week 3- interprofessional collaboration Flashcards
what does it take to support older adults?
social networks, primary health care, transportation services, community support services, assistive housing, home care
principles of the canada health act
public administration, comprehensiveness, universality, portability, accessibility
public administration
operate on a nonprofit basis through public authorities
comprehensiveness
covers medically necessary services
universality
free from discrimination
portability
coverage across canada for insured residents
accessibility
reasonable access, regardless of ability to pay
responsibilities of the federal government (HC)
- sets and administers national principles
- assist in financing HC services through transfer payments
- delivers health services to indigenous people, veterans, federal inmates and RCMP
- provides national policy and programming to promote health and prevent disease
responsibilities of the provincial government (HC)
- develop and administer their own health care services and delivery, in alignment with CHA principles
- determine organization and location of hospitals or LTC facilities, employ health providers in various specialties and determine amount of money dedicated to health care services
current state of health care
- multiple providers makes continuity of care difficult to achieve
- consent must be given to share information between providers
- transition to ontario health teams will allow patients to receive all their care with one team
regulated health professionals act 1991
identifies permitted actions and processes of all health professionals
nursing documentation
- standardized instruments for care outcomes and evaluation are integral to the consistent determination of needs and health status of older adults
- documenting the patient’s status is a key responsibility in nursing
- nurses have a responsibility to protect patient confidentiality
common health concerns in home
injuries, COPD, heart failure, knee and hip arthritis, pneumonia, heart attack, diabetes complications
common health concerns in hospital
functional decline, new-onset incontinence, malnutrition, pressure ulcers, medication interactions and adverse effects, delirium, falls
GAIN services
- comprehensive geriatric assessment
- assessment of memory and thinking
- assessment of balance, mobility and fall risk
- medication and supplement review
- management of responsive behaviours
- caregiver support and navigation
comprehensive geriatric assessment components
- address reason for referral
- review medical history
- review past and current medications
- history of presenting illness
- memory and thinking
- mood and behaviours
- geriatric syndromes
- functional status (ADLs, IADLs)
- social history
- imaging and blood work
geriatric emergency management nurse
- assesses older adults in the ER who are experiencing functional or cognitive decline
- works with patient, family, POA to try and get the patient discharged the same day
- listen to concerns, set goals and provide community resources
MOVE IT program
- focus is to support patients to carry out everyday activities safely so they learn what their body can handle and when they need to ask for help
- the team will offer support and education to prevent further LOF
- it addresses physical strength, thinking skills and limits anxiety
goals of HELP program
- maintain cognitive functioning
- maximize independence during hospital admission
- assist with overall transition from hospital to home
- prevent unplanned hospital readmission
geriatric assessment and treatment unit (GATU)
for older adults that need time to regain their strength before returning home following an illness or injury, or those that need to consult with a geriatrician to meet their needs
geriatric assessment and behavioural unit (GABU)
secure unit to meet needs of patients with dementia and responsive behaviours
behavioural support nurse
- supports staff to understand the behaviours
- trials interventions
- supports transitions to and from home/LTC
- develops non-pharmacological strategies to minimize responsive behaviours
- consolidates knowledge to team to provide consistent care
goals of age-friendly peterborough
- older adults needs are met
- older adults are able to get around the community
- older adults are supported to build and maintain relationships
- older adults have the opportunity to learn, grow and contribute
