Enhanced Skills Program: Care of the Elderly Acute Care Rotation Goals and Objectives
By the end of the rotation the resident will be able to:
- Perform a comprehensive geriatric assessment, including all parameters relevant for an acute care patient.
- Demonstrate comprehensive assessment and management of common and complex geriatric syndromes in the acute care patient.
- Recognize common disease processes which may present atypically in the older adult in an acute care setting and contrast this to younger adults (e.g. pneumonia, infection, acute syndrome).
- Identifies relevant priorities for management based on the patient’s perspective, urgency and context.
- Demonstrate knowledge and skills specifically in the assessment and management of delirium.
- formulate a differential for possible causes
- develop plans for evaluation of delirium
- develop plans for management of delirium
- Identify and participate in efforts to reduce hazards of hospitalization including:
- pressure ulcers
- medication-related adverse effects
- Develop rapport, trust and ethical therapeutic relationships with patients and families.
- Accurately elicit and synthesize information from, and the perspectives of, patients and families. Gather information about the patient’s beliefs, concerns and illness experience, including adjusting for impairments and disabilities.
- Accurately convey needed information and provide explanations to patients and families in a way that is understandable and encourages discussion and participation in decision-making.
- Develops a common understanding of issues, problems and plans with patients and families and provides and follows-up on a shared plan of care. Attempts to incorporate patient wishes even in situations of diminishing individual capacity.
- Convey effective oral and written communication
- Participate effectively and appropriately in an interprofessional healthcare team.
- Collaborate with community agencies (as required)
- Collaborate effectively with other professionals.
- Manage differences and resolve conflict between team members
- Effectively presents verbal reports of clinical encounters and plans to all members of the healthcare team
- Make cost-effective use of health care resources based on sound judgement, balancing resources to maximize benefits to all patients
- Manage patient flow in an acute care setting.
- Contribute to the health care team; delegate and distribute tasks fairly
- Uses time wisely within the health care team
- Demonstrate time management skills to reflect and balance priorities for patient care, sustainable practice, and personal life.
- Respond to individual patient health needs and issues as part of patient care within an acute care setting
- Respond to the health needs of the communities that they serve
- Identify determinants of health within their communities, including barriers to accessing care and resources upon discharge from hospital
- Promote the health of individual patients, communities and populations
- Maintain and enhance professional activities through ongoing self-directed learning.
- Critically evaluate medical literature, summarizes information and presents to the team.
- Apply evidence-based literature appropriately to the care of older patients.
- Recognize and appropriately respond to ethical issues encountered in the acute care setting.
- Fulfill the regulatory and legal obligations required of current practice in the acute care setting.
- Demonstