152928 - Managing older patients in general practice
- : Online
Australia's ageing population presents a challenge for general practice. The complexity level in managing older people is magnified by multi-morbidities, physiological decline and cognitive impairment, which leads to more difficult and lengthy consultations, the need for advanced care planning, end-of-life conversations and family case conferencing.
This workshop is designed to extend general practitioners' skills in the areas of osteoporosis and frailty, psychogeriatrics (dementia, depression and delirium), capacity assessments (advanced health directives and consent forms), assessing life expectancy and knowing when to refer to palliative care.
In Australia, like most OECD countries, medical advancements have increased life expectancy. In Queensland, 15% of the population is currently aged 65+ years, with the national proportion predicted by the Australian Bureau of Statistics to be 18.6% by 2030.
Australia’s ageing population presents a challenge for general practice. 30% general practice encounters are with patients aged 65 or older, meaning older Australians use double their share of GP service resources in comparison to the proportion they account for in the general population.
Between 2000 and 2015, GP face-to-face clinical consulting time spent managing these patients increased from 23.9% to 28.7%, a 20% relative increase mainly attributed to the prevalence of chronic conditions in this age group. Nearly all geriatric patients have at least one chronic condition, 57% have three or more (multimorbidity), and almost 10% have seven or more diagnosed chronic conditions.