This team provides specialized geriatric consultation services for frail seniors (over age of 65) with complex care needs who are existing clients in Continuing Care Home Type B (formerly DSL) and Home & Community Care Type 2 (formerly PSL).Clients must be medically stable but requiring further assessment and/or management due to functional and / or cognitive decline. Clients under 65 years of age will be considered for service on a case-by-case basis.
Includes assessment and managment for geriatric syndromes such as:
- falls / immobility
- polypharmacy (routine use of five or more medications)
- cognitive impairment (including behaviour changes)
- pain management
- incontinence (bowel or bladder)
- nutrition / weight loss or weight gain
The geriatric specialized GEM Team works in partnership with the client’s primary care physician(s), Case Manager and Contracted Service Provider site staff in assessing and supporting management of the client’s needs. Ongoing care is provided by the client’s primary provider.
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