December 2022 - December 2024
President’s Message

President’s Message

Hello Colleagues,

As another year wraps up you are no doubt feeling like me and are wondering where that time went. 2022 was the year we started returning to ‘normal’ with the occasional blip along the way that reminds us of how life has changed. I hope the past months and lifting of restrictions also allowed you to travel and re-connect with family and friends.

My year has been dotted with opportunities to meet colleagues in person. Last week we held our final end-of-year Council meeting in Melbourne, the first time Council had met face-to-face since December 2019. We all appreciated the value of what these meetings provide – opportunities to not only plan and strategise as a group, but also a chance for informal work conversations as well as personal catch ups. We were lucky enough to be joined in the morning by health economist Mr Stephen Duckett who has held leadership roles in the Department of Health and Aged Care. Stephen reminded us that the best way to influence policy as a society is to identify the issues that policymakers feel we can help with. Much of the discussion that followed focused on this, looking at very practical ways we can most effectively target those in Government with solutions to providing better health care for older people.  

Back in September I joined Queensland colleagues for their educational weekend, in late October I was in the Barossa Valley South Australia and the following week in New Zealand for their respective Division meetings. For me, the best part of this job has been the opportunity to hear the “stories”  of fellow geriatricians and their path to where they are now. I particularly enjoyed the way the State Divisions included their advanced trainees in the weekend activities.  Seeing people in person also reminded me of one of the great strengths of our society – it’s diversity.

It has been a year since we devised our 2022-2024 Strategic Workplan and we are happy to report progress across each Pillar. We have almost completed a survey of Heads of Department in Geriatric Medicine in Australia and New Zealand to get a better insight into the geriatric medicine services that are provided by our public hospitals. In the future it would be valuable to know about the services geriatricians provide in the private system as well.

The Commonwealth are working on their plans for the new home support program which they plan to launch in mid-2024. From our point of view the most important thing we want them to think about is how they can help older people navigate the system, particularly if they have cognitive impairment or don’t have someone who can advocate for them and that during the initial assessment there needs to be the ability to “case manage” people until a plan has been put in place.

The Out of Hospital Care Special Interest Group (SIG) has been launched with the Dementia SIG to be started early next year. The two most achievable outcomes of these SIGs are educational activities such as webinars, which have shown to attract large audiences, and the sharing of details on models of care.

We continue to focus on ways to engage our members and ensure we are supporting you with useful information and benefits. In 2023 we hope to engage new members in our various committees – we have a broad membership which offers an enormous resource of expertise that can help us shape our submissions, consultations and position statements.

Next year we also plan to conduct a membership survey that will help us to further understand how we can serve you all. I encourage you to all participate and tell us more about what you want from your society.

Wishing you all a very happy and safe holiday season with your friends and family. I hope you are all able to enjoy some well-deserved rest and relaxation and I look forward to working with you all in 2023.

Best Wishes

Vasi Naganathan

ANZSGM Welcomes New Members

ANZSGM Welcomes New Members

The Society welcomes the following new members who were endorsed at Council meetings on 24 October and 5 December 2022:

NSW
Anthony Bragg (Full)
Calum Chong (AT)
Shiny Huang (AT)
Jessica Lesmana (AT)
Upul Liyanage (Full)
Janice Taylor (AT)
George Wells (AT)

Victoria
Supriya Krishnan (Full)
Alexandra La Hood (AT)
Tian Bai Qiu (AT)
Vivian Lee (AT)

Queensland
Ruth Heng (AT)
Jihye Jung (AT)
Kerinya Pillai (AT)
Tamara Robinson (AT)
Rochelle Shepard (AT)
Thaddeus Tuttle (AT)
Penny Mackenzie (Full)
Ying Hee Tiong (AT)

Western Australia
Mayura  Thilanka Iddagoda (Full)

New Zealand
Victoria Booth (AT)
James Heaton (AT)
Cathal McCloy (AT)
Sarah Mellow (AT)
Pooja Singh (AT)
Rebecca Tull (AT)
Rebekah Carey (AT)

ANZSGM Annual Scientific Meeting Registrations and Abstract Submissions Now Open

ANZSGM Annual Scientific Meeting Registrations and Abstract Submissions Now Open

You are invited to be a part of the ANZSGM Annual Scientific Meeting on 10-12 May 2023 at the Brisbane Convention and Exhibition Centre. The Advanced Trainee weekend will be held 12-13 May 2023. Online access to recorded presentations, additional scientific and clinical content and other resources beyond the conference dates for ASM delegates will be provided.

