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Conference - Assessment and Management of the Frail Older Person in Secondary Care

Assessment and Management of the Frail Older Person in Secondary Care


Duration: 1 Day
Start Time: 09:00 - End Time: 15:30
CPD Hours: 7

Conference Overview

The Assessment and Management of the Frail Older Person in Secondary Care conference covers optimising in-hospital care, compassionate & individualised care, falls prevention training, frailty pathways and unexplained collapse or falls in frail older people.

 

This national annual conference has now evolved in to two separate days, one focusing on primary care and this one on secondary care. Conveniently they are on consecutive days so you can opt to attend one or both days.

 

Attended by Secondary Care Professionals, including Nurses, Allied Health Professionals, medics, educationalists and Government leads

Conference Content

Chair - Kate Gee, CHD Nurse Consultant, University Hospitals Birmingham NHS Foundation Trust

 

Advanced Nurse Practitioners (ANP) - optimising the care of frail older people in hospital

  • Service redesign in response to Consultant Geriatrician vacancies - two posts converted to ANPs
  • ANP / Geriatrician shared care model, 7 day service, cohort across two sites reviewed daily by ANP and weekly by Consultant
  • Service aligned to Comprehensive Geriatric Assessment (CGA), collaborative working with the multi-disciplinary team, families and carers
  • Benefits, successes and challenges along with measurable data such as length of stay, complication rates and complaints or adverse events
  • Recommendations and future plans - in reach into Emergency Department and outreach into care homes

Vicky Williams, Consultant Nurse Gerontology and Jo Crinigan, Advanced Nurse Practitioner Gerontology, University Hospitals Coventry & Warwickshire NHS Trust

 

A collaborative therapy approach to the compassionate care of Frail Older Patients with hip fractures

  • A multi therapy approach by Occupational Therapists and Physiotherapists in an acute hospital to address the occupational deprivation of frail patients with hip fractures
  • Overview and audit of an acute hospital service redesigned, implemented and then enhanced
  • Effective use of ward volunteers and an integrated therapy apprentice to specialise in frailty and its impact of function
  • Effects seen through the use of ward based group exercise and wellbeing programs including falls reduction, improved patient engagement and self-perception of functional abilities

Dee Humphris and Fiona Mckeown, Advanced Occupational Therapists and Team Leads, Orthopaedics and Surgery, Western Sussex Hospitals NHS Foundation Trust

 

In-situ simulation falls prevention training

  • Accessible training adapted to the ward environment; tailoring a series of scenarios which have been adapted from the lessons learnt from recent route cause analysis investigations
  • Designed to fit with Transformation Learning Theory; learning through task orientated problem solving and determination of cause and effect relationships
  • Engaging frontline staff in the falls prevention programme in their own environment to encourage 'buy-in' and encouraging a culture change where falls and safety awareness is recognised as the responsibility of all
  • Promoting the programme on the NHS Improvement website and in the Chartered Society of Physiotherapists Journal, with interest from other National Trusts

Catherine Bramwell-Walsh, Falls Prevention Practitioner and Kelly Jackson, Lead Clinical Educator, Mid Yorkshire Hospitals NHS Trust

 

Individualised Care Plans - Visual plans improve compliance and are used

  • The problem with text based charts for individualised care plans
  • Developing a unique approach with visual charts
  • Implementation and compliance
  • Effect on patient care and on multi-disciplinary team staff engagement
  • Future developments

Chris Wilkin, Older Person Mental Health Practitioner and Rebecca Furzer, Ward Sister Musgrove Park Hospital, Taunton and Somerset NHS Foundation Trust

 

Improving outcomes for frail older people in hospital - Development of a Frailty Pathway within Emergency Department (ED) / Acute Medical Unit (AMU)

  • Background: Look at ED attendances nationally and specifically at George Eliot for frail older people - numbers and themes
  • Where do we start improving care? Looking at national initiatives and the development of a frailty team in ED and AMU at our hospital
  • What have we achieved? Data on six months of interventions, themes, successes and reflections
  • Where do we go now? Next steps developing further frailty pathways linking with community colleagues through frailty networks

Teresa Dowsing, Acute Care of the Elderly Practitioner and Jennifer Parsons Occupational Therapist, George Eliot Hospital NHS Trust, Nuneaton, Warwickshire

 

IDENtiFy Study: supporting the identity needs of frail older people

  • Understanding the complexities of frailty is an increasingly important focus for healthcare providers
  • Little is known about how services can support positive experiences, meanings and identities of people living with frailty
  • Three phase ethnographic study aims to understand how a positive identity in older people with frailty is constructed and supported
  • Phase one of the study has identified a number of characteristics which could be transferred to other healthcare situations
  • Further phases will determine what processes support a positive sense of identity and full engagement in services

Chantel Cox, Clinical PhD Nurse Researcher, Bournemouth University and The Royal Bournemouth and Christchurch Hospital NHS Foundation Trust

 

The key principles of patient assessment of the older patient presenting to the Out-patient Department (OPD) setting with a history of unexplained fall or collapse

  • Changes in blood pressure control associated with the aging process that 
can result in unexplained falls / collapse 

  • Asystematic approach to assessing elderly patients in the OPD setting who 
have had a history of unexplained fall / collapse 

  • Triggers for falls and special considerations in regards to the ‘red flags’ 
associated with such cases which include; structural heart disease, cardiac 
arrhythmias and polypharmacy 

  • Guidelines to the diagnostic tests and management plan that should be considered 


Dr Kate Gee, CHD Nurse Consultant, University Hospitals Birmingham NHS Foundation Trust

 

 

Conference Venues and Prices

    This course currently has no future venue dates set. Please contact us for further details for future course dates & course pricing

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Exhibition opportunities

If you would like to become a sponsor or would like to know more about exhibition opportunities please contact or phone 017687 73030.

Conference Enquiry

enquiries@mkupdate.co.uk

Professionals training professionals

M&K Update Ltd, The Old Bakery, St Johns Steet, Keswick, Cumbria, CAI2 5AS.

Tel: 017687 73030
Fax: 017687 81099
Email: enquiries@mkupdate.co.uk

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