A few things to do before you arrive...

  • Re-read their reflective worksheets from their FunMed communication skills sessions on "Meeting Your First Patient", and include it in their learning log
  • Read the recommended reading about ageing
  • Consider the implications for medical and social services of an increase in the elderly population
  • Read these newspaper articles from the Telegraph and the Guardian

Over 70% of all general practice appointments are with people aged over 70.

How can GP services better accommodate the needs of older patients?

London has a relatively high proportion of young people.

What challenges do you think older people face living in Hoxton?

Read 'The Old Duffer's Club' by GP David Loxterkamp. It's a short essay about 'slow medicine'; "Slow medicine is just this caring process of slowing down, being patient, coordinating care, and remaining faithful to the end."


Timetable



Plan

Notes
09:00-09:30

Introduction to the day


09:30-11:00

Patient contact

Sitting in with GPs
Home visit
Patient interviews
11:00-12:15

Discussion & debate

What do we mean by old age?
What do we mean by an ageing population?
What are the implications for healthcare?
Ageing populations and issues surrounding end of life care. "Dying matters"
12:15-13:00

Lunch & travelling


13:00-15:00

Visit to the Sundial Centre

11 Shipton Street, Bethnal Green, London, E2 7RU
15:00-16:00

Learning log review

Please have your learning logs for Day 1 & 2 available and up-to-date
16:00-16:30

Debrief with GP & community tutor


Learning Objectives

By the end of the day, students should be able to:
• Recognise ageing as a natural, developmental process
• Describe different ways that the elderly are regarded within different groups and communities
• Describe the range of services, people and agencies that are involved in the support of the older patient in the local community
• Talk appropriately with an older patient (with suitable empathy, respect and interest)
• Explain some of the implications for the health and social services of an ageing population
• Identify key policy documents relating to care of older people

Reflective writing


Did the patient you met describe any benefits of being older? Did anything surprise you?
What were the main points of difference and similarity in your home visit, and the visit you made to the patient on the ward? Did you notice any difference in yourself between the two encounters? Did you think the person felt comfortable talking to you?
You will have a meeting today with one of your tutors.How do you feel you are progressing? Have you noticed any changes in yourself? Do you feel comfortable at the practice? Do you feel comfortable meeting patients? Have you set yourself any goals for next term?

Essential reading

National Service Framework for Older People - Department of Health
Age discrimination - Centre for Policy on AgeingQuality of care for elderly residents in nursing homes and elderly people living at home: controlled observational study - T. Fahey, 2003-3-15Age Concern UKDementia

Further reading

The Health of Older Asians by Liam Donaldson and Marie Johnson in Ageing and Later Life Edited by Julia Johnson and Robert Slater. Sage, 1993, p 76 – 83. ISBN 0 8039 8966
Medsoc Cinema: Young at Heart.

Links

National Pensioners association website