This team only provides specialized geriatric consultation services for complex frail seniors who are existing clients in Continuing Care Home Type B (formerly DSL) and Home & Community Care Type 2 (formerly PSL).Frail seniors (over age of 65) with complex care needs requiring further assessment. Clients who are medically stable and experiencing acute functional and / or cognitive decline. Clients under 65 years of age will be considered for service on a case-by-case basis.
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 assists in partnership with primary care physicians on the assessment. This partnership assists primary care physicians with assessment and management of complex older adults, with functional and / or cognitive decline. The team provides clients with assessment and support in conjunction with family physicians, Case Manager and Contracted Service Provider site staff. Ongoing care is provided by the client’s primary provider.
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