3508 Exploring older patients’ and carers’ perceptions of medication change communication during inpatient care

Introduction Effective communication about medication changes during hospitalisation is critical for patient understanding, satisfaction, and adherence. This service evaluation examined how older patients and their carers perceive healthcare professionals’ communication around medication changes during inpatient care. Methods A qualitative study was conducted using semi-structured interviews with 10 participants (6 older inpatients, 4 carers) across four geriatric wards. Thematic analysis was applied. Sampling was guided by information power, with data saturation achieved after 10 interviews. Participants had a mean age of 77.5 years, eight patients were British, one Pakistani, and one Black African. Results Patients and carers described communication about medication changes as limited and inadequate, often leaving them feeling confused, anxious, and uncertain about decisions being made. There was a clear expectation for timely explanations delivered in straightforward language, with a strong emphasis on understanding the reasons behind each change. When communication was effective, it helped build trust, fostered a better medication understanding, and encouraged adherence. In contrast, poor communication undermined confidence and led to disengagement. Patients also expressed a strong wish to be involved in decisions, yet many felt marginalised or left out of important conversations. They placed high value on transparency and being offered treatment options. Carers emerged as key contributors to the process, often taking the initiative to seek clarification and advocate for the patient’s needs. Their involvement was viewed as crucial to delivering safe, informed, and person-centred care. Conclusion Prioritising clear, timely communication, including explicit rationale for medication changes, along with shared decision-making and active carer involvement, can strengthen trust, support adherence, and improve continuity of care. These findings highlight the need to embed patient-centred communication into staff training and routine clinical practice. Ethics approval was not necessary for this study as it is a service evaluation. Local approval has been secured from the hospital Trust.