The theme of the 2023 ASM is ‘Celebrating Successes and Understanding Failures’ and the program will include clinical updates on organ failures, reflections on ‘healthy ageing’, debates about successful and not-so-successful interventions, and thoughts on good and not-so-good health system innovations. Two keynote speakers – Professor Kenneth Rockwood and Professor Maria Fiatarone-Singh – will offer their insights into successes and failures in Geriatric Medicine at personal, individual patient, health system and population levels. We look forward to seeing you in May.

Key Dates
24 March 2024 – Early Bird Registration Deadline
24 February 2024 – Abstract Submission Deadline

Add ANZSGM 2023 dates to your calendar now

ANZSGM New Zealand Retreat

ANZSGM New Zealand Retreat

After a two year COVID-imposed gap, ANZSGM’s annual Retreat was reborn at the Waitangi Treaty Grounds on 3-5 November. Over 120 delegates from across New Zealand, joined by ANZSGM President Professor Vasi Naganathan, attended three days of lectures, workshops and debate at New Zealand’s most important historical site.

The central theme of the meeting was equity: delivering high-quality care to all of New Zealand’s older people regardless of ethnicity, disadvantage and geography. Keynote lectures on issues affecting Maori elders were set amongst clinical updates and accounts of service development.

On Thursday morning trainees took part in a session covering topics including maintaining wellbeing, making the transition to SMO and understanding mental capacity; meanwhile SMOs completed the SPDP3 Educational Supervisor course. This was followed by the formal opening of the conference in the form of a powhiri (ritual of encounter). In this ancient Maori ceremony delegates were welcomed onto the Treaty Grounds by kaumatua (elders) representing the Health Board in Northland.

Setting the scene for the main meeting, Mr Tohe Ashby, a leading practitioner of traditional Maori healing (rongoa), identified five elements underpinning wellbeing in older people: wairua, hinengaro, tinana, whanau, whenua – spirit(uality), mind, body, family and land (home). After a lively debate on dialysis in older people the session concluded with oral presentations of submitted abstracts including some excellent work by our Advanced Trainees. The day closed with drinks, nibbles and conversation at the Welcome Reception.

Friday’s programme was anchored by two keynote speakers. Prof Ngaire Kerse is one of New Zealand’s most influential researchers into older peoples’ health.  She presented her work with Dr Jo Hikaka on the Maori experience of Aged Residential Care and set it in the context of demographic change, challenges of equity and opportunities to build better for the future. Later, Dr Makarena Dudley shared her research into Maori understanding of dementia (mate wareware) and her work to develop a culturally appropriate cognitive assessment tool. Clinical updates on stroke, heart failure and rheumatological conditions shared the stage with talks on setting up Acute Care of the Elderly (ACE) units and tackling polypharmacy. We also paid tribute to our late friend and colleague Chris Hutchinson.

The Conference Dinner was held at Charlotte’s Kitchen in Paihia, named after the Bay of Islands’ only female pirate. At dinner Prof Naganathan presented Dr Roger Harris with Honorary Life Membership of ANZSGM in recognition of his lifetime of devoted service to the cause of Geriatric Medicine in New Zealand.

After Saturday morning’s AGM, Dr Phil Wood updated us on policy and planning developments for older peoples’ services in New Zealand under the new national service structure. After updates on in-home falls prevention and perioperative delirium prevention the meeting closed, aptly, with Roger Harris introducing the new – but already nationwide – ANZ Fragility Fracture Registry.

Image Courtesy: Juanita Pascual

ANZSGM South Australia Division Annual Scientific Meeting

ANZSGM South Australia Division Annual Scientific Meeting

By Dr Timothy Chan

The South Australia Division of ANZSGM Annual Scientific Meeting was held 29-30 October 2022 at the newly updated and refurbished Novotel hotel and resort in the heart of picturesque Barossa Valley. A total of 50 attendees made the trip from Adelaide and we were very pleased to welcome amongst them a number of our colleagues from psychiatry who had also registered for the event.

Our keynote speaker this time round was Professor Vasikaran Naganathan, who presented two keynote sessions, focusing on the changing landscape in Geriatric medicine with an emphasis on the ever important roles of education and research. Both sessions were highly thought-provoking and informative, with Professor Naganathan’s uncanny ability to engage the audience generating robust discussions in post-presentation Q&A.

