- Baseline Functional Assessment Tool – PDF
- Checklist for Older Patient Transfers to Long-Term Care Home – PDF
- Hold Overnight Pre-Printed Order Set – PDF
- Long-Term Care Home Transfer Protocol – PDF
- Nursing Assessment with ISAR – PDF
- Emergency Care of the Elder Person, Arthur B. Sanders, Society for Academic Emergency Medicine Buy on Amazon.ca
- Identifying seniors at Risk (ISAR) (McCusker et al, 1999) – View the NCBI Journal Article
- Timed Get and Go Test, Podsiadlo, JAGS; 1991, 39(2):142-148 – View the EuroPMC article
- Transitions of Care for the Geriatric Patient in the Emergency Department – PDF
- The Domain Management Model – A Tool for Teaching and Management of Older Adults in Emergency Departments. Siebens, H. – PDF
Discussion: Related Resources
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We have a geriatric nurse team who does comprehensive assessments of the patient, including home supports, ADL’s, cognitive assessments and mobility checks. THey are one of the best resources in our department.
Barthel Index of ADLs could be adapted.
No structured summary- multifunctional team.
no additional sources
losing independence causes pt depression and decline
Katz index for functional assessment.
none to add
A system where information is readily available to review patients
can also be helpful if old/previous notes from a previous visit to the ER or hospital can be obtained.
No additional resources.
yes we do
we do have a lot and well developed services to support older patient
don’t have a new resource for you, sorry
thanks for the resources
I dont know
Thanks for all the info.
We have a great team of social worker only for the ED and they do a wonderful job of discharge planning depending on what the patient needs
thanks for the resources
thanks for the links
case management can help a lot with these difficult cases
pt and OT involvement
Recurso valioso tengo ahora con los conocimientos adquiridos
will follow up
no additional resources
I cannot recall
staff to gain an up to date
staff have to staff to gain an up to date info
one of our most valuable resources are our clinical pharmacists who do home visits on patients with polypharmacy that may have contributed to their presentation (often frequent presentations) to the ED.
In our ER we have a nursing home designated nurse that communicates with nursing home staff to gain an up to date MAR and pertinent history. She also helps with discharge planning. It is really helpful.
not at this moment
none to add.
Woow, Good materials
in process adopting EHR triage tools
aware of the same tools that are listed on this page
Hospital intranet – Geriatric section
Geriatric education sessions/tutorials
GEM nurse, OT, PT and Home care coordinator
yes we have tools
We have a seniors team in our emergency department at Valley Regional Hospital, Nova Scotia Health Authority that consists of a physiotherapist, occupational therapist and social worker who assess seniors who present with falls, at risk for falls, home safety issues, caregiver stress and need to link to community resources. This team also offers home visits/follow up upon discharge from the emergency department.
No we do not
in the care facility we have the green sleeve , pass along all info to ems , call the nurses at hospital prior to discharge for test results and plan of care
Comprehensive Geriatric Assessment (CGA):
Too detailed for the ED, but a good reminder of what needs to be covered when assessing the older patient.
we don’t have
no en este momento
Lots of tools
need to look at more literature and current evidence
no structured assessment tool available in our ED, but physio or OT usually helps in this regard.
I cannot recall any.
I can’t say I’ve ever seen one.