Referral Criteria: Frail older adults with complex health issues, decline in coping and/or managing day to day activities, mobility challenges, recent falls or fear of falling, medication concerns, multiple hospital admissions or Emergency Department visits, mood/memory/thinking changes as part of other health changes, recent unexplained changes in health status, changes in swallowing and/or nutritional status. Appropriate candidates are those with the potential to adequately improve functional loss in avoidance of repeat Emergency Department visits, inpatient admission or admission to long term care.
Patients must be referred through the Geriatric Medicine Clinic.
Type of Service: Offers inter-professional assessment and intervention for community-dwelling seniors who have experienced a recent functional loss or decline in coping and/or managing day to day activities.
