Changing Horizons in Gerontology: Frailty, Delirium and Interface Geriatrics

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Changing Horizons: Frailty, Delirium and Interface Geriatrics
24 September 2020
Online event for members of the IGS
Organised by: 
IGS Frailty Network

Recording of this event:

01:40      Dr  Rónán O'Caoimh

03:15      Dr Elizabeth Moloney

16:40      Home FIRsT Team

29:20      Ms. Edel Mannion

44:44      Dr Rosa McNamara

58:26      Dr Dan Davis

1:11:35    Panel with Q & A


Changing Horizons in Gerontology: ​Frailty, Delirium and Interface Geriatrics 

a special online symposium of the Irish Gerontological Society Frailty Network

September 24th 15.00-16.30

IGS member-only event.

>>Not a member? Join the IGS now<<



Approved by RCPI with 2 CPD credits (Ref 1020)

Coronavirus disease 2019 (COVID-19) is disproportionately impacting older adults. In these unprecedented times, the need for healthcare professionals to prognosticate and carefully manage the care of older people has never been greater. Risk-assessment in heterogeneous populations such as older people is complex. This is particularly true during this pandemic as older people may present with atypical symptoms and exacerbations of underlying Geriatric syndromes including frailty and delirium.

This webinar will examine, review and relive the experiences of healthcare professionals on the frontline of this evolving pandemic. It will provide guidance on how to assess and manage older patients with and without COVID symptoms. 


Welcome    Dr Diarmuid O'Shea, President of the Irish Gerontological Society

Introduction of the theme and speakers     Dr Rónán O’Caoimh & Prof Roman Romero-Ortuño on behalf of the Irish Gerontological Society Frailty Network

Overview of COVID-19 and Frailty - scoring the Clinical Frailty Scale     Dr Liz Moloney, MD researcher, Mercy University Hospital, Cork

Home FIRsT: interdisciplinary geriatric assessment and disposition outcomes in the Emergency Department      Ms Aoife Dillon, Ms Lucinda Edge, Ms Sinéad Flynn – Home FIRsT team, St James’s Hospital, Dublin

Overview of alternative pathways to the Emergency Department: The role of the older person's assessment hub during COVID-19     Ms Edel Mannion – ANP in Older Person’s Care/Frailty, University Hospital Galway

How to prepare ED for COVID now and into Winter 2020     Dr Rosa McNamara, St Vincent’s University Hospital, Dublin

COVID-19 and the interplay with frailty     Dr Daniel Davis, University College London

Discussion Panel



Aoife Dillon is a Registered Advanced Nurse Practitioner in St James’s Hospital, Dublin. She completed her MSc in Advanced Practice with Trinity College Dublin in 2019. She has spent the last 16 years working with older people across acute and ambulatory care settings. Her current position is with Home FIRsT, assessing frailty and facilitating the safe discharge of older people who present to the Emergency Department. She is also currently an advisor for LGBT Ireland’s Older Persons Champions Programme.

Lucinda Edge is a Clinical Specialist Physiotherapist with Home FIRsT (Frailty Intervention and Response Team) in St James’s Hospital Emergency Department. She has worked with older adults in acute, rehabilitation, day hospital, community and residential care settings over 15 years. She completed a BSc (Hons) Physiotherapy at Trinity College (2004), a graduate diploma in Neurological Rehabilitation at the University of Western Australia (2011) and is currently completing her MSc research at RCSI. Interests include frailty, falls & ageing with neurological conditions.

Sinead Flynn completed a social science degree in UCD and a master’s in social work qualifying in 1994.  She has worked in SJH as a Medical Social Worker (MSW) for 25 years. In 2003, she was promoted to senior MSW/team leader and has worked with and led teams in all hospital departments. She is currently working with older people in the HOME FIRsT team.  Sinead is a strong advocate for the rights of older people to make their own decisions and remain in their own home.

Rosa McNamara is a consultant in Emergency Medicine at St Vincent's University Hospital.  She has a special interest in Geriatric Emergency Medicine and leads the older persons rapid assessment hub (OPRAH) at St Vincent's and the prehospital Frailty Response Team.

Rónán O'Caoimh is a Geriatrician at Mercy University Hospital, Cork. His research interests are in epidemiology, dementia and frailty. He has completed an MSc in Geriatric Medicine (Keele University) a PhD (University College Cork) and an MPH (University of Edinburgh). He is currently the honorary secretary of the Irish Society of Physicians in Geriatric Medicine, co-chair of the Older Person's Clinical Advisory Group frailty subgroup and coordinator for the A3 frailty subgroup of the European Innovation Partnership on Active and Healthy Ageing.

Román Romero-Ortuño is Associate Professor in Medical Gerontology at Trinity College Dublin and Consultant Physician in St. James's Hospital, Dublin. He co-chairs TILDA’s Frailty and Resilience Working Group and is a Faculty member of the Global Brain Health Institute (GBHI).  His research contributions have been recognised with the 2015 British Geriatrics Society Rising Star Award, the 2017 Count of Cartagena Award from the Royal National Academy of Medicine of Spain and the 2018 President of Ireland Future Research Leaders Award.

Daniel Davis is a geriatrician and epidemiologist. He is interested in the impact of delirium on trajectories of cognitive decline in population studies. After graduating from the University of Edinburgh in 2003, and postgraduate training in Oxford and London, he obtained his PhD in 2013 from the Department of Public Health and Primary Care at the University of Cambridge. His current clinical work is at University College and St Pancras Hospitals in London and his research is funded by the Wellcome Trust.

Edel Mannion is a Registered Advanced Nurse Practitioner in the Older Person at Galway University Hospitals (GUH). Her current position is in the Older Person Assessment Hub which provides ambulatory specialist services for older people who require access to Comprehensive Geriatric Assessment and diagnostics. This model supports the integration of acute hospitals (GUH), home based services and primary care. Edel is the nursing lead in the interdisciplinary memory and falls and syncope clinic.

Dr Elizabeth Moloney is a final year Specialist Registrar in Geriatric Medicine. She qualified from University College Cork (UCC) in 2011. She is dual-qualified in dentistry. Her current role is as Clinical Research Fellow with the HRB Clinical Research Facility in UCC, undertaking an M.D. in examining optimal strategies on how frailty is screened and managed among older adults. Her particular focus is on approaches to support early identification and triage of older adults to frailty intervention teams in the Emergency Department, using a frailty trigger as part of the existing Manchester Triage System (MTS) score.