.4 years. 72% were female. Mean Charlson’s index: 1.97. Mean number of prescription medicines: 7.9. Polypharmacy (≥ 5 drugs): 76%. Excessive polypharmacy (≥10 drugs): 38%. Potentially inappropriate medications (PIMs): STOPP identified 94 PIMs affecting 70 patients, the most frequently encountered PIM
Poster presentations / European Geriatric Medicine 6S1 (2015) S32–S156
P-388 Discharge summaries: maximising opportunities to improve transition of care A. Vilches-Moraga1 , J. Turner1 , J.K. Taylor1 , A. Pearl1 , O. Gaillemin2 , J. Fox1 1 Salford Royal NHS Foundation Trust, Salford, Manchester, United Kingdom; 2 Salford Royal Hospital NHS Foundation Trust, Salford, Manchester, United Kingdom Objectives: Studies have demonstrated discharge summary quality is insufficient in terms of timeliness, transmission, and content. We introduced an ‘enhanced’ discharge summary for older people discharged from our Acute Medical Unit to improve the transition of care between secondary and primary care, and to improve patient understanding. Methods: We compared consecutive discharge summaries against approved discharge documentation standards before and after changes in our practice. We also asked a cohort of older patients and their General Practitioners (GPs) to comment on the quality of our new discharge summaries. Results: We reviewed 60 discharge summaries, 30 before and 30 after the intervention. Before, 12(40%) of summaries were written by a clinician involved in the patient’s care and this improved to 23(76%). The mean number of quality components increased from 4.75 to 5.2, with the number of summaries including all 6 components increasing from 10(33%) to 16(53%). Information for patients, written in nonmedical language, was included in 9(30%) summaries before and 22(73%) after. Patients found discharge summaries useful especially when signposting information was included. However, only 2/11 (18%) had the written information explained to them verbally, which they would have liked. Only 5/11 (45%) of GPs responded and all described the new summary as good or excellent. Conclusions: Discharge summary quality is improved when completed by a clinician involved in the patient’s care. Simple changes to discharge summary content, including signposting information, are viewed positively by patients and GPs, but patients would prefer both verbal and written information. P-389 Geriatric medicine in Poland K. Wieczorowska-Tobis Poznan University of Medical Sciences, Poznan, Poland Poland belongs to those countries in Europe with the lowest relative numbers of geriatric beds and geriatricians. Thus, the aim of the study was to characterise geriatric care in Poland. The data for this analysis was obtained from national and local registers. As of December 31st 2014 there were 343 certified geriatricians and 818 geriatric beds (2.2 beds and 0.9 geriatricians per 100000 inhabitants). As far as geriatricians are concerned, 41 were older than 65 years and 23 – older than 70 years. Moreover, only about 50% of them were active in the geriatric field, due to limited number of geriatric units throughout the country. This state results from restricted funding of geriatrics by the National Health Fund which is responsible for public health care system in Poland. There are strong regional differences in the distribution of geriatric care is Poland. The best values has the Silesia region, with a total of 256 geriatric beds. However, even in this region the number of beds decreased by more than 10% between 2012 and 2014. In this context it must be pointed out that, according to a recent publication by the High Chamber of Control in which yearly costs of health care for patients after geriatric and internal hospitalisation were compared, the amounts spent were lower for those who were hospitalised in geriatrics (about 400 Euro).
In conclusion, with no changes in the health care system in Poland the future of geriatric medicine is uncertain. P-390 Robots in the care for elderly – defining users requirements K. Wieczorowska-Tobis1 , A. Suwalska1 , M. Cylkowska-Nowak1 , S. Kropinska1 , S. Tobis1 , A. Tapus2 , C. Salatino3 , H. van den Huevel4 , P. Barattini5 , M. Ghrissi6 , R. Rosso7 1 Poznan University of Medical Sciences, Poznan, Poland; 2 ENSTA ParisTech, Universit´e Paris-Saclay, Paris, France; 3 Fondazione Don Carlo Gnocchi, Milano, Italy; 4 Smart Homes, Eindhoven, Netherlands; 5 Kontor 46, Torino, Italy; 6 Robosoft Services Robots, Bidart, France; 7 Elettronica Bio Medicale, Vicenza, Italy “ENRICHME” (Horizon 2020) project tackles the progressive decline of cognitive capacity in the ageing population adopting an integrated platform with a service robot for long-term human monitoring and interaction. In this context, it is important to explore the impact of such a system on the users’ life (elderly and caregivers). However, robots’ role must be defined carefully by taking into consideration not only complex ethical and legal issues but also the users’ needs and expectations. This study aims to develop a tool to collect opinions about the robot-related requirements. Based on the literature review and experts’ opinions the Users’ Needs, Requirements and Abilities Questionnaire (UNRAQ) was developed. It assesses the users’ willingness to interact with robots and the role of robots considering also the social and assistive perspective. Pictures of the Kompaï robot are shown to the users in order to give them a more realistic image of the robot concept. Data are collected in France, Greece, Italy, Netherland, Poland, and UK. The preliminary results show that currently THE elderly are not ready to manage with robots, but they will be able in the near future as the technology becomes more popular. They want the robot to instruct them what to do in case of any problem with its operation. They believe that they should control over the robot. It should be noted, though, that also caregivers express the wish to control over the robot. Our preliminary results show the usefulness of the UNRAQ as a tool to analyze robot-related requirements.
Pharmacology P-391 STOPP/START version 2 criteria for potentially inappropriate prescribing in hospitalised Spanish elderly E.H. Azana Fernandez Hospital San Juan de Dios, Le´ on, Spain Introduction: Screening tool of older people’s prescriptions (STOPP) and screening tool to alert to right treatment (START) criteria were first published in 2008. Version 2 of STOPP/START, with 114 criteria, represents a 31% increase in the total number of criteria included in version 1. Objectives: Assess the prevalence of potentially inappropriate medication use in older people. Method: We retrospectively studied patients hospitalised at Geriatric Department during October to November 2014. Diagnoses and pre-admission medication were recorded. Results: 100 patients were included, mean patient age was 85.26±5.4 years. 72% were female. Mean Charlson’s index: 1.97. Mean number of prescription medicines: 7.9. Polypharmacy (≥ 5 drugs): 76%. Excessive polypharmacy (≥10 drugs): 38%. Potentially inappropriate medications (PIMs): STOPP identified 94 PIMs affecting 70 patients, the most frequently encountered PIM