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Doha
The Geriatric-Dermatology (GeriDerm) clinic has expanded its patient care services by adding face-to-face consultations to virtual sessions for older patients with skin diseases in Qatar.
From January 2021, all new referrals to the clinic will be seen by an interdisciplinary team of dermatologists and geriatricians in a specialised Hamad Medical Corporation (HMC) facility for the patient’s first appointment.
The ‘GeriDerm’ clinic was first launched in June 2020 as a virtual clinic providing specialised telemedicine-based care to cover the medical needs of older patients with dermatological problems.
The provision of virtual and telephone consultations was initiated when the challenges of access to care due to the COVID-19 pandemic became more apparent.
The GeriDerm clinic had 329 virtual encounters with older patients from June-December 2020; with approximately 40 patients being seen in the clinic where face-to-face consultation was deemed essential.
Resuming face to face is in accordance with clinical guidelines and new patients are now receiving appointments to be seen by clinical experts in the Dermatology and Venereology Department or the Elderly Day Care Unit in Rumailah Hospital, as well as continue their ongoing care online.
Follow up appointments will be arranged as either in-person or virtual consultation, depending on clinical need and patient preference.
The development of the ‘GeriDerm’ clinic was led by Dr Sarah Al Khawaga from HMC’s Dermatology and Venereology Department in close collaboration with Dr Wasim Akram, geriatric consultant at Rumailah Hospital, with the support and guidance of Prof Steinhoff, chairman of the Dermatology Department and director of the Dermatology Institute at HMC, and Dr Hanadi Al Hamad, National lead for Healthy Ageing in Qatar and medical director of Rumailah Hospital (RH) and Qatar Rehabilitation Institute (QRI).
Dr Khawaga explained the growing need for providing specialised dermatological care for older adults.
“Skin disorders are more common in older adults because the skin becomes dryer (less oily), less elastic and thinner with advancing age, which can make it more susceptible to disease. The most common skin diseases among older people include eczema, skin infections and pruritus (severely dry and itchy skin). People with underlying health conditions, such as diabetes or those who take multiple medications, can also experience increased skin problems,” Dr Khawaga said.
“The COVID-19 pandemic last year provided the impetus for the establishment of the Geriatric Dermatology telemedicine clinic as an innovative approach to deliver ongoing care to older patients. The virtual service was welcomed by many patients and their families because it reduced the risk of infection through exposure outside their home; it was also more convenient for some patients with specific health conditions and limited transport means. However, in light of the clinical need to physically examine certain patients, especially during first time appointments, HMC’s clinical leadership team approved face-to-face consultations to enhance patient centred care,” added Dr Khawaga.
On his part, Dr Akram said, “The goal for the GeriDerm clinic is to promote early detection of dermatological conditions, especially in high-risk patients aged 65 years and above. This clinic addresses one of the most vulnerable population groups during the current COVID-19 pandemic through the provision of clear pathways for proper triaging, referrals and minimal exposure to infection.
“The management of complex cases warrants physical examinations and we can now provide a range of care that is more tailored to our patients’ needs. The ‘GeriDerm’ service aims to achieve the best standard of healthcare provisions for older adults during the COVID-19 pandemic. It also serves as a continuous advanced technology-based framework for the care of older patients with skin disease going forward.”
Patients aged 65 and older can be referred through their primary health centre or if they are seeing another HMC doctor who recommends an expert consultation they can also arrange a referral.
To help triage patients for urgent and non-urgent appointment bookings, the assigned dermatologist performs a GeriDerm risk assessment using an international best practice tool and triaging process. Urgent referrals, especially for suspected skin melanomas, aim to refer patient within 24 to 48 hours.
The GeriDerm clinic is held currently held from 7am to 3pm every Tuesday. The virtual and direct clinics are managed by multidisciplinary dermatologists and geriatricians, along with experienced nurses and allied health professionals, to provide the best possible service.
The experts advocate basic good skincare tips for the elderly, which include washing the skin gently and avoid vigorous rubbing; moisturising the skin regularly with emollients/moisturisers; avoid direct sun exposure when applicable and use proper broad-spectrum sunscreen protection with an SPF 30 and above; maintain a balanced diet with proper fluid intake to avoid dehydration, and finally to consult your dermatologist in case of persistent dry itchy skin, rash or blisters.
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19/01/2021
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