As a division, we also sought to provide updates on a variety of contemporary issues within South Australia.  Topics covered ranged from an expert panel presentation on the impending implementation of Voluntary Assisted Dying in South Australia, to an intensive care specialist’s perspective and lessons learnt in managing patients with COVID-19 during the pandemic. Other educational sessions over the weekend also included a breakfast education session on Type 2 Diabetes management, as well as a comprehensive overview of hereditary and early onset dementias.

It would be a cardinal sin however if it was just all work and no play. Attendees were treated to pre dinner canapés and cocktail drinks on the Saturday evening before settling in to a sumptuous 3-course meal for dinner. The revelry for the evening started with the presentation of the Katherine Lucero Prize for the best Advance Trainee project presentation (which was held earlier in the day) to Dr Ning Ning Choo, for her project titled: “Examining the effect of perioperative comprehensive geriatric assessment (CGA) and interventions on postoperative length of stay in prefrail and frail older people awaiting elective hip or knee arthroplasty”.

Dinner entertainment was provided by The Neapolitans, who absolutely won the audience over that night with their signature mix of acoustic guitar, keyboards, stripped back drums, and rich 3-part harmonies. In fact, everyone was having so much fun on the dance floor (spurred on by a just a tiny amount of ETOH, no doubt) that the organisers were half-worried that no one would turn up to the breakfast session the next morning. A downside of having your annual meeting in the middle of wine country.

Photo Courtesy: Alison King

Member Profile: Louise Baird

Member Profile: Louise Baird

Sydney Geriatrician Louise Baird is a Senior Staff Specialist Geriatrician at St. George Hospital in Kogarah and Conjoint Associate Professor at UNSW Medicine and Health convening the Aged Care and Rehabilitation Term for medical students. In between work and family commitments, she also finds time for the NSW Doctor’s Orchestra as a 1st violin. 

What drew you to geriatric medicine? Your father is Prof. Douglas Baird, a cardiac surgeon, what influence did he play?
​I grew up in a medical family. My dad was a cardiac surgeon, my mum a paediatric nurse. Many family outings on weekends involved a detour to RPAH where Dad worked. I would often sit in the nurses station while dad reviewed patients and their angiograms for surgery the following day. I didn’t realise it at the time, but looking back now I loved the team atmosphere of a hospital ward and the obvious respect, professionalism and care everyone on those wards showed each other and the patients. 

A profound childhood memory is of my dad successfully performing CPR on an unconscious submerged swimmer while we were on a family holiday at Avoca Beach, then promptly organising the man’ s necessary CABG. He was a greengrocer and sent the family a box of mangoes every summer. As a result of these early exposures to medicine I was always the kid at school performing first aid on anyone injured. I practiced slings and bandages while my friends practiced handstands. 
 
My father died from cholangiocarcinoma aged 55, six weeks after being diagnosed, when I was 16, and I saw another side to medicine entirely. 
 
My first introduction to geriatric medicine was as the orthopaedic intern. I marveled at how the orthogeriatric team could synthesize so many complex problems. I also recognised the collective relief of the patients, the families, the nursing staff and the allied health team after their reviews, because they were compassionate, pragmatic and holistic. BPT training rotations to Aged Care at both St George and Sutherland followed, and I was in no doubt that I had found my tribe. I have wonderful Geriatrician mentors, many found through my times on various ANZSGM and RACP committees. 
 
What do you think is the most rewarding part of your job?
​The complexity of managing dementia and advanced chronic disease drew me to geriatric medicine, but it’s the teamwork that will keep me here! I love that we focus on the person, not the disease, and communicate with families and carers to create individual plans for our patients. Working with experienced nursing and allied health teams in hospital, community and nursing home settings has enabled me to find solutions to every curve ball dementia has thrown at us. I also find teaching and mentoring medical students and junior doctors enormously rewarding. They graduate into the colleagues I rely on, hopefully taking some skills in aged care into varied areas of medicine.
 
When and how did your interest in music develop?
​My family were all quite enthusiastic about playing various instruments, but none were terribly musical. We grew up living behind a piano teacher, who had students 7 days a week we could hear playing from our backyard. Knowing all the pieces by ear by aged 5 I would try to play them on our piano, and so I was sent off to learn. My best friend started learning the violin around the same time, and I spent 2 years nagging my mum to let me learn the violin too. I wasn’t very good at playing the violin solo, but joined the school orchestra and discovered the wonder of playing in an ensemble. I’ve been a 1st violin ever since.
 
