Introduction Parkinson’s Disease is the second most common neurogenerative disorder and has a pervasive effect on health-related quality of life. There is increasing evidence of the importance of the endocannabinoid system in pre-clinical models of disease. However, there is a paucity of clinical evidence on cannabis-based medicinal products (CBMPs) in Parkinson’s Disease. This study presents a preliminary analysis of those with Parkinson’s Disease enrolled in the UK Medical Cannabis Registry (UKMCR). Method Patients prescribed CBMPs for Parkinson’s Disease symptoms for longer than one month
Aim: There been several studies validating the Hospital Frailty Risk Score (HFRS) to identify frailty. (1),(2). We proposed that it could identify patients in the Emergency Department (ED) who would benefit from the Older Persons Assessment Service (OPAS). Methods: OPAS is an ED service which accepts patients on frailty criteria (aged >70 years, falls, confusion, care dependence, polypharmacy and poor mobility). A retrospective analysis of the OPAS databank was conducted using HFRS to divide patients in High/Intermediate and Low Frailty Risk. We considered Age, Clinical Frailty Score (CFS)
INTRODUCTION Type 2 diabetes mellitus (T2DM) is associated with poor health outcomes (1) and few people aged >70 years likely benefit from HbA1c METHODS Older Persons Assessment Service (OPAS) is an Emergency Department service which accepts patients on frailty criteria (aged >70 years, falls, confusion, care dependence, polypharmacy and poor mobility). OPAS databank was retrospectively analysed for people with T2DM admitted with a fall June 2020 to April 2022. Interactions between clinical outcomes with therapeutic agents used, age, Charlson Co-morbidity index (CCMI) and Clinical Frailty
Introduction Frail adults should be offered comprehensive geriatric assessment. Falls are the most common reason for conveyance to hospital for Nursing Home (NH) residents in SBUHB and are associated with mortality, morbidity and are a significant burden on Welsh Ambulance Service (WAST) and the Emergency Department (ED). Older people are often subject to long ambulance waits and offload delays. By using a collaborative approach, we aim to reduce hospital conveyance rates and adverse patient outcomes. Methods Phase 1 - WAST calls analysed January 2020 – February 2022 from Swansea Bay UHB NH
Introduction An Acute Medical Unit at Morriston Hospital became geriatrician-led in July 2021. From January 2022 the unit received patients on frailty criteria for Comprehensive Geriatric Assessment (CGA). Clinical Nurse Specialists actively manage patients until discharge. Methodology The first phase (November 2020 -January 2021) was acute physician-led. Phase 2(September-November 2021) and Phase 3 (March-July 2022) were geriatrician-led. Phase 3 evaluates a frailty specific intake. Patient age, LOS (length of stay), number of referrals to other medical specialities and overall hospital LOS