Immobility and Frailty - Multidisciplinary Solutions and Support
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Why do some older adults age well and remain active, independent and resilient, while others become ‘old’ before their time and increasingly vulnerable? In this fifth South African Geriatrics Society Masterclass, Dr Greenstein explored practical clinical guidance for the identification, assessment and management of frailty syndrome and ageing. The role of palliative care in supporting older adults with serious illness was discussed by Dr Coetzer, with a focus on clinical decision-making, ethical decision-making and goals of care.
You will learn about:
- Navigating frailty in older age
- Distinguishing frailty from normal ageing, multimorbidity and disability
- Practical tools for recognising and measuring frailty
- How frailty affects clinical decision-making and goals of care
- Individualising management plans for frail older adults.
- An integrated model of palliative care
- Identifying indicators for palliative care referral
- Applying communication strategies for patients with serious illness
- Evaluating ethical and practical challenges in geriatric palliative care.
Dr Lara Greenstein
Physician/Geriatrician
Helen Joseph Hospital, Johannesburg
Vice-President, South African Geriatrics Society
Dr Lara Greenstein completed her undergraduate, specialist and subspecialist geriatric training at the University of the Witwatersrand. She currently works at Helen Joseph Hospital as a physician and geriatrician where she runs a medical unit and is responsible for the geriatric services. She is the vice president of the South African Geriatrics Society. She is passionate about teaching and sharing her knowledge of geriatrics with other healthcare practitioners, helping to enhance their understanding and improve the quality of care for older adults.
Dr Susan Coetzer
Physician/Geriatrician
Private Practice, Roodepoort
President, South African Geriatrics Society
Dr Susan Coetzer completed her undergraduate studies in 2006 at the University of the Free State and then completed her fellowship in the college of physicians and subsequent subspecialisation in geriatrics through the college of medicine. She received her master’s degree from the University of Witwatersrand in 2020 which focused on frailty in hospitalised older patients. She has also completed a certificate in an introductory palliative care course from the University of Cape Town. She is now working in private practice at the Mayo clinic of South Africa and Life Flora hospital in Johannesburg. She is also newly elected president of the South African Geriatrics Society. In her free time, she enjoys music and ballet or anything theatre-related as well as travelling.