How did you become part of the NSW Doctors Orchestra? Tell us more about the orchestra – how often do you rehearse? Where do you perform? 
​Around 30 years ago Dr Miki Pohl, a passionate violinist and plastic surgeon from Hobart recognised the hidden musical talent among his medical colleagues and decided to form the Australian Doctor’s Orchestra playing concerts to raise money for medical charities. The orchestra happened to play in Sydney when I was a first year medical student in 1997 and I was able to join. The orchestra quickly grew too big, and various state based groups including ‘Musicus Medicus’, the NSW Doctor’s Orchestra soon followed. I have played in both orchestras at every opportunity amongst training, working and parenting demands.

The NSW Doctor’s Orchestra has one concert a year, with rehearsals for two weekends prior to the performance. We are sent the music a few months out, and are expected to practice ourselves so we come to the rehearsals able to play our parts. We usually perform with a professional musician soloist, and they always inspire us to play at our best. We also like to showcase emerging Australian composers in amongst the classical orchestral works the audiences love. We have performed mostly at the Conservatorium of Music and the Concourse at Chatswood. The audience is a mix of family, friends, colleagues and patients, and often a wonderful celebration for the charity.
 
How does music help you in your professional life?
​Music is always an escape. It is my version of wellbeing. I use an entirely different part of my brain when playing, and a weekend of rehearsals feels like a holiday. The music we play is challenging, you need to be present and focused. Playing music can be an emotional journey too. 
 
The patron of our The NSW Doctor’s Orchestra (and occasional 1st violinist as a professional musician prior to becoming a Psychiatrist), Dame Marie Bashir AD CVO often descried the power of music in her patients as equivalent to pharmacological therapies. For my patients with dementia I see how music can transform their mood and behaviour, especially music that had personal or cultural significance to them. It’s even better seeing dementia patients transform when they sing along and dance to familiar tunes. 
 
How can we follow the orchestra? Is there room for new members?  
​We are on facebook and our website. We always welcome new players, and those who haven’t played in a while. Musical muscle memory kicks back in quickly for those concerned their musical days were behind them!

Our next concert will be held at the Concourse, Chatswood NSW
Sunday, 2nd April, 2023

“Celebration”
Tchaikovsky violin concerto- Soloist Anna da Silva Chen

Image courtesy: Louise Baird

A look behind Old People’s Home for Teenagers

A look behind Old People’s Home for Teenagers

ABC’s award-winning show ‘Old People’s Home for Teenagers’ brings together older Australians and teenagers, highlighting the vulnerabilities of both groups. This series follows two hit seasons of ‘Old People’s Home for 4 Year Olds’, which combined seniors and preschoolers and showed that connections with young children could improve the health and happiness of older Australians. The show’s narrative is helpfully guided by health experts, including amongst others, ANZSGM member Dr Stephanie Ward who is a dementia researcher at UNSW’s Centre for Healthy Brain Ageing (CHeBA) and geriatrician at Prince of Wales Hospital.  

What was the overall goal of the experiment?

To determine whether a structured intergenerational programme involving both teenagers and older adults could improve wellbeing and change attitudes for all participants.
Outcomes measured for the older adults were loneliness, quality of life, mood, gait speed, grip strength, balance, step count, and attitudes towards teenagers. 

What do older people and teenagers have in common?
The teenage years represent the very beginnings of adulthood, while for the older adults this represents the final stages of adulthood.

Both of these age groups have a high prevalence of loneliness – which in fact is higher in teens than in older adults and interestingly, after older adults, teenagers are the age group second most likely to experience “ageism” – ie, negative attitudes based on age alone.

In terms of more positive commonalities, both of these generations have a need for finding a purpose and meaning in life, and for having meaningful connections and friendships. 

What benefits were gained for both the teenagers and the older people in participating in the experiment?
For the older adults, there was a reduction across the group on the loneliness measure as well as the scores on the Geriatric Depression Scale, and an improvement in self-rated quality of life and measures of gait speed, grip strength, balance and levels of physical activity. This was consistent with the outcomes from the earlier two televised experiments that were conducted with four-year-olds. 

For the teenagers there were global improvements in all indices of well-being. 

For both generations, we saw some lovely changes in attitudes each generation had towards each other. At the beginning and end we asked each participant to say the first five words that came to mind to describe the other generation. The changes in these by the end was so impressive! I suspect (and hope!) that the experiment helped change the attitudes of the viewers too. 

