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Prevention of fractures in patients with osteoporosis
S126
8th Congress of the EUGMS / European Geriatric Medicine 3S (2012) S33–S143
a template for national initiatives to address the financial abuse of older people. Disclosure.– No significant relationships. http://dx.doi.org/10.1016/j.eurger.2012.07.308 P308
The use of screening tools in elder abuse A. Phelan National Centre For The Protection Of Older People, University College Dublin, Dublin, Ireland Introduction.– As prevalence studies indicate that elder abuse is a significant issue for older people, the issue of early recognition of risk factors and perpetration of abuse are critical. Screening for elder abuse is imperative as elder abuse may be unidentified due to a myriad of obstacles. This paper examines the issues related to screening, the use of screening tools in the literature and factors with impinge on identification. Text.– The recognition and identification of elder abuse are important elements of addressing mistreatment of older people. This is particularly essential when prevalence studies are compares to official report of elder abuse to state services (Naughton et al., 2010 compared to HSE 2010). The use of screening tools in elder abuse had mixed success. There are arguments that the concept of screening is unsuitable for elder abuse (Lachs 2004), however, several existing tools have shown some promise. This paper examines selected screening tools and identifies advantages and disadvantages within the context of use in older populations. Disclosure.– No significant relationships. http://dx.doi.org/10.1016/j.eurger.2012.07.309 P309
A five-step model for pharmacist intervention in the detection and treatment of cognitive impairment diseases D. Stringer a,∗ , G. Devereaux b , C. Munoz c , G. Becotte a N/a, Gateway Rural Health research Institute, Seaforth, ON, Canada b Nursing, Gateway Rural Health Research Institute, Seaforth, ON, Canada c Scientific Director, gateway rural health research institute, Seaforth, ON, Canada
a
Introduction.– Community Pharmacists are an untapped resource for the detection and treatment of cognitive diseases through their long association and frequent contact with their patients. We have identified a five-step mnemonic device to assist pharmacists in detecting cognitive impairment. Text.– Pharmacists have the clinical ability to recognize physical and mental changes in patients. A shift in role to that of a clinical advisor leads us to propose a set of tools that pharmacists can use in a community pharmacy setting to note mental change and act appropriately when the changes and subsequent testing confirm a problem. We propose Five “R”’s to remember to identify mannerisms and characteristics of mental decline. Refill, Regard, Reveal, Request and React are an encapsulation of changes that occur as cognitive ability declines. These are incorporated from the Alzheimer Society of Canada guidelines. Pharmacists can make use of a “screening on the fly” procedure that has a pharmacist administer a MMSE or Mini Cog test to the patient who is identified in the checklist. If the patient fails the mental cognition exam, the pharmacist can begin to provide education material to the patient and his family and a changed approach to the dispensing of this patient’s medication. We propose that pharmacists take an active role in counseling on dementia, administration of mental acuity courses, incorporation of computer programs designed for dementia prevention, advocacy for the patient in the health care system and provision of diet/lifestyle improvements.
