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Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
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As individuals age, their body's physiology evolves, affecting drug pharmacokinetics. The most apparent changes occur in the gastrointestinal tract, where an increase in gastric pH, a delay in gastric emptying, and a reduction in gastrointestinal motility are observed. Remarkably, these changes do not substantially modify the absorption of orally administered drugs, particularly those absorbed via passive diffusion.Transdermal drug delivery emerges as a highly viable method for older adults due...
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Age-related pharmacokinetic changes are extensively documented, but understanding age-related pharmacodynamic alterations is relatively limited. This knowledge gap can be partly attributed to the complexity of developing appropriate measures of drug responses compared to bioanalytical methods for determining drug concentrations.Most information regarding age-related differences in human pharmacodynamics originates from cross-sectional studies. However, these studies assume that observed mean...
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Older patients' consultations in an apprenticeship model-based general practice training program: A cross-sectional

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  • 1School of Medicine, University of Wollongong, Wollongong, New South Wales, Australia.

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General practice registrars (GPRs) had fewer encounters with older patients than expected, with these consultations being shorter and less complex. Training needs to increase exposure and address supervision for geriatric care.

Keywords:
aged carefamily practicegeneral practicegraduatemedicalvocational education

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Area of Science:

  • Geriatric Medicine
  • Medical Education
  • General Practice

Background:

  • Older adults represent a growing demographic with complex healthcare needs.
  • General Practice Registrars (GPRs) are crucial in providing primary care for all age groups.
  • Understanding GPRs' experiences with older patients is vital for effective training and patient care.

Purpose of the Study:

  • To analyze the characteristics of consultations between general practice registrars and older patients (aged ≥65 years).
  • To identify patterns in chronic disease management and consultation complexity for older patients.
  • To inform improvements in GPR training and clinical practice regarding geriatric care.

Main Methods:

  • Cross-sectional analysis of 118,831 GPR consultations from Australian regional training providers.
  • Inclusion of data from 20,555 consultations involving patients aged 65 and older.
  • Statistical analysis using simple and multiple logistic regression models.

Main Results:

  • Older patients comprised 17.6% of consultations.
  • Encounters with older patients were more likely to involve chronic disease and multiple problems.
  • Information seeking and consultation duration were paradoxically lower for older patients.

Conclusions:

  • GPRs have limited exposure to older patients, with consultations appearing less complex than anticipated.
  • Current training may not adequately prepare GPRs for the full spectrum of geriatric care needs.
  • Strategies are needed to increase GPRs' caseloads with older patients and enhance training and supervision in geriatric medicine.