What is really lovely about this experiment being filmed is that the real drivers of these measured changes were captured and shared with the public.

And what we see unfold is lovely moments of reciprocal learning from each generation, the sharing of experiences (some good, some bad) and differing perspectives that spending time with someone from a different generation can bring.

For many participants, of all ages, this clearly led to a real boost in confidence levels. Moreover, it facilitated an environment in which true connections and friendships formed. And these continue in real life!

By the end of the series many of the older people had developed strong bonds with their teenage friends, were less isolated and seemed a lot happier. How was this measured? How strong were the findings?
In this experiment we delve a lot into the area of loneliness. Loneliness is a big issue for the population that we care for in geriatric medicine. We had demonstrated benefits in mood, quality of life and frailty measures on the first two experiments, and we thought that the effect of intergenerational contact on addressing loneliness was a big contributor to achieving these benefits. So this time, we wanted to explore this concept more explicitly, especially as evidence on the adverse health effects of loneliness grows. Loneliness has been linked to increased risks of dementia, cardiovascular disease and premature mortality.   

I hadn’t appreciate how big an issue isolation and loneliness was for teens, and how that’s been compounded by the pandemic years. 

We used to UCLA Loneliness Scale V3, which is an 80 point scale. There was an average change of 4 points across the group of older participants, with 2 of the 10 participants in particular demonstrating very dramatic improvements. 

There was also a lot of “screen time” dedicated to the the teenagers and older adults speaking about the effect loneliness had on their lives. 

As a geriatrician, did the experiment teach you about better ways to address isolation and loneliness in your patients?
That’s a great question. This experiment, as well as the other two with the four year olds, has really driven home for me just how important it is to address these social factors to improve health.

I “prescribe” time with younger people (eg grandchildren and great grandchildren) when I can. I would love to be able to “prescribe” (or I guess, refer might be the better word) some of my patients to a formal, non-familial intergenerational programmes. The numbers of these programmes are increasing! 

The experiment obviously had some very positive results, has it led to further research in this area?
Most definitely. I like to describe the televised experiments as starting an important conversation, that the community is now continuing. I have had the privilege of working with A/Prof Ruth Peters from The George Institute, together with a range of researchers – including fellow geriatrician Prof Sue Kurrle – and community partners on a number of projects evaluating the real-world effects of intergenerational preschools in reducing frailty, including an NHMRC-funded randomised cluster controlled trial (Read here).

Emeritus Professor Anneke Fitzgerald at the Griffith University has been an intergenerational trailblazer in Australia and has established the  Australian Institute for Intergenerational Practice which is free to join. 

There has been a real momentum towards more research and implementation in this area across so many sectors, with councils, playgroup Australia, childcare providers and schools getting involved, and some amazingly innovative programs. 

There is still a need for more investment into research, especially around evaluating scalable models and implemenation, as well as a need for workforce training. 

You can watch the series on ABC IView here, and catch up on Series 1 and 2 here.

Image courtesy: Stephanie Ward filming Old People’s Home for Teenagers. 

Professor Sue Kurrle awarded Sidney Sax Medal

Professor Sue Kurrle awarded Sidney Sax Medal

ANZSGM congratulates Professor Sue Kurrle who was awarded the 2022 Sidney Sax Medal by the Australian Healthcare and Hospitals Association at a dinner at the National Portrait Gallery in Canberra on 26 October 2022. 

The Sidney Sax Medal is awarded annually by the AHHA to an individual who has made an outstanding contribution to the development and improvement of the Australian healthcare system in the fields of health services policy, organisation, delivery and/or research (excluding clinical research). 

Professor Kurrle is the Curran Professor in Health Care of Older People at the Faculty of Medicine and Health, University of Sydney and a practicing geriatrician for the Northern Sydney Local Health District (NSLHD), specialising in the areas of dementia, frailty, elder abuse, successful ageing, and intergenerational care. Sue is also the expert geriatrician leading the work on the internationally award-winning ABC TV documentary series ‘Old People’s Home for 4 Year Olds’.

Sue was presented with her award by AHHA Board Chair, the Hon Jillian Skinner who said “Professor Kurrle’s work on the many aspects of care for older people, is an area in need of champions who take a holistic approach to their health and well-being”. 

