Wow, this was really interesting to me as an Aussie. If we have falls or functional issues we would have home assessments and complex social assessments performed by our Allied Health Team, which include physiotherapists for the mobility elements, and occupational therapist who assess home environment, equipment requirements etc. pharmacist can perform a medications review, rationalize mess or initiate Webster blister packs to reduce medication errors. The family physician, "GP" can provide ongoing medical supervision. Where I work, we can initiate from our Emergency Department, often with a short admission to our Short Stay Unit, with the ultimate goal of preventing a "bounce back". When any complex issues arrise a referral for ACAS, to assess and address increased care needs. Family meetings may often occur as required to assist disposition plans. I'd hope we didn't discharge elderly patient without exploring these issues. The emergency physician would not need to complete the assessment themselves, only identify the risk and initiate the referral.
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Rachael G. - May 1, 2015 3:39 PM
Wow, this was really interesting to me as an Aussie. If we have falls or functional issues we would have home assessments and complex social assessments performed by our Allied Health Team, which include physiotherapists for the mobility elements, and occupational therapist who assess home environment, equipment requirements etc. pharmacist can perform a medications review, rationalize mess or initiate Webster blister packs to reduce medication errors. The family physician, "GP" can provide ongoing medical supervision. Where I work, we can initiate from our Emergency Department, often with a short admission to our Short Stay Unit, with the ultimate goal of preventing a "bounce back". When any complex issues arrise a referral for ACAS, to assess and address increased care needs. Family meetings may often occur as required to assist disposition plans. I'd hope we didn't discharge elderly patient without exploring these issues. The emergency physician would not need to complete the assessment themselves, only identify the risk and initiate the referral.