We are pleased to announce the availability of Geriatrician appointments for older adults, providing comprehensive medical care to this complex population.
For a limited time, our one-off Geriatric Assessments will be bulk billed.
Our Consultant Geriatrician, Dr Mehr Shaikh, with experience from UK and Australia, strives to maintain a multidisciplinary care in adults over 65.
We manage the following elderly conditions and issues:
- Parkinson’s Disease
- Medication streamlining
- Chronic Disease Management
- Capacity Assessments
- Stroke Rehabilitation
Our services provided include
- Geriatric Assessment and Management Plans (Bulk-Billed for a limited time)
- Nursing Home Assessments
- Memory Clinic
- Ongoing Geriatric Care
- Ability to make and communicate a decision;
- Not a unitary or global concept;
- Domain specific: particular to the type of decision being made (e.g. personal, health, financial); and
- Decision or task specific: different for every decision made, even within one domain.
Under the common law, and consistent with Article 12 of the UN Convention on the Rights of Persons with Disabilities, a person is always presumed to have capacity to make decisions. Where a person has dementia this may be a trigger for a capacity assessment if a decision needs to be made. Broadly, there are three areas or domains of decision-making: personal, financial and health. Within these domains there are numerous types of capacity decisions or capacity tasks.
A health practitioner may assist in assessing capacity for various specific scenarios. A capacity assessment may be forced when all attempts to solve the problem have failed and the conduct of the person is causing or likely to cause significant harm to the person or someone else, or there may be important legal consequences of the decision.
Geriatric Assessment and Management Plan
Geriatric syndromes such as functional impairment and dementia are often poorly recognised or inadequately managed. Identifying geriatric syndromes by a comprehensive multidisciplinary assessment helps in the management of these conditions and prevents or delays complications that may occur as a result of them. A comprehensive geriatric assessment helps in identifying medical, psychosocial and functional impairments in the elderly and helps in providing a plan that maximises overall health with ageing.
A geriatric assessment differs from a standard medical assessment in that
- It focuses on the elderly with complex problems
- It emphasises functional status and quality of life
- It usually involves multidisciplinary assessments
The assessments are patient focussed and also focus on the concerns of the carers who are involved in the care of the patient.
“It is our absolute privilege to extend our appreciation and sincere gratitude to Dr Mehr Shaikh for her outstanding work and dedication during her doctoring of my husband Ted over many weeks.
We were constantly informed regarding his condition, medication and welfare and found her to be compassionate, caring and knowledgeable. And to see that my husband received such high level of care under her consultation was extremely reassuring.
We would like to wish her the very best and have no doubts that she will be an outstanding medical professional.”-T&B Kendall
Nursing home assessments
Specialist geriatric assessments in Nursing home are provided to the older patients over the age of 65 residing there having been referred by the GP. The residents may have difficulty with mobility, have memory loss or experience anxiety outside their familiar environments and hence require a visit at the nursing home.
These assessments can assist with the diagnosis of problems associated with falls, poor mobility, loss of memory, frailty, poly pharmacy or behavioural problems associated wiht dementia.
The aim of these assessments is to maximise the health of the resident at home and avoid or delay a presentation to the hospital, to improve or maintain the current quality of life or improve if at all possible.
This clinic aims at diagnosing memory problems and thereby providing support to manage any further problems that may be encountered due to memory issues. Changes in memory can lead to problems with anxiety, depression, change in behaviour. The clinic helps navigate these complications, aims at identifying treatment options and also provides support to the carers of those experiencing these problems.