525 EVERYONE NEEDS TO POOP: REDUCING CONSTIPATION IN THE ELDERLY INPATIENT POPULATION

Introduction Due to a variety of factors when elderly patients are admitted to hospital they can become constipated. This can impact the entire admission increasing morbidity and mortality for what is a treatable problem. The aim therefore was to assess how prevalent constipation was across the inpatient population; analyse if there were any common themes and implement interventions that might help solve these. Method Data was collected over 15 days across the department (up to 87 patients) using nursing handover sheets to review the date bowels had last been opened. Patients were classified as constipated if they had not opened their bowels for more than 3 days. On two days common themes in the constipated patients were reviewed and analysed. On average 27% of patients were constipated. The majority of these had been deemed ‘Medically Ready for Discharge’. They all had either no or only a reduced range of aperients prescribed. Stakeholders including patients, nursing staff, prescribers and Consultants were surveyed. First cycle intervention was to highlight those constipated at morning Multi-disciplinary Team (MDT) meetings to prompt medical review. Second cycle intervention: an e-prescribing bundle was designed to allow for simple prescription and for nurses to give aperients on an as required basis. A laxative prescribing guide sheet was also written to aid prescribers. Results Aim is to reduce constipation to less than 20% thereby reducing morbidity and mortality in inpatients. Highlighting patients at MDT had little effect partly as it was person dependent. Effect of prescribing bundle yet to be determined but received positively by stakeholders. Prescribing guide received positively by Consultants and junior prescribers. Conclusions Person dependent intervention was ineffective at reducing constipation highlighted by staff sickness due to Covid-19. A prescribing bundle is more system based. If used at admission hopefully will be effective and sustainable.

Vivência do familiar acompanhante diante da responsabilidade no cuidado à pessoa idosa hospitalizada

Objetivo: compreender a vivência do familiar acompanhante diante da responsabilidade no cuidado à pessoa idosa hospitalizada. Método: pesquisa descritiva com abordagem qualitativa e enfoque humanista, existencial e personalista, realizada num hospital público de Salvador – Bahia, onde foram entrevistados doze familiares acompanhantes. Resultados: apontam que os familiares passam a vivenciar outras responsabilidades, além daquelas do seu cotidiano, a exemplo de assumir novos compromissos financeiros. Todavia, o cuidado não é visto como uma obrigação, mas como gratidão, prazer, ato de amor e dedicação. Enfim, um misto de sentimento da liberdade pelo cuidar associada à responsabilidade. Conclusão: embasado na análise da Triádica-Humanista-Existencial-Personalista foi possível compreender que os familiares personalizam o cuidado em duas vertentes humanistas, da responsabilidade e dos valores, diante da sua vivência como cuidador familiar de uma pessoa idosa hospitalizada.Palavras-chave: Percepção; Família; Hospital; Idoso; Poder Familiar.EXPERIENCE OF THE FAMILY COMPANION BEFORE THE RESPONSIBILITY IN THE CARE WITH THE ELDERLY INPATIENTObjective: to understand the experience of the family companion before the responsibility in the care with the elderly inpatient. Method: descriptive research with qualitative, humanist, existential and personalist approach, carried out in a public hospital in Salvador - Bahia, where twelve family companions were interviewed. Results: they point out that relatives begin to experience other responsibilities, besides those of their daily lives, such as assuming new financial commitments. However, care is not seen as an obligation, but as gratitude, pleasure, act of love and dedication. Finally, a mixture of feeling of freedom by caring associated with responsibility. Conclusion: based on the analysis of the Triadic-Humanist-Existential-Personalist, it was possible to understand that relatives personalize care in two humanistic aspects, of responsibility and values, given their experience as a family caregiver of an elderly inpatient.Key words: Perception; Family; Hospital; Aged; Parenting.EXPERIENCIA DEL FAMILIAR ACOMPAÑANTE EN VISTA DE LA RESPONSABILIDAD EN EL CUIDADO DEL ANCIANO HOSPITALIZADOObjetivo: entender la experiencia del familiar acompañante frente a la responsabilidad en la atención del anciano hospitalizado. Método: investigación descriptiva con enfoque cualitativo, humanista, existencial y personalista, realizada en un hospital público de Salvador - Bahía, donde se entrevistaron doce familiares acompañantes. Resultados: señalan que los familiares comienzan a experimentar otras responsabilidades, además de las de su vida diaria, como asumir nuevos compromisos financieros. Sin embargo, el cuidado no es visto como una obligación, sino como gratitud, placer, acto de amor y dedicación. Por último, una mezcla de sentimiento de libertad al cuidar asociada con la responsabilidad. Conclusión: sobre la base del análisis del Tríadico-Humanista-Existencial-Personalista, fue posible entender que los familiares personalizan la atención en dos aspectos humanísticos, de responsabilidad y valores, dada su experiencia como cuidador familiar del anciano hospitalizado.Palabras clave: Percepción; Familia; Hospital; Anciano; Responsabilidad Parental.