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Poster Abstracts

An IT tool for knowledge transfer and coordination of long-term care for a community-dwelling patient with a frailty syndrome - pilot carried out as part of the VIGOUR project

Authors:

Agnieszka Guligowska ,

Department of Geriatrics, Healthy Ageing Research Centre, Medical University of Lodz, Poland, PL
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Patryk Grzegórski,

Department of Geriatrics, Healthy Ageing Research Centre, Medical University of Lodz, Poland, PL
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Tomasz Kostka

Department of Geriatrics, Healthy Ageing Research Centre, Medical University of Lodz, Poland, PL
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Abstract

Introduction: The growing number of patients with frailty syndrome requires a comprehensive therapeutic approach. Even a very well-diagnosed patient, during her/his stay in the geriatric ward, must implement therapeutic recommendations upon returning to home environment. It has to become a part of their everyday life. Presently, in Poland, there is no method, that would allow easy implementation of coordinated care tools in the routine of a discharged patient.

The neglect that occurs in the absence of coordination and motivational activities, causes rapid progression of the frailty syndrome and contributes to the occurrence of disability, additionally burdening both the medical and social care system.

Aims and metods: The pilot aimed to create an IT tool. This app aims to support the coordination of patient care with the frailty syndrome. For this purpose, the medical team of the geriatric ward was consulted with patients and stakeholders from the patient's environment. The needs and resources were analyzed, and the terminology used by all team members was standardized. Based on this knowledge, guidelines for an IT tool were developed, which a team of IT specialists used to design a mobile application called "WIGOR".

Results: The developed application, on the one hand, transfers the medical knowledge about the patient (derived from the Comprehensive Geriatric Assessment) necessary to develop a long-term care schedule in home environment, and on the other hand, monitors and supports the patient in the implementation of daily recommendations related to the prevention of the frailty syndrome.

The extensive information includes personalized fall prevention tips, dietary recommendations, exercise recommendations, etc. The app allows to record and monitor blood pressure, blood glucose levels and body weight. The application is adapted to the perception of older people, the colors, typeface and size of the font have been properly selected, it is intuitive and easy to use. The period of testing by the stakeholders allowed for its improvement and it was customized to theuser’s expectations.

In addition, the application has an open formula, which will allow in the future adding additional utilities, such as using drugs or reminding about doses.

Conclusions: The implementation of the Polish pilot under the VIGOUR project allowed for cooperation between representatives of medical and social care with the active participation of patients and their caregivers. The result of this teamwork is the first Polish IT tool for coordinating care for patients with a frailty syndrome. The planned prospective studies will assess its effectiveness.

Implications for applicability /transferability, sustainability, and limitations: The app can also be used by other geriatric patients, GPs, social workers, physiotherapists, nutritionists and caregivers. In the future, after ensuring the security of sensitive data, it can be connected to the state patient support system IKP. It is also an example of good practice.
How to Cite: Guligowska A, Grzegórski P, Kostka T. An IT tool for knowledge transfer and coordination of long-term care for a community-dwelling patient with a frailty syndrome - pilot carried out as part of the VIGOUR project. International Journal of Integrated Care. 2022;22(S3):446. DOI: http://doi.org/10.5334/ijic.ICIC22379
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Published on 04 Nov 2022.

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