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Conference - Management of Frail Older People in Primary Care

Management of Frail Older People in Primary Care

Date: 02/10/2018


Duration: 1 Day
Start Time: 09:00 - End Time: 16:00
CPD Hours: 7

Conference Overview

This is the 2nd national annual conference exploring innovation and developments in the assessment and management of Frail Older People, which has now evolved in to two separate days, one focusing on primary care and the other on secondary care. Conveniently they are on consecutive days so you can opt to attend one or both days.

 

The primary care day explores the wider family, the interface between social and healthcare, hospital admissions and care pathways, a range of clinical subjects including polypharmacy, dementia, breathlessness and catheter care.

 

Attended by Primary Care Professionals, including Nurses, Allied Health Professionals, GPs, educationalists and Government leads

 

Conference Content

Chair - Kim Barr, Clinical Pathway Lead for Frailty, Palliative, End of life care and Respiratory Services, Lincolnshire Community Health Services NHS Trust

 

Making time for frailty: What matters in primary care consultations for older people, their family caregivers and health care professionals?

  • Working with older adults who are living with frailty is an increasingly important aspect of primary care based practice
  • Ensuring there is a skilled and sensitive workforce that can meet the needs of this patient population is important
  • We have studied what matters in the consultation from different perspectives: older people, family caregivers and health care professionals
  • The presentation will share findings and identify the priority areas for practice development to support the workforce and enhance care for this patient population

Karen Spilsbury, Professor of Nursing, School of Healthcare, University of Leeds

 

Collaborative working between health and social care to deliver an accredited frailty module

  • Benefits and challenges of working across health and social care
  • The incorporation into the module of insight visits across a variety of care settings
  • Discussion of the development and delivery of a frailty module with involvement from colleagues from acute, community, social care and general practice
  • Developing the module to align with local workforce transformation plans and retention of staff
  • Ensuring the end point assessments demonstrate evidence improvement and change in patient and service user care provision

Kathryn Draper, Rotation Development Lead Nurse, Nottingham City Care Partnerships and Ruth Machin, Advanced Nurse Practitioner, Health Care of the Older Person, Nottingham University Hospitals NHS Trust

 

How to reduce hospital admissions from nursing homes

There is currently a health emergency with increasing numbers of frail elderly people being sent to hospital A&E departments, which are struggling to cope. Many of these elderly people are being admitted from nursing homes.

  • Hospitals are ill-equipped to provide person centred care for the frail elderly
  • Common causes of hospital admission are UTI, confusion and respiratory conditions
  • Many of these are preventable if treatment is rapidly initiated
  • We can demonstrate a 44% reduction in nursing home admissions over the last 5yrs
  • We are also the lowest-referring nursing home to hospital in the London Borough of Richmond
  • We will describe our approach, which we hope will encourage other providers to follow our example

Dr Kieran O’Flynn, General Practitioner, Hampton Wick Surgery, Richmond CCG and Alison McIntosh, Registered Manager, Lynde House Care Home, Richmond upon Thames, Surrey

 

A collaborative approach to polypharmacy and de-prescribing in frailty - Utilising the skills of Senior Clinical Pharmacist and Nurse Consultant

  • Identification of patients for review from practice patient population and structure of clinic
  • Role of Consultant Nurse - comprehensive clinical assessment of patient using Comprehensive Geriatric Assessment (CGA) approach, memory screening tools and assessment of social circumstances
  • Role of Clinical Pharmacist employed within practice (as part of NHS England pilot of Clinical Pharmacists in GP Practice) - De-prescribing in polypharmacy in conjunction with frailty score
  • National and local guidelines used; de- prescribing tool against Rockwood scores and patient outcomes

Anne Williams, Nurse Consultant, OPNF, Queen’s Nurse and Nicky O’Brien, Senior Clinical Pharmacist, Church Street Medical Practice, Tewkesbury, Gloucestershire

 

Hazard of hospitalisation in the Frail Elderly - Redesign of frailty pathway from Emergency Department (ED) to Community Hospitalisation triggers a cascade to dependency that results in functional decline despite cure and in complications unrelated to the problem that caused admission.

  • All patients aged 75 and over acutely admitted to the Emergency Department (ED) were assessed in order to determine who would be classified as frail and were assessed with Edmonton Frailty Score in order to stratify and steer to the appropriate team
  • Patient data were processed and analysed using a statistical package for data analysis
  • Preliminary data showed a reduction in time for assessment in ED
  • Benefit of a Community Matron being present in the Emergency Department with the frailty team for a time period of the week
  • Virtual ward concept with community partner

Julie Thompson, Senior Nurse for Older People, Burton Hospitals NHS Foundation Trust, Staffordshire

  

Improving dementia diagnosis rates and supporting a local enhanced dementia service with ongoing triadic person centred dementia care for the whole family

  • Inclusion of dementia onto Long Term Condition Management with four monthly reviews, with a review of other co-mormidities such as diabetes and CHD improving holistic care
  • Improved management of health and wellbeing for the whole family
  • Collaborative working with voluntary services and local organisations - advanced decision making and contingency planning
  • Potentially reduce the need for GP appointments
  • Crisis interventions - monitoring of inappropriate A&E admissions, complex situations and health needs

Beth Goss-Hill, Lead Admiral Nurse, Stag Medical Centre, Rotherham

 

Managing breathlessness in older people with comorbidities in Primary Care

  • Initial history taking, assessment and investigation of breathlessness
  • Common causes of breathlessness and differential diagnoses
  • The impact of comorbidities – holistic care
  • Both pharmacological and non-pharmacological treatment options

Ren Lawlor, Senior Lecturer, Advanced Nurse Practitioner, Department of Adult Nursing and Paramedic Science, University of Greenwich

 

Enhancing the patient experience of catheter care within the community

  • High number of patients with indwelling urinary catheters were presenting to acute and community healthcare professionals who did not have an identified treatment plan or point of contact for care
  • Specialist Continence Team (SCT) established a single point of access with triage
  • Referrals followed up by SCT or forwarded to appropriate health care professionals who are supported in catheter management
  • Resulted in catheters being removed in a timely manner/or patient centred treatment plans provided
  • Patients enabled and empowered to take control of their own care; enhanced patient experience; reduction in risks

Wendie McQuillan, Lead Nurse Enhanced Services and Martina Thompson, Head of Specialist Primary Care Services, Southern Health & Social Care Trust, Lurgan, Northern Ireland

 

 

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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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