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GERIATRIC MEDICINE Geriatric Unit The 35-bed Geriatric Unit is used for community crisis assessment for seniors at risk to themselves with inadequate home support and health frailty with multiple issues, cognitive assessment and management (CAM) and geriatric evaluation and management (GEM). Patients referred to the GEM program are those who would benefit from an interdisciplinary assessment based on deficit identified in activities of daily living, cognitive and/or support assessment. Referrals are from a physician to a geriatrician. Patients are referred to the Geriatric Unit by their primary care physician, or surgeon. The geriatrician then assesses the patient and makes a determination as to the most appropriate method of assisting the patient with his or her challenges. The health care team designs and implements treatments and routines and meets with the patient, family and community caregivers to expedite the most efficient discharge plan. The team is responsible for giving patients and their families an assessment that includes their physical, cognitive and psychological abilities. Following an assessment by a geriatrician, a patient may be referred to the CAM beds if it is felt he or she will benefit from an interdisciplinary cognitive assessment (e.g. baseline cognition, motor processing, sequencing skills as well as activities of daily living and the capacity to make informed decisions). Patients will receive inpatient consultations with the goal of discharging the patient within three weeks or less. Cognitively-impaired patients will receive a reassessment of their care need requirements and social support. If required, medications will be adjusted to facilitate the safety of the older person. The Geriatric Unit provides connections to support services and agencies, including:
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The health care team of the Geriatric Unit designs and implements treatments and routines for the patients and works with the patients, their families and community caregivers towards an efficient discharge plan.
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