A medico-social survey of over-75's in a rural practice

A survey of patients in a Donegal practice showed that 7.9% (n = 198) were over 75 years of age. Of these, 20% lived alone, many of whom lived in poor housing, less than one third of these attended the nearest day centre. Sixteen per cent of the group studied had an inappropriate diet. Fourteen per cent suffered significant physical disability, 30% showed evidence of mental impairment and 28% were taking three or more drugs on a regular basis. Most support for the elderly was provided by friends and relatives. General practitioners are well placed to identify mental and physical disability and social problems and should be actively involved in developing community support services.