Introduction: Acute Kidney Injury (AKI) is a common acute medical problem that has been identified in practice as having increased risk for patients who also have concurrent frailty (BGS 2021). National and Global strategies (WHO 2020) (NHS 2019) emphasise the importance in integrating care across the healthcare systems with aim to reduce admissions to secondary care. Completing comprehensive geriatric assessments (CGA), that highlight long term care needs and provide a basis for individualizing care plans can help to achieve this goal and reduce adverse outcomes such as increased length of
Introduction: Most stroke patients fail the swallowing assessment, hence the need to have NGT. Sometimes, it is impossible to get an aspirate from these NGTs, other times, the pH of the aspirate is quite high. As such times, to confirm NGT position, in line with the National patient safety agency an Xray is used. Recently, incidents in the trust (UHCW) have been documented regarding NGT Xray interpretation, thus the need to undertake this audit Methods: Patients (n=15) who had NGT in the stroke ward (24th March to 20th June,2022) were reviewed against University of Coventry and Warwickshire
Introduction: Suprapubic catheter (SPC) insertion is recognised as an alternative to urethral catheterisation to enable urinary drainage or continence control. This audit aims to establish the 1 and 2 year mortality associated with SPC insertion and to identify factors that may be linked with mortality. Methods: Data were collected for demographics, medical co-morbidities, indication for procedure and mortality from 1st February 2018 to 1st February 2020 across three NHS trusts. Multivariate regression analysis was undertaken to assess correlation between mortality and collected data. Results
Introduction People receiving haemodialysis, have the highest medicine burden of all chronically ill populations. This high medicine burden, exposes people to medication related problems impacting on quality of life and healthcare experience. Medicines optimisation, reviewing medicines to manage polypharmacy and improve outcomes, in the general population, is associated with decreased risk of death, decreased referral to nursing home, lower drug costs and improvements in patient’s perception of health. Method A literature review searching, Cochrane, Google scholar, Delphi, CINAHL, Medline and
Background: Ward round entries form the backbone of medical documentation, forming the context in which new diagnoses and safe handovers are made. They are also an important legal record that should be clear and up to date. Ward round entries without important information, including vital observations and examination findings, cause ambiguity as to whether these aspects of patient care have been reviewed. Aims: To ascertain the level of completeness of ward round entries with respect to salient features of patient care. To design and implement a ward round proforma which aids this completeness
Listen to “What Matters Most” to the individual however it is expressed. A gap persists for people with advancing frailty, dementia, neurodegenerative conditions whose end-of-life needs are NOT recognized NOR appropriately met but nonetheless have no acute specialist palliative needs. End of life is harder to recognize with slowly deteriorating trajectory. Challenge indiscriminate use of single condition protocols as underlying frailty becomes increasingly irreversible at this stage. Identification: CFS 7 – 9 registered with a local GP on acute frailty unit, other medical and surgical wards
Pancreatic cancer represents one of the most prothrombotic neoplasms secondary to high tumoral expression of tissue factor, cytokine release, activation of leukocytes and hypofibrinolysis. Studies have shown that the incidence of thrombotic complications can reach up to 36%. We present a case of an 84-year-old male patient who was admitted onto the Geriatrics ward with a 3-day history of sudden-onset dyspnoea, productive cough, pallor, and general malaise. Admission blood revealed microcytic anaemia (Hb 91 g/L), neutrophilic leukocytosis (WCC 29.9 x 10^9/L, Neut 26.9 x10^9/L) and elevated C
Introduction: A summary of the best available evidence in relation to the importance and awareness of hospital associated deconditioning (HAD) and barriers associated with hospital-based deconditioning prevention in order to evaluate the effectiveness and feasibility of deconditioning prevention programmes. Additionally, to gather available evidence focused on the implementation of a national programme. Method: Literature search of Published and unpublished studies and trials were searched using various databases; HDAS (Healthcare Database Advanced Search) databases (OVID platform) Embase