Sue is a well-respected leader and expert driving the research agenda in dementia and aged care, and has has been co-designing services with general practice for several years. She co-designed the Geriatric Rapid Acute Care of the Elderly or GRACE program, a ground-breaking approach to helping treat older patients in the appropriate setting, be it the home, or aged care settings, rather than in emergency departments. The GRACE model has since been adopted by many other Local Health Districts, now more commonly known as ‘rapid-response teams’ and ‘geriatric flying squads’.

Sue’s work across professional groups, and in using an inter-generational and educative approach, has been of great benefit to older people, their families and the Australian health system as a whole.

Image Courtesy Sue Kurrle: Professor Sue Kurrle and AHHA Board Chair, the Hon Jillian Skinner. 

Sarah Hilmer awarded Fellow of the Australian Academy of Health and Medical Sciences

Sarah Hilmer awarded Fellow of the Australian Academy of Health and Medical Sciences

ANZSGM congratulates Professor Sarah Hilmer who has been elected as a Fellow of the Australian Academy of Health and Medical Sciences by the Australian Academy of Health and Medical Sciences (AAHMS) which works to advance health and medical research across Australia.

Each year, the Academy elects the best and brightest minds in Australia as Fellows in recognition of their outstanding achievements and exceptional, ongoing contributions to the field of medical and health sciences. This year’s cohort of 31 new Fellows is made up of 15 women and 16 men from a wide range of fields and specialties.

Sarah has worked as the Head of Clinical Pharmacology and as a geriatrician at Royal North Shore Hospital since 2005. Her research and clinical expertise is respected both nationally and internationally.

Sarah leads a research program in ageing and pharmacology at the Kolling Institute and has contributed widely to the management of medication, and is a member of the Charles Perkins Centre. Her research focuses on understanding medication use and improving health outcomes in older people, particularly those living with multiple conditions.

Professor Hilmer developed the Drug Burden Index, an innovative tool to measure the overall risk of a person’s medicines to their physical and cognitive function. This tool is being used widely across the Northern Sydney and Central Coast Local Health Districts.

 

Image needs to be resized in Canva

What do geriatricians think about Comprehensive Geriatric Assessment? A survey of Australian and New Zealand geriatricians

What do geriatricians think about Comprehensive Geriatric Assessment? A survey of Australian and New Zealand geriatricians

By Sarah Fox

With the help of ANZSGM, we surveyed geriatricians and geriatric medicine advanced
trainees in Australia and New Zealand. We wanted to understand how they perceive
comprehensive geriatric assessment (CGA) to work best, and the challenges they face when
implementing CGA in their clinical practice. They told us how frequently they use CGA, who
they think it is most helpful for, which components are integral to CGA being beneficial, the
importance and availability of different multidisciplinary team members, and challenges
they face when delivering CGA. This research is important for geriatricians and registrars
thinking about how they can best deliver CGA to their patients. It is also relevant to those
planning CGA services in their hospitals and health services. We hope it will encourage
readers to be reflective about their own practice and to optimise health service design as it
relates to CGA. You can find the publication here.

Please email Sarah Fox (sarah.fox@uq.edu.au) with any questions. Thank you ANZSGM for being part of this important research.

Before Dementia

Before Dementia

By Dr Kate Gregorevic

How do I know if I have dementia, and how will I live with it if I do? Can people with dementia consent to sex? Can they choose euthanasia for their future selves? And can we prevent or push back its onset?

Chances are you know someone with dementia, but how well do you really understand the condition? Dementia is a complex interplay of biological, social and psychological factors, and understanding it means understanding more about society and ourselves.

Approaching the topic through 20 insightful questions, Dr Kate Gregorevic explains the physical state of dementia, how to relate the diagnosis to real life, what questions to ask your doctor, strategies for preventing the condition, and how we can make our homes and society better for people with dementia.

While this book tackles some uncomfortable questions, its purpose is to help – to prevent, to prepare, to cope and to understand – and provide you with strategies for moving forward.

You can order the book here.

A whole-of-health system approach to improving care of frail older persons

A whole-of-health system approach to improving care of frail older persons

By Elizabeth Whiting

Older persons are at risk of spending extended periods of time in Emergency Departments and have higher admission rates than their younger counterparts. This translates to higher risks of poor outcomes particularly in older persons who are also frail. In a recent publication in The Australian Health Review1, the authors describe the approach of the Queensland Frail Older Person Collaborative Program which was established in 2018 with the aim of optimising care of frail older adults across healthcare systems in Queensland. Priority areas were identified at a co-design workshop involving key stakeholders and consumers including representatives from community providers and residential aged care facilities. Throughout the life of the program, high level support was provided by the Department of Health and the Health Minister. Locally developed, evidence-based interventions which focused on supporting care in Residential Aged Care Facilities, Emergency Departments and inpatient units were selected by workshop participants in addition to enhancement of advance care planning across the health system. The interventions were implemented across metropolitan and regional areas. The Collaborative Program demonstrated that translating research into practice and effecting change can occur rapidly and at scale.

