ANZSGM ASM 2024 Conference Organiser
Conference Innovators
228 Papanui Road
Merivale, Christchurch
New Zealand
Phone: 03 379 0390
[email protected] | https://conference.nz/
Christchurch | Auckland
ANZSGM ASM 2024 Conference Organiser
Conference Innovators
228 Papanui Road
Merivale, Christchurch
New Zealand
Phone: 03 379 0390
[email protected] | https://conference.nz/
Christchurch | Auckland
Haere Mai! Welcome to ANZSGM ASM 2024!
On behalf of the Local Organising Committee, we are excited to welcome you to the 2024 Annual Scientific Meeting of the Australian and New Zealand Society for Geriatric Medicine (ANZSGM), held from 22 to 24 May 2024 at the Te Pae Christchurch Convention Centre, Christchurch, New Zealand. We are still standing. Christchurch has rebuilt, recovered and regenerated after adversity. We strive to keep our older people standing strong, just like our city.
We'll bring together top academics including Professor Andy Clegg and Professor Cathie Sherrington for keynote addresses highlighting the latest research in the promotion of physical activity, fall prevention and share findings from major frailty trials. We'll learn how to use this knowledge to lead and implement change within health care and at the political interface. We'll share passion for advocacy work with older people, understand cultural perspectives on quality care and discuss how to keep older people standing as valued members of our community.
Our committee and our speakers are committed to showcasing a strong scientific program, with a special focus on encouraging our next generation of researchers. We hope you will leave with a wealth of new knowledge and ideas to apply in your practice, and we thank you for your ongoing support of the ANZSGM.
Ngā mihi | Kind regards
Dr Emma Losco and Dr Holly Bills
2024 Conference Convenors
Few studies have explored music therapy (MT) in an acute aged care inpatient setting. We aimed to assess feasibility and patient/staff perceptions of an 8-week MT program on an acute geriatric ward.
An 8-week in-person MT program, comprising brief receptive musical interventions up to twice-weekly. All patients admitted to the aged care ward were eligible for inclusion. A hard copy survey was used to assess patient and staff perceptions of MT. Themes raised in free-text responses were manually coded within a thematic analysis approach. A mixed methods approach was used to obtain and analyse data relating to feasibility and patient and staff perceptions of the MT intervention.
The 8-week program ran to completion and was delivered to a median of 11 patients (IQR 9–12) each session (median 8 new/day). In total, 10 patients completed surveys, mean age 81.1 (SD 7.7); 60% were women and all had cognitive impairment. Following an MT session, eight of eight responding patients reported feeling happy and eight of eight reported they would recommend MT. Staff respondents (n = 19) reported patients appeared happy (19/19), relaxed (13/19) and all would recommend MT to other patients. Common themes were that MT was followed by improved patient behaviour and mood, and stimulated patients.
An acute aged care inpatient MT program proves feasible and well-received by staff and patients. Future research may focus on more robust data collection in larger sample sizes, specific types of MT and more in-depth exploration of the patient and carer experiences.
To examine patient, surgical and hospital factors associated with Day-1 postoperative mobility after hip fracture surgery in older adults.
A cohort study using Australia and New Zealand Hip Fracture Registry was conducted. Participants were aged older than 50 years and underwent hip fracture surgery between 1 January 2020 and 31 December 2020 inclusive. The outcome was standing and step transferring out of bed onto a chair and/or walking Day-1 after hip fracture surgery.
Mean age was 82 years and 68% were women. Of 12,318 patients with hip fracture, 5981 (49%) actually mobilised Day-1. Odds of actual first-day mobilisation were lower for individuals usually walking with either stick or crutch (OR = 0.71, 95% CI 0.62–0.82) or two aids or frame (OR = 0.57, 95% CI 0.52–0.64) or wheelchair/bed bound (OR = 0.24, 95% CI 0.17–0.33); who had impaired cognition preadmission (OR = 0.57, 95% CI 0.51–0.64); from aged care facilities (OR = 0.59, 95% CI 0.52–0.67); had an American Society of Anaesthesiologists grade 2 (OR = 0.63, 95% CI 0.41–0.97), 3 (OR = 0.31, 95% CI 0.20–0.47) or 4 or 5 (OR = 0.21, 95% CI 0.14–0.32); surgery delay >48 h (OR = 0.81, 95% CI 0.71–0.91); and restricted/non-weight-bearing status immediately postoperatively (OR = 0.53, 95% CI 0.42–0.67).
Both non-modifiable and modifiable patient and surgical factors influence first-day mobilisation after hip fracture surgery. Reducing time to surgery might assist future quality improvement efforts to increase Day-1 postoperative mobility.
The Royal Commission into Aged Care Quality and Safety emphasised the critical need for a human rights-based approach to protect the rights of older people in the Australian aged care context, including ‘the right to social participation’. This topic is important because of the widespread social isolation and loneliness in Australian residential aged care. This article demonstrates how a human rights-based framework can provide guidance to governments in approaching issues involving the protection of older people's need for social connection in aged care. In doing so, the article considers examples of how the Australian government can ensure choice of living arrangement, individualised support and access to community services and facilities in the residential aged care context to better protect the right to social participation.
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