269 PHARMACIST INTERVENTIONS WITHIN A MULTIDISCIPLINARY CARE TEAM FOR FRAIL OLDER ADULTS PRESENTING TO A LEVEL 4 EMERGENCY DEPARTMENT

Abstract Background Inappropriate polypharmacy and ‘Potentially Prescriptions’ (PIP) are associated with increased morbidity hospitalisation, in particular among frail older persons. A structured medication review, conjunction a Comprehensive Geriatric Assessment (CGA), can address PIP. The aim of the study was to review Frail Intervention Team (FIT) pharmacist interventions for frail, adults presenting Emergency Department (ED) experiencing compliance difficulties, Methods Patients identified included those or issues, fall, delirium and/or frailty syndromes complex comorbidities. process involved completion medicines reconciliation appropriateness accordance 7-Steps Medication Review Model (Scottish Government Polypharmacy Care Group, 2018). Pharmacist optimisation recommendations were reviewed by Consultant Geriatrician Registrar discussed patient prior implementation. Results FIT completed reviews 765 patients between May 2021 April 2022. mean age (+/-SD) 83.1 (+/-7.0) years median Clinical Frailty Score (CFS) 5 (mildly/moderately frail). Optimisation actioned 63% (n=483) reviewed. most commonly encountered PIP’s included: excessive anti-hypertensive/diuretic therapy, long-term acid-suppression anticholinergics prophylactic antimicrobials. Prescribing opportunities bone protection, laxatives pain management. Conclusion CGA, led adult cohort ED. Future studies should examine impact on outcomes post-discharge.