Your SlideShare is downloading. ×

Eldercare: Planning Your Geriatric Future


Published on

Published in: Health & Medicine
  • Be the first to comment

  • Be the first to like this

No Downloads
Total Views
On Slideshare
From Embeds
Number of Embeds
Embeds 0
No embeds

Report content
Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

No notes for slide


  • 1. Eldercare: Planning your Geriatric Future For the Rotary Club of North Scarborough July 11 2012Presented by: Tabatha Bowers RN (EC) MN GNC(c) CMSN (C), Nurse Practitioner Geriatrics
  • 2. The Scarborough Hospital• Who we are: – Two general hospital campuses and seven community based sites – 3,700 staff, more than 700 physicians and 800 volunteers – A diverse range of services across eight patient care areas: • Cardio-Respiratory & Critical Care • Medicine & Specialized Geriatrics • Emergency & Urgent Care • Family Medicine & Community Services • Maternal Newborn & Pediatrics • Mental Health • Nephrology & Dialysis • Surgery, Orthopedics & Rehabilitation
  • 3. The Scarborough Hospital Some key figures (2010/2011 fiscal year) General Birchmount TotalBeds 324 226 550Emergency Visits 59,029 44,831 103,860Admissions 18,042 13,187 31,229Births 2,683 2,204 4,887Square footage 574,388 435,000 1,009,388
  • 4. Geriatric Emergency Management  Work with ED team and patient/family to try to maximize independence, and maintain living at home for as long as possible.  Geriatric Emergency Management (GEM) Nurse provides a comprehensive, focused nursing assessment for frail, elderly clients that present to the Emergency Department.  Emergency department visits are often sentinel events for seniors, threatening loss of independence, health and well-being. Through provision of a GEM nurse assessment, decline and loss of independence can often be prevented or postponed.  Available at both campuses Monday to Friday from 0800-1600 hrs.  Saw over 400 patients last year
  • 5. GAIN Geriatric Clinic Geriatric Assessment and Intervention Network (GAIN) Geriatric clinic opened in January 2011 Proactively delivers specialized geriatric care to frail seniors, allowing them to stay in the community and avoid unnecessary visits to the ER Interprofessional clinic that is led by nurse practitioners and consists of geriatricians, gero-psychiatrist, physiotherapy, occupational therapy, social work, pharmacist and CCAC Goals are to improve outcomes for frail seniors and provide linkages to community resources Since opening, we have seen over 932 seniors for a comprehensive initial assessment and have had 611 follow up visits Based on current patient satisfaction surveys, 100% of patients who come to the clinic would recommend it to family and friends who may need similar services (33% response rate)
  • 6. Acute Care for the Elderly Acute Care for the Elderly (ACE) units are available at both sites inpatient acute care program Our team works with these patients, enhancing and maintaining their functional and cognitive capacity, so they are well enough to return to the community Our goal is to ensure the wellness of our elderly patients helps to minimize the need to transfer patients to long term care facilities Medical supervision works closely with the team, including nursing, physiotherapy, occupational therapy, social work, pharmacy, nutrition, and speech language pathology as required. Our team works closely with each patient every day to discuss the benefits of meeting his/her goals and any challenges that may affect discharge planning.• General campus - 416-431-8200 ext. 3180• Birchmount campus - 416-594-2574
  • 7. Alternative Level of Care (ALC) Programme better outcomes We developed our ALC programme to provide for our Alternate Level of Care (ALC) patients at The Scarborough Hospital These patients are currently being co-horted on a medical unit, with the goal to maintain or enhance their mobility, functional ability and support cognition This is done through an abilities focus of care and our VALUE programme which provides recreational therapy activities such as Pet Therapy, Bingo, one-to-one visiting with our specially trained volunteers There are 2 family practice physicians and 1 geriatric nurse practitioner working in partnership to manage the medical care of these patients
  • 8. NPSTAT Nurse Practitioners Supporting Teams Averting Transfers (NPSTAT) is partnered with 14 long term care homes in Scarborough. Their goal is to decrease the rate of transfer to local hospital emergency departments by addressing acute and episodic illness in LTC residents through nurse practitioner assessment, diagnosis and therapy. They are available Monday to Friday 0800-1600 hrs and on- call We currently have 2 nurse practitioners in this role To date they have seen 3041 with only 46 resulting in transfer to ER
  • 9. Senior Friendly Hospitals We are currently working with both the CELHIN and the Regional Geriatric Programme of Toronto to work towards becoming a senior friendly hospital The hospital is responsive to developmental issues of seniors: circumstances, abilities and needs of older individuals and their families arising from normal consequences of the aging process Assimilation of gerontological principles, approaches and considerations into care delivery by taking into account normal aging changes, critical elements of clinical knowledge, patient-focused philosophy of care with corresponding team processes We are doing this by reviewing our policies and accessibility throughout the hospital in order to improve the patient experience
  • 10. Why be Senior Friendly? Ensures seniors have the opportunity to function at their maximum level of independence at all times Physical environments designed to accommodate physiological changes of aging can significantly reduce disability in the elderly experienced while in hospital Functional impairments that are slow to improve by discharge increases risk of admission to long-term care facilities Complications such as falls, adverse drug reactions that can increase morbidity and mortality can be prevented Recognizes, promotes and enhances patients’ abilities to meet their own needs, solve their own problems and mobilize necessary resources to feel in control of their lives
  • 11. Next Steps…. To continue to build partnerships with our community partners in order to better serve our patients To further build our VALUE programme To work towards achieving a Senior Friendly Hospital designation
  • 12. Thank you!