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

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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. Michaels


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

RGPs of Ontario

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SLIDE 2

Proactive Geriatric Trauma Consultation Service (Presentation 3)

  • Dr. Camilla Wong
  • St. Michael’s Hospital

RGPs of Ontario

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SLIDE 3

The Toronto Star, August 2 2011

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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

  • rder to develop a coordinated and integrated plan

for treatment and long-term follow-up

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SLIDE 5
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SLIDE 6

TRAUMA protocols

extrication subdural hematoma vasopressors third degree burns

REBOA intubation injury severity score FAST

falls

Glascow coma scale (GCS)

transfusion

retroperitoneal bleeding

resuscitation

anxiety gun shot wound

  • xygenation

seizure npo facial fractures cardiac arrest

Aspen collar agitation

splenic laceration

traumatic brain injury

log roll precautions

reperfusion

sedation

subarachnoid hemorrhage crystalloids fentanyl plasma

liver laceration

ischemia

transexamic acid Octaplex

shock

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SLIDE 7

multi morbidity evidence

dementia depression hypertension diabetes mellitus

stroke parkinsons

  • steoporosis

pain

falls

benign prostatic hypertrophy

incontinence

prostate cancer

polypharmacy

anxiety

  • steoarthritis

colon cancer

seizure

cirrhosis cataracts macular degeneration

presbycusis glaucoma insomnia

constipation

functional decline

chronic kidney disease

hypothyroidism

hip fracture

myelodysplastic syndrome

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SLIDE 8

GERIATRIC TRAUMA

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SLIDE 9

.

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SLIDE 10

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

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SLIDE 11

Ann Surg 2012;256: 1098–1101.

Continued on Health Achieve – Geriatric Trauma Collaborative 2016 , Presentation 3 Part 2