The Orthopaedic view point

• Care shared with orthogeriatrician• Peri-operative checklist• Ask the questions @ each bedside• Little time needed on average

The Orthopaedic view point

Challenges•Length of time to get going•Get all colleagues involved•Audit needed to really see the results•Nursing & FY1 turnover•Keep up the enthusiasm•How to measure outcomes easily?

The Orthopaedic view point

Benefits•Improved knowledge•Spillover for other patients•Ultimately (we hope!) –

less deliriumshorter LOSless cost per patient

The Orthopaedic view point

In future:? Same scores throughout hospital? AMT 10 on NEWS sheet

The Orthogeriatrician’s view point

• Knowledge base improved• Scores help• Early detection• Rx improved• Impression of less dementia• Are we preventing delirium?

The Nursing point of view

• Not all auxiliaries trained• Knowledge & confidence improved • Treatment improved • Dealing with family improved??• Prevention improved??• Less delirium??

Summary

• Hard to implement• Time, training• Engage all• Tasks delineated for all• It won’t happen in 5 minutes• Concerted efforts of the Leader

Summary

• Easy once it’s going• Worthwhile

Thank you