Disclosure.– No significant relationships. http://dx.doi.org/10.1016/j.eurger.2012.07.310 P310
Prevention of fractures in patients with osteoporosis I. Sierra-Martínez a , L. Sierra-Martínez b , R. Martínez-Fuerte b,∗ Traumatology Department, Hospital of Medina del Campo (Valladolid), Valladolid, Spain b Valladolid Este Primary Assistance Gerency, Valladolid, Primary Assistance, Valladolid, Spain
a
Introduction.– Most osteoporotic fractures (OF) occur in the elderly, consuming significant resources, health, social and economic in the process of diagnosis and treatment. With the implementation of the computerized medical record, the use of his data recorded prevalence studies allows us to justify the implementation of prevention activities. Text.– Aims.– Using records from the Medical Record Informatics (MRI) to determine the prevalence of fractures in patients with osteoporosis (OP) to promote the Preventive Services Primary Health Care(PC) and the Specialist Orthopaedic and Traumatology Surgery(OTS). Design.– The authors conducted a descriptive cross-sectional study of patients diagnosed with OP and OF, registered in MRI. Method.– From the list of patients with MRI, we selected 753 patients who have a diagnosis OP, we studied the prevalence-OP and the prevalence-OF. We analyzed the causes of breakage. Data are collected on a Excel spreadsheet and analyzed using SPSS 9.0Windows. Results.–– Patients with OP in our health center corresponds to 20% of the population > 50 years.– Seven hundred and fifty-three patients-OP: 687women, 66 men.womanOP/menOP:10/1.– Six hundred and eighty-seven women with MRI in the diagnosis-OP: Prevalence-OF = 31.99%. 1 OF-hip: 5.09%. 2 OF-spine: 6.6%. 3 OFtwang-foot: 3.8%. 4 FO-humerus: 5.8%, 5 FO-wrist: 10.7%.– Sixtysix men with MRI in the diagnosis-OP: Prevalence-OF = 16.7%. 1 OF-hip: 3%. 2 OF-spine: 6.2%. 3 OF-twang-foot: 4.5%. 4 OFhumerus: 1.5%. 5 FO-wrist: 1.5%.– Falls at home was the cause in 82% of cases. For defects of vision, collision with obstacles and falls from ladders. Conclusions.– Twenty percent of the population > 50 years of our HCI has recorded the diagnosis of OP(woman/men 10/1) PrevalenceOF woman/men 2/1, which justifies the implementation of a Plan Health Improvement, including Education Program for Health group and Preventive Activities in PC and TOC. Disclosure.– No significant relationships. http://dx.doi.org/10.1016/j.eurger.2012.07.311 P311
Primary results of Portugal’s first geriatric outpatient clinic A. Matias a,∗ , J. Gorjão Clara b Pharmacy, Hospital Pulido Valente, Lisboa, Portugal b Unidade Universitaria Geriatria, Hospital Pulido Valente, 001 Lisboa, Portugal
a
Introduction.– Elderly patients are a special vulnerable population due to their physiological, functional changes and multiple comorbidities. Thus, these patients are usually prescribed a high number of drugs. The use of potentially inappropriate medication (PIM) in elderly people may increase the risk of adverse drug events (ADE), increasing morbidity’s and mortality’s odds and healthcare costs. Text.– Goals.– To analyse the frequency of PIM in the elderly during their first appointment with the Geriatric team, at Pulido Valente Hospital, Lisbon.
8th Congress of the EUGMS / European Geriatric Medicine 3S (2012) S33–S143
a template for national initiatives to address the financial abuse of older people. Disclosure.– No significant relationships. http://dx.doi.org/10.1016/j.eurger.2012.07.308 P308
The use of screening tools in elder abuse A. Phelan National Centre For The Protection Of Older People, University College Dublin, Dublin, Ireland Introduction.– As prevalence studies indicate that elder abuse is a significant issue for older people, the issue of early recognition of risk factors and perpetration of abuse are critical. Screening for elder abuse is imperative as elder abuse may be unidentified due to a myriad of obstacles. This paper examines the issues related to screening, the use of screening tools in the literature and factors with impinge on identification. Text.– The recognition and identification of elder abuse are important elements of addressing mistreatment of older people. This is particularly essential when prevalence studies are compares to official report of elder abuse to state services (Naughton et al., 2010 compared to HSE 2010). The use of screening tools in elder abuse had mixed success. There are arguments that the concept of screening is unsuitable for elder abuse (Lachs 2004), however, several existing tools have shown some promise. This paper examines selected screening tools and identifies advantages and disadvantages within the context of use in older populations. Disclosure.– No significant relationships. http://dx.doi.org/10.1016/j.eurger.2012.07.309 P309
A five-step model for pharmacist intervention in the detection and treatment of cognitive impairment diseases D. Stringer a,∗ , G. Devereaux b , C. Munoz c , G. Becotte a N/a, Gateway Rural Health research Institute, Seaforth, ON, Canada b Nursing, Gateway Rural Health Research Institute, Seaforth, ON, Canada c Scientific Director, gateway rural health research institute, Seaforth, ON, Canada
a
Introduction.– Community Pharmacists are an untapped resource for the detection and treatment of cognitive diseases through their long association and frequent contact with their patients. We have identified a five-step mnemonic device to assist pharmacists in detecting cognitive impairment. Text.– Pharmacists have the clinical ability to recognize physical and mental changes in patients. A shift in role to that of a clinical advisor leads us to propose a set of tools that pharmacists can use in a community pharmacy setting to note mental change and act appropriately when the changes and subsequent testing confirm a problem. We propose Five “R”’s to remember to identify mannerisms and characteristics of mental decline. Refill, Regard, Reveal, Request and React are an encapsulation of changes that occur as cognitive ability declines. These are incorporated from the Alzheimer Society of Canada guidelines. Pharmacists can make use of a “screening on the fly” procedure that has a pharmacist administer a MMSE or Mini Cog test to the patient who is identified in the checklist. If the patient fails the mental cognition exam, the pharmacist can begin to provide education material to the patient and his family and a changed approach to the dispensing of this patient’s medication. We propose that pharmacists take an active role in counseling on dementia, administration of mental acuity courses, incorporation of computer programs designed for dementia prevention, advocacy for the patient in the health care system and provision of diet/lifestyle improvements.
