Quality Standards Resource Centre

This guide outlines the challenges of diagnosing and managing geriatric syndromes, describing clusters like immobility, instability, incontinence, frailty, sarcopenia, and cognitive impairment. It introduces the 'Geriatric 5Ms' framework: Mind, Mobility, Medications, Mult complexity, and Matters Most, which assists in comprehensive assessment and care planning for older adults, focusing on mental health, physical function, medication review, complex health needs, and care goals.

This guide provides recommendations for dermatological care in older adults, addressing skin integrity, sun damage, bruising, and wound management. It highlights factors affecting skin health, like systemic disease, medication, and environmental exposure. It recommends regular skin assessments, non-pharmacological interventions, moisturisation, and tailored approaches for managing conditions like ulcers, pruritus, and skin cancer in aged care settings.

This guide addresses the assessment and management of urinary incontinence in older adults. It outlines a stepwise approach to evaluation, including identifying transient causes, detailed history-taking, medication review, and focused examination. It provides information on management including lifestyle measures, medications, bladder drainage options, and potential referral to specialists based on individual needs and the type of incontinence.

This guide addresses the assessment and management of urinary incontinence in older adults. It outlines a stepwise approach to evaluation, including identifying transient causes, detailed history-taking, medication review, and focused examination. It provides information on management including lifestyle measures, medications, bladder drainage options, and potential referral to specialists based on individual needs and the type of incontinence.

This guide discusses managing multimorbidity, which involves the presence of multiple chronic diseases and their impact on older adults' quality of life and independence. It outlines the role of general practitioners in care coordination, shared decision-making, and holistic care approaches, considering the benefits and risks of interventions across residential and community care settings.

This guide covers fall prevention and management in older adults, focusing on assessing fall risks, involving multidisciplinary teams (e.g. physiotherapists, occupational therapists), and recommending both non-pharmacological and pharmacological interventions. It includes steps for post-fall assessments, medication review, and strategies for preventing injuries, with a comprehensive approach to improving outcomes in aged care.
 

This resource provides guidelines for managing patients with multimorbidity in aged care settings. It includes frameworks for assessing treatment burden, identifying patients at risk, and developing individualised care plans. It recommends validated tools for screening, a focus on quality of life, and strategies for medication review and care coordination.

This guide provides strategies for managing pain in older adults in aged care, focusing on assessment, non-pharmacological treatments, and pharmacological interventions. It includes practice points on appropriate medication use, considerations for pain assessment tools, and recommendations for safe management, including tailored care and treatment monitoring to improve quality of life.

This guide addresses mental health in older adults, including social isolation, depression, anxiety, suicide risk, bipolar disorder, and schizophrenia. It provides consensus-based recommendations for tailored interventions, diagnosis through validated assessments, and management strategies that combine clinical and non-clinical approaches.

This guide details the provision of after-hours care for older adults in residential aged care facilities (RACFs) and the community. It covers collaborative agreements between GPs and RACFs, processes to reduce emergency department visits, hospital avoidance strategies, and the importance of coordinating multidisciplinary care. It also addresses infrastructure needs, support staff availability, and funding arrangements to ensure quality care during after-hours periods.

This guide discusses multiculturalism in aged care, addressing the diverse needs of culturally and linguistically diverse (CALD) older adults. It covers healthcare principles, communication strategies, clinical considerations, and culturally tailored approaches for areas like medication management, dementia, mental health, nutrition, and substance use. It also provides practical advice for general practitioners, carers, and aged care facilities to deliver culturally safe and effective care.

This guide addresses barriers faced by Aboriginal and Torres Strait Islander peoples in accessing aged care, such as cultural safety, geographic challenges, and geriatric syndromes experienced at younger ages. It discusses the importance of culturally appropriate care, the use of specific assessment tools, and the unique needs of the Stolen Generation within residential and community settings.

This guide covers managing medical records in residential aged care facilities (RACFs). It describes different practitioner models (solo, practice-based, aged care-specific) and provides standards for record-keeping, sharing notes, and maintaining clinical governance. The guide suggests methods for transferring medical information to RACF staff, including printing, electronic sharing, and handover notes.

This guide discusses strategies for supporting independent living in older adults, covering concepts of healthy ageing, using aged care services, respite care, and re-aligning function. It highlights the role of general practitioners in promoting autonomy, addressing individual needs, and avoiding ageist language while facilitating access to community or residential care services.

This guide outlines a palliative care approach for patients with life-limiting conditions, focusing on improving quality of life through early assessment, pain relief, and addressing psychosocial and spiritual needs. It describes the role of general practitioners in delivering person-centred care, engaging families, and ensuring collaborative, holistic support in both residential aged care and community settings.

This guide addresses the healthcare needs of older LGBTI people, covering areas such as mental health, substance use, chronic disease risks, and the importance of inclusive care. It provides strategies for culturally safe practices, promoting wellbeing, recognising abuse, and details standards for LGBTI-inclusive services, such as organisational capability and consumer participation.

This guide covers advance care planning for older adults, detailing the process of discussing patients' values, appointing a decision-maker, and documenting preferences for future care. It outlines the general practitioner’s role, steps for initiating discussions, assessing decision-making capacity, storing care plans, and ensuring patients' wishes are respected during their illness trajectory.

This guide focuses on the role of families and carers in supporting older adults, covering topics like consent, communication, self-care, and bereavement support. It includes practical advice on involving carers in healthcare planning, respecting patient confidentiality, and resources for additional support, ensuring comprehensive care for both patients and carers.

This guide addresses the management of disabilities in older adults, including mobility, cognitive impairments, developmental disabilities, hearing and visual impairment, psychiatric conditions, and neurodegenerative disorders. It outlines approaches for general practitioners to provide holistic care, monitor health risks, adapt support systems, and coordinate with allied health professionals in residential aged care settings.

This guide focuses on palliative and end-of-life care, detailing general principles, illness trajectories, the role of general practitioners, and practical recommendations for patient-cantered care. It provides consensus-based guidelines for initiating advance care planning, symptom management, team-based end-of-life care, medication use, and supporting both patients and their families. It includes information on the transition from chronic disease treatment to a palliative approach and includes tools for clinical decision-making.