P170: What is the effect of an intervention in nursing to improve medication adherence in older people? A systematic review

P170: What is the effect of an intervention in nursing to improve medication adherence in older people? A systematic review

Poster presentations, Thursday 18 September 2014 / European Geriatric Medicine 5S1 (2014) S83–S158 one of the coordinators. 4/8 medical schools lacke...

41KB Sizes 0 Downloads 21 Views

Poster presentations, Thursday 18 September 2014 / European Geriatric Medicine 5S1 (2014) S83–S158

one of the coordinators. 4/8 medical schools lacked an appropriate assessment procedure of knowledge and skills. Evaluation was mostly based on students’ opinions only. The teachers rated their own students as mediocre prepared for daily practice. Conclusion: Within the The Netherlands large differences are seen on quantity and quality of general and geriatric pharmacology and -therapy education. Education on (geriatric) pharmacotherapy should be improved, e.g. by improving geriatricians involvement in the education. Next, assessment procedures should receive additional attention. P168 Home healthcare services, a series of 21 cases H. Elbi1 , S. Sahin2 , L. Akgun3 Celal Bayar University, Manisa, Turkey; 2 Ege University department of internal medicine, division of geriatrics, Izmir, Turkey; 3 Afyon Management of Public Health, director, Afyon, Turkey 1

Introduction: In Turkey, regulation of Home Care Services was assured by the state in 2005 and started by ministry of health in 2010. Home healthcare services, protect the health of people, to rehabilitate them back to health and to be presented social care services in their own homes or living environments. The aim of this study is the evaluation of the home care services at Cobanlar with 14,000 population in Afyon. Methods: Home Healthcare Services consists of family physician, nurse and midwife. In our study the applications made between 2011 and 2014 was scanned retrospectively and 21 patients was reached totally. Patients’ data are recorded and evaluated. Results: In the assessment; average of age is 64.85. Eight of them receive health services with green card system of Turkey which is performed social healthcare for the poorest people. Cerebrovascular disease (44%) and hypertension (38%) are the most common causes of diagnosis at our patients. Seven patients were bedridden and pressure ulcers in various sizes were detected at four of them (19%). Other diseases are COPD, diabetes, spastic palsy and epilepsy. 15 of the patients (71%) were referred to home healthcare services by the family physicians. Conclusions: Target population needs home healthcare services and to be bedridden is determined 1–2‰ by the Ministry of Health, in Turkey. In this respect, the number of our patients expected based on population. High rate of pressure ulcers shows the importance of formal health care institutions’ public health education program about this subject. P169 Multidisciplinary workshop improves medical students’ understanding of disability in older patients C.J. Richardson1 , J. Bowen1 , V. Austin1 , A. Phelps1 , B. Greensitt1 , B. Cockbain2 , M. Vincent2 , S. Thompson1 1 NHS, United Kingdom; 2 University of Oxford, Oxford, United Kingdom Introduction: There is an increasing prevalence of impairment and disability in older people, however the functional impact of disease is difficult to teach in a lecture-based environment. We developed an interactive workshop for medical students which aimed to improve awareness of difficulties faced by people with disability in their everyday activities, to integrate knowledge of underlying pathology and to explore the role of the multidisciplinary team. Methods: Medical students rotated through stations taught by a team of doctors, physiotherapists and occupational therapists. Students experienced simulated impairments, discussed underlying pathology and explored effects on everyday activities including: – Reading and writing tasks whilst wearing modified glasses simulating visual impairments – Mobility tasks with simulated hemiparesis, peripheral neuropathy and peripheral oedema

S137

– Using a wheelchair, transferring by hoist and completing kitchen tasks with different simulated impairments Feedback forms were completed by 72 students to assess whether learning objectives were achieved. Results: Feedback was positive with 94% of students stating they had a better understanding of the effects of disability on everyday activities. 88% would recommend the workshop to future students. Written comments indicated that students valued the integrated teaching on underlying pathology and functional impairment. Conclusions: This workshop provides medical students with first-hand experience of the challenges resulting from physical impairment. Specialist teaching from multidisciplinary healthcare professionals gives students an insight into their role in patient management. This concept could be adapted to cover a greater range of co-morbidities. P170 What is the effect of an intervention in nursing to improve medication adherence in older people? A systematic review C.J.S. Oliveira1 , H.L. Neves1 , J. Sousa1 , H. Jose´ 2 1 The Catholic University of Portugal, Portugal; 2 Cl´ınica Multiperfil Luanda, Luanda, Angola Introduction: The promotion of medication adherence is assumed as a focus of attention to nurses. The advance of age contributes to chronic diseases and the need to take medication. Only 4% to 10% of older people have not the need to adhere to medication (Spiers, 2004). Non-adherence is a multifactorial problem and it’s requires a multidimensional approach adapted to each person. The purpose of this study is to frame the current state of knowledge, regarding interventions in nursing to improve medication adherence in older people. Methods: Systematic review. Electronic research in scientific databases: B-ON, LILACS, MEDLINE, CINAHL, SciELO, RCAAP. Descriptors: ‘nursing intervention’ AND “medication adherence” AND “older people”. Inclusion criteria: one of the descriptors in the title; articles relevant to the subject under study; original studies; without time limit. Exclusion criteria: academic references arising from first cycle studies. The method for analyze was PICOS. Results: Nursing interventions in short-term treatments increase adherence and improve clinical outcomes. For long-term treatment there were significant increases in medication adherence, but regarding the expected clinical outcomes there were not observed enhancements. It was further observed that all effective interventions in long-term treatments are complex and they included case management/colaborative care, education with social support and health coaching. Conclusions: Simple interventions is quite successful for improving short-term adherence. However, the current methods to improve the long-term medication are mostly complex and not very effective. So the highest priority, to improve medication adherence in older people should be the development and testing of complex intervention. P171 Geriatric teaching at undergraduate level: European recommendations and Spanish situation 1 J. Mateos-del Nozal1 , S. Fernandez-Villaseca ´ , L. Garc´ıa-Cabrera1 , B. Montero Errasqu´ın1 , A.J. Cruz-Jentoft1 , J.M. Ribera Casado2 1 Hospital Ram´ on y Cajal, Spain; 2 Facultad de Medicina. Universidad Complutense, Madrid, Spain

Objectives: The comparison of the European Competencies about Geriatrics for medical students, developed by the UEMS – Geriatric section with the ones performed in Spain. Methods: A translation of the European Undergraduate Curriculum was made by one of the authors and reviewed by two Spanish experts. These competencies were compaired with the ones