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S588

24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805

clinical pharmacists and physicians is increasing, mainly because

of payer’s interest to reduce several additional costs.

Aim

The main aim of this paper was to present the benefits

of clinical pharmacist interventions in AD patients in community

health centres in Eastern Slovenia.

Methods

All included outpatientswith AD in 2013were included,

where clinical pharmacists’ interventions were ordered by the gen-

eral practitioners (GPs). All study data from the patients’ records

were obtained from the clinical pharmacists’ reports and patients’

charts. Main outcome measures were obtained from the summary

of the patients’ treatments and the questionnaires.

Results

Six hundred and twenty-nine patients were included.

Before the clinical pharmacist medications review, 39 patients

were treated with AD medications (10 without established AD). In

51.0% of these cases, the suggestions to GPs were provided (mainly

dose adjustment). In 70.0% of all cases, the recommendations were

accepted by GPs, which led to a total reduction in the number of

patients with IP (before 20 and after 6).

Conclusions

A clinical pharmacist could help GPs in recognizing

IP in patientswith AD. These datawill guide health systemdirectors

and clinical coordinators in allocating resources to establish this

cooperation in more European countries.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1729

EV745

Weathering the silver tsunami:

Dementia community services in

Singapore

C.H. Ting

, W.P. Lim

Tan Tock Seng Hospital, Psychological Medicine, Singapore, Singapore

Corresponding author.

Introduction

The prevalence of dementia rises with the rapidly

increasing elderly population in developed world. In Singapore,

10% of the elderly population is estimated to have dementia. Other

than physical and psychological needs, social welfare should also

be addressed with the support of specialised geriatric care sources

to improve their quality of life.

Objective

To study a case of an elderly with dementia, who was

identified and managed through a multi-agency approach and to

describe different services involved for dementia care.

Aim

To highlight the various elderly care organizations available

in Singapore to address healthcare and social needs in dementia.

Method

Through a case report of an elderly who presented to

hospital for medical issues with dementia, the social needs were

identified and multiple agencies were involved to provide holistic

care in dementia.

Result

A 77-year-old gentleman was brought by a community

social worker to hospital as he was found ill during home visit.

During admission, the concern for poor self-care and cognition

decline was raised by his family. Mini-mental state examination

was 16/30. He was diagnosed with vascular dementia with clinical

and MRI Brain finding. With active multidisciplinary intervention,

his medical issues were addressed, and family and social needs

were attended by several voluntary welfare organizations. Access

to memory clinic service was also arranged for. This intervention

also provided opportunity for his long-term care and welfare.

Conclusion

Multi-agency approach is crucial in dementia care to

identify their unmet needs andplan for long-termcare in Singapore.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1730

EV746

Hostility and emotional load of

Tunisian caregivers of Alzheimer

patients and its impact on the patient

M. Zghal

1 ,

, L. Robbena

2

, F. El Ghali

2

, I. Ben Ghzaeil

2

, R. Rafrafi

3

1

Tunis, Tunisia

2

Hôpital Razi, Mannouba, Tunis, Tunisia

3

Hôpital Razi, Mannouba, Tunis, Tunisia

Corresponding author.

Introduction

The studies on Alzheimer disease highlight the fam-

ily caregivers burden and his consequences on hostility. Few

authors study the burden and the mental health of the caregivers

of a demented relative.

Aims

This study aims at assessing the hostility and emotional

load of caregivers of Alzheimer patients and determining the rela-

tion between the burden and the psychic health caregivers and its

impact on the patient.

Methods

It is a descriptive cross-sectional study. Patients were

recruited from the neurology department of Razi hospital Tunisia

between January and June 2013. Consenting caregivers participat-

ing in the study were interviewed with a structured survey focused

on their socio-demographic characteristics, the characteristics of

the aid relationship and the emotional burden felt valued by the

Family Attitude Scale (FAS).

Results

The caregiver was in nearly 60% a child. He lived under

the same roof in 78.3% of cases. In 65% of cases, it passes between

12 and 24 hours with the patient. FAS score was 52.4

±

16.16.

Thirty-five percent of caregivers had a significant emotional bur-

den (score > 60). FAS score was not correlated with the age of the

helping relationship, cohabitationwith the patient or the number of

hours spent with him. The children had a greater emotional charge

than spouses (

P

= 0.001). The wickedness against the patient and

abuse, the desire to institutionalize were related to the importance

of the emotional charge (

P

< 0.001).

Conclusions

These hostile thoughts are mostly directed against

the patient but it can also be directed against oneself causing

depression and guilt.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1731

Guidelines/guidance

EV747

Alcohol intoxication. Emergency

management

I. Sevillano

1 ,

, P. Marqués

1

, E. Mayor

1

, S. Cepedello

1

,

A. San Román

2

, R. Hernandez

1

, S. Gómez

1

, C. Noval

1

, F. Uribe

3

1

Hospital Clinico Universitario Valladolid, Psiquiatría, Valladolid,

Spain

2

Complejo Asistencial de Zamora, Psiquiatría, Zamora, Spain

3

Hospital Clínico Universitario Valladolid, Jefe de Servicio de

Psiquiatría, Valladolid, Spain

Corresponding author.

Introduction

Intoxications are very frequent in urgencies. Their

gravitymust be considered. Mild cases must be observed. In serious

intoxications, despite the basic measures of support, complemen-

tary examinations must be realized to reject complications.

Objectives

To unify criteria about general management of alcohol

intoxications in urgencies. To propose a guideline that allows taking

suitable decisions.