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Impact of aging – Implications for GPs. Important consideration for GPs in Practice and an old favourite of CSA examiners Requires GPs to take time, think about the psychosocial impact of illness and utilise a wide range of agencies to support patients and carers in their home.
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Impact of aging – Implications for GPs • Important consideration for GPs in Practice and an old favourite of CSA examiners • Requires GPs to take time, think about the psychosocial impact of illness and utilise a wide range of agencies to support patients and carers in their home
Causes of changes Fertility • 2.86 births/woman in 1962 • 1.96 births /woman in 2007 Mortality • Declining DR (improve health care and social services) • Rising life expectancy • 77.5yrs male • 81.7 yrs female Migration • overall has little impact on ageing population.
A few thoughts on how age affects healthcare needs and ability to access services....
Impact of age on Capability • Physical limitations • Falls risk • Mobility • Vision • Hearing • Medicines compliance General • Housing • Heating • Nutrition • Poverty Falls assessment/clinic referral Walking aids, Motability Ability to drive, DVLA Regs Disabled parking badge scheme Footwear/Chiropody Free sight tests Hearing aids Memory clinic referral Dosette box, Nomad tray, Pill reminder Residential and Nursing Home Care Social Services
Impact of age on Health needs • Service design • Chronic Disease management • Mental Health Longer appointments Disabled access to surgery Home visits Large print information Multiple appointments Continuity of care End of Life Care Redundancy, early retirement, workplace discrimination Cognition/memory problems Bereavement support Loneliness – day centres
Non NHS agencies • Age concern www.ageuk.org.uk • Alzheimers society http://www.alzheimers.org.uk/ • Calderdale council http://www.calderdale.gov.uk/socialcare/olderpeople/