Read the publication here.

Fragility Fracture Network Global Congress Report

Fragility Fracture Network Global Congress Report

The Fragility Fracture Network Global Congress was held in Melbourne from 20th -23rd October 2022. It is a unique multidisciplinary conference aimed at improving care in all aspects of orthogeriatrics. This was reflected in the attendees and speakers who included a large contingent of geriatricians, nurses, allied health professionals as well as orthopaedic surgeons.

The audience was treated to high quality presentations from many different specialties. Session One was a great example of this approach – Hot off the Press. UK Orthopaedic surgeon Matt Costa presented on the excellent WHITE study into which implant for which patient – I’m fully informed to question my colleagues in that space now! US anaesthetist Mark Neuman shared the results of the REGAIN trial comparing general and spinal anaesthesia in people with a hip fracture and  why shared decision making is the best way to agree the type of anaesthetic going forward. Australian dietician gave an excellent summary of the evidence for increasing dairy intake in residential care as a way of preventing fractures.

Other plenary sessions included Fractures less visited, A Global Approach to Care, Research to change practice ending with an excellent final session on Cochrane and Beyond. The workshops were lively and highly interactive. The Melbourne weather held up and the social programme allowed international mingling inside and out.

We look forward to the Oslo Congress form 3-6th October 2023.

In Memoriam: Chris Hutchinson 1971-2022

In Memoriam: Chris Hutchinson 1971-2022

By Frazer Anderson                                                           

Chris Hutchinson, leading light of Northland geriatrics, died in April of skin cancer at the age of 51. Chris was born with congenital kidney disease and developed end stage renal failure in childhood. Two successive live related donor transplants kept his show on the road but the combination of his immunosuppression and Aotearoa’s flimsy ozone layer eventually took its toll.

Chris knew from an early age that he would not “make old bones” but he lived his life as a bundle of energy, achieving his dream to qualify as a doctor and embarking enthusiastically on all manner of outdoor pursuits including ski racing, motorbiking and tramping all the way up Kilimanjaro. His knack of giving his whole attention to whatever he was doing made him a brilliant photographer whose prints light up our offices and homes.

After adventures in England and Tasmania Chris settled a long way from his native Otago as a Consultant in Whangarei. He shaped services for older people in Northland for over 10 years, very much the face of the department at a time when there were few SMOs.

When people talk of their memories of Chris some words keep coming up: kind, helpful, funny and most of all honest. Honest with his patients and their whanau, honest with his colleagues, honest with himself.

He was open and caring with his patients whether they were improving or he was bringing bad news. He could be fierce with managers and staff when he thought his patients were getting a rough deal.

Chris set up our Orthogeriatric service and was an early enthusiast for the ANZ Hip Fracture Registry. He cared little for rank or status: if you were making older people’s lives better he was your mate – if not, not. He was passionate about teaching and supporting junior doctors. As a result he was loved by our Gerontology nurse specialists and other team members, and practically worshipped by a generation of orthopaedic HOs. Latterly he found himself the sole Kiwi among a group of SMOs from the UK and, characteristically, was wittily disparaging and hugely helpful to his new colleagues in equal measure.

COVID came at a bad time for Chris. Ready to return to work after a bout of ill health he found the hospital doors barred due to his immunosuppression. Frustrated and still recovering from major surgery he may have been, but he was an unstinting cheerleader from the sidelines. The moment the ban was lifted he plunged back into his work. Anyone who asked about his somewhat battered appearance was told “Hey, you should see the shark!”

Chris loved his work, second only to how much he loved his family… though his dog Sherbet would protest about being bumped from second place. And his huge extended family and his friends loved Chris

There’s a saying that a man still lives while his name is still spoken. Chris’ name will be spoken amongst us for many years to come.

Rere ki tawhiti, rere pai e, to tatou hoa – fly far and fly well, our friend.

