Specialist Collaborative Models RGPs of Ontario Proactive Geriatric - PowerPoint PPT Presentation

Optimizing Outcomes For Frail High Risk Seniors Through Specialist-Specialist and Primary Care- Specialist Collaborative Models RGPs of Ontario

Proactive Geriatric Trauma Consultation Service (Presentation 3) Dr. Camilla Wong St. Michael’s Hospital RGPs of Ontario

The Toronto Star, August 2 2011

A comprehensive geriatric assessment (CGA) is a multidimensional, interdisciplinary diagnostic process to determine the medical, psychological, and functional capabilities of a frail elderly person in order to develop a coordinated and integrated plan for treatment and long-term follow-up

crystalloids subdural resuscitation extrication hematoma anxiety log roll precautions facial fractures REBOA traumatic brain injury ischemia vasopressors plasma transexamic sedation acid TRAUMA liver transfusion laceration agitation splenic laceration fentanyl third degree burns reperfusion oxygenation injury severity score Octaplex cardiac subarachnoid hemorrhage arrest gun shot wound retroperitoneal bleeding Aspen collar protocols shock npo falls seizure intubation FAST Glascow coma scale (GCS)

dementia polypharmacy depression chronic kidney disease anxiety stroke cataracts multi functional decline hypertension hip fracture morbidity incontinence insomnia constipation diabetes mellitus hypothyroidism colon cancer osteoporosis glaucoma macular myelodysplastic syndrome degeneration osteoarthritis prostate cancer presbycusis evidence seizure cirrhosis falls parkinsons pain benign prostatic hypertrophy

GERIATRIC TRAUMA

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Discharge planning Sensory impairment Fall risk Comorbidities Cognition Medication review Mood Nutrition Mobilization Decubitus Other medical risk complications Pain Delirium Restraints Beers criteria Continence

Ann Surg 2012;256: 1098 – 1101. Continued on Health Achieve – Geriatric Trauma Collaborative 2016 , Presentation 3 Part 2