Disclosure.– No significant relationships. http://dx.doi.org/10.1016/j.eurger.2012.07.310 P310
Prevention of fractures in patients with osteoporosis I. Sierra-Martínez a , L. Sierra-Martínez b , R. Martínez-Fuerte b,∗ Traumatology Department, Hospital of Medina del Campo (Valladolid), Valladolid, Spain b Valladolid Este Primary Assistance Gerency, Valladolid, Primary Assistance, Valladolid, Spain
a
Introduction.– Most osteoporotic fractures (OF) occur in the elderly, consuming significant resources, health, social and economic in the process of diagnosis and treatment. With the implementation of the computerized medical record, the use of his data recorded prevalence studies allows us to justify the implementation of prevention activities. Text.– Aims.– Using records from the Medical Record Informatics (MRI) to determine the prevalence of fractures in patients with osteoporosis (OP) to promote the Preventive Services Primary Health Care(PC) and the Specialist Orthopaedic and Traumatology Surgery(OTS). Design.– The authors conducted a descriptive cross-sectional study of patients diagnosed with OP and OF, registered in MRI. Method.– From the list of patients with MRI, we selected 753 patients who have a diagnosis OP, we studied the prevalence-OP and the prevalence-OF. We analyzed the causes of breakage. Data are collected on a Excel spreadsheet and analyzed using SPSS 9.0Windows. Results.–– Patients with OP in our health center corresponds to 20% of the population > 50 years.– Seven hundred and fifty-three patients-OP: 687women, 66 men.womanOP/menOP:10/1.– Six hundred and eighty-seven women with MRI in the diagnosis-OP: Prevalence-OF = 31.99%. 1 OF-hip: 5.09%. 2 OF-spine: 6.6%. 3 OFtwang-foot: 3.8%. 4 FO-humerus: 5.8%, 5 FO-wrist: 10.7%.– Sixtysix men with MRI in the diagnosis-OP: Prevalence-OF = 16.7%. 1 OF-hip: 3%. 2 OF-spine: 6.2%. 3 OF-twang-foot: 4.5%. 4 OFhumerus: 1.5%. 5 FO-wrist: 1.5%.– Falls at home was the cause in 82% of cases. For defects of vision, collision with obstacles and falls from ladders. Conclusions.– Twenty percent of the population > 50 years of our HCI has recorded the diagnosis of OP(woman/men 10/1) PrevalenceOF woman/men 2/1, which justifies the implementation of a Plan Health Improvement, including Education Program for Health group and Preventive Activities in PC and TOC. Disclosure.– No significant relationships. http://dx.doi.org/10.1016/j.eurger.2012.07.311 P311
Primary results of Portugal’s first geriatric outpatient clinic A. Matias a,∗ , J. Gorjão Clara b Pharmacy, Hospital Pulido Valente, Lisboa, Portugal b Unidade Universitaria Geriatria, Hospital Pulido Valente, 001 Lisboa, Portugal
a
Introduction.– Elderly patients are a special vulnerable population due to their physiological, functional changes and multiple comorbidities. Thus, these patients are usually prescribed a high number of drugs. The use of potentially inappropriate medication (PIM) in elderly people may increase the risk of adverse drug events (ADE), increasing morbidity’s and mortality’s odds and healthcare costs. Text.– Goals.– To analyse the frequency of PIM in the elderly during their first appointment with the Geriatric team, at Pulido Valente Hospital, Lisbon.