Residential Aged Care Communique

Residential Aged Care Communique

By Joe Ibrahim

The Residential Aged Care (RAC) Communiqué is an electronic publication containing narrative case reports about lessons learned from Coroners’ investigations into preventable deaths in aged care homes. The RAC Communiqué addresses the entire socio-technical system of health care from policy to the bedside. Each edition focuses on a theme relevant to the clinicians, managers, educators, and care staff, it provides case summaries and commentaries from recognised experts. The RAC Communiqué is published free, distributed electronically every quarter to obtain a copy subscribe at: https://www.thecommuniques.com/subscribe

Read the latest issue (Volume 17, Issue 4) here

AJA Latest Issue – Volume 41, Issue 4

AJA Latest Issue – Volume 41, Issue 4

The December Issue of the Australasian Journal on Ageing (AJA) for 2022 marks the final print version of the journal. From next year, the journal will be published online only. Members of the partner organisations will continue to have access via this route.

The journal bids farewell to our Editor in Chief, Professor Debra Waters, who has steadily steered the journal through the past few tumultuous years of the pandemic. We will introduce everyone to our new Editor in Chief in the New Year.

The 2022 AAG Glenda Powell Travelling Fellow is Professor Peter Bragge. His editorial in this Issue accompanies the most recent in a series of virtual issues of the AJA. The editorial provides a commentary on papers previously published in the AJA on the theme of co-design. The theme complements the AAG’s 2022 Hot Topic ‘How to achieve authentic co-design with and for older Australians’.

The Issue contains articles that provide a comprehensive snapshot of research being conducted in the fields of gerontology and geriatric medicine. There are three reviews, including one on opioid prevalence in residential aged care. In their editorial, Delbaere and colleagues highlight the increasing burden of falls for society and individuals. Croker and colleagues present findings from a national survey on whether Australians are willing to pay more tax to support wage increases for aged care workers. Patel and colleagues discuss dementia risk reduction initiatives for culturally and linguistically diverse older adults. Yu and colleagues report on the diagnostic use of serum biomarkers for sarcopenia.  Pit and colleagues compare minimal trauma hip fractures (MTHF) between older Indigenous and non-Indigenous Australians.

The complete Table of Contents and all articles can be accessed (subject to membership) at

Australasian Journal on Ageing: Vol 41, No 4 (wiley.com)

The complete Table of Contents and all articles can be accessed (subject to membership) at
Australasian Journal on Ageing – Wiley Online Library.

Job Alerts

Job Alerts

Specialist Geriatrician
Permanent Full Time
Palmerston North, New Zealand
Application: Via website
Closing date: 06/02/2023
Further information – Position Description
Position Reference number: VID6228
Contact: Denella Statham via denella.statham@midcentraldhb.govt.nz
Listed: 06/12/2022

Consultant Geriatrician
Fixed Term
Dunedin, Otago, New Zealand
Application: Via website
Closing date: 23/12/2022
Further information
Position Reference number: SOUT06168
Contact: Agatha Chen, Recruitment Advisor via agatha.chen@southerndhb.govt.nz or +64 3 470 9604
Listed: 29/11/2022

Consultant Geriatrician
Permanent Full Time
Rotorua, New Zealand
Application: Via website
Closing date: 24/12/2022
Further information
Position Reference number: ROT02214
Contact: Nicole Eckersley, Medical Staff Recruiter via Nicole.eckersley@lakesdhb.govt.nz
Listed: 25/11/2022

Consultant Geriatrician
Permanent Full Time
Dunedin Hospital, New Zealand – Southern
Application: Via website
Closing date: 16/12/2022
Further information
Position Reference number: SOUT06136
Contact: Agatha Chen, Recruitment Advisor via agatha.chen@southerndhb.govt.nz or +64 3 470 9604
Listed: 16/11/2022

Geriatrician
Part-Time or Full Time
Sutherland Shire, NSW
Application: Please apply via liz.leiva@brellah.com.au
Closing date: 31/01/2023
Further information
Position Description
Website
Position Reference number: GSS2022
Contact: Liz Leiva liz.leiva@brellah.com.au
Listed: 25/10/2022

Community based Geriatrician
Full-time and Part-time available
Sydney, Melbourne, Canberra, Brisbane, and Adelaide.

Application: Via email
Closing date: Ongoing
Further information
Overview of the organisation
Contact: Dr Desmond Graham – email desmond.graham@geriatriccareaustralia.com.au or phone 0488 288 470
Listed: 8/11/2022