Research Week Abstract Book - Northern Health

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Aged Care LOOKING FOR SEIZures IN DemenTIA Lim S & Pearson K. Background Seizures are known to be more common in patients with dementia compared with the general elderly population, however little clarity exists regarding its epidemiology, diagnosis and management. Aim This paper evaluates the presentation of both tonic-clonic seizures as well as non-convulsive occipital epileptiform activity in an elderly gentlemen with advanced Alzheimer’s disease complicated by behavioural and psychological symptoms of dementia (BPSD). The role of electroencephalography (EEG) in diagnosing non-convulsive seizures amongst demented individuals who are otherwise unable to describe symptoms of altered perceptions or fluctuating consciousness is discussed. Methodology A comprehensive systematic review of the literature was performed using the search terms ‘epilepsy’, ‘occipital seizures’, ‘dementia’ and ‘anti-epileptic medication’ in Ovid Medline and PubMed. References from each article were searched for further studies of interest. Results Eighty-five publications were shortlisted for review in the following domains: 1. Seizures in the elderly with dementia 2. EEG in seizure evaluation 3. Treatment of epilepsy in elderly patients with dementia Occipital seizures were diagnosed in the context of an abnormal EEG with behaviour suggestive of visual hallucinations in the elderly patient described. The subsequent commencement of anti-epileptic medications led to improved compliance with care and reduced BPSD. Conclusion Increased awareness regarding diagnosis and treatment of non-convulsive seizures in elderly patients with dementia can lead to better care through reducing anti-psychotic use for agitation otherwise attributed to BPSD. The EEG can be a useful tool in diagnosing focal epileptiform activity in the absence of clinical signs of seizures. 12 Research Week Abstract Book Northern Health 2013
Aged Care Aged Care A COMParison OF OUTCOMES ASSOCIATED WITH ADDinG A HOMEbaseD EXERCise ProGRAM (heP) TO A GrouP EXERCise ProGRAM (GEP) FOR ClienTS ATTENDinG COMMUNITY THERAPY SERVICes (CTS) AT broaDmeaDOWS HEALTH SERVICE (bhs). Whitbourne C, Koh KWZ, Lawler K, Cooke S, Terkely R, Hill K. Background Many clients referred to BHS have balance impairments, are vulnerable to falling and serious injuries. Evidence indicates that at least 50 hours of exercise is required for lasting changes to balance and reduce falls risk. Aim To analyse if the addition of HEP improves balance outcomes more than a GEP in isolation (usual care) for patients with balance impairments. Methodology Twenty-three participants with similar baseline characteristics (p>0.05) were recruited prospectively for our randomisedcontrolled trial with concealed allocation and assessor blinding. Usual care included a 6-8 week GEP (one hour weekly). The intervention group also completed 2 home-based physiotherapy sessions to tailor a HEP for clients to complete daily and record in a diary until 3 month follow-up. Outcome measures included the Balance Outcome Measure for Elder Rehabilitation (BOOMER) and force platform measures using the Neurocom Balance Master, taken pre, post and 3 months. Results Currently eighteen participants have completed post-group analysis, sixteen have completed 3 month follow-up. After 8-weeks both groups showed statistically significant gains on BOOMER (n=14 p=0.016, n=9 p=0.011 for control and intervention groups respectively) and were similar at 3 months. At 3 months, the only statistically significant differences between groups were Neurocom limits of stability reaction time on right (n=15, p=0.009), left (n=15, p=0.011) and composite scores (n=13, p=0.008) all in favour of the experimental group. Conclusion The addition of HEP to GEP is similar to a GEP in isolation (usual care). Recruitment of further participants will add to this studies power. Further studies may identify the long-term benefits for clients with balance impairments. 13
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Page 3 and 4: contents appointments contents at L
Page 5 and 6: Introduction Health Literacy And Cl
Page 7 and 8: Introduction cont’d IntRODUCTION
Page 9 and 10: Event Schedule cont’d event sched
Page 11 and 12: ABSTRACTS Abstracts 9
Page 13: Aged Care Aged Care Does physiother
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Page 21 and 22: Chronic Disease Management A SYSTEM
Page 23 and 24: Chronic Disease Management APProPri
Page 25 and 26: Chronic Disease Management INTRODUC
Page 27 and 28: CHROnIC DISEASE Management 25
Page 29 and 30: Haematology HaematOLOGY THE IMPleme
Page 31 and 32: Haematology HaematOLOGY HIGH-DOSE M
Page 33 and 34: Haematology HaematOLOGY Intermitten
Page 35 and 36: HaematOLOGY 33
Page 37 and 38: Women’s Health and Paediatrics MU
Page 39 and 40: Women’s Health and Paediatrics TH
Page 41 and 42: Women’s Health and Paediatrics IM
Page 43 and 44: Women’s Health and Paediatrics SA
Page 45 and 46: Health Service Evaluation ESTablish
Page 47 and 48: Health Service Evaluation EValuaTIN
Page 49 and 50: Health Service Evaluation INNOVATIV
Page 51 and 52: Health Service Evaluation EMERGENCY
Page 53 and 54: Health Service Evaluation Northern
Page 55 and 56: Orthopaedics ORTHOPAEDICS DisTAL RA
Page 57 and 58: Orthopaedics ORTHOPAEDICS RETURNING
Page 59 and 60: Orthopaedics ORTHOPAEDICS THEATre S
Page 62: Broadmeadows Health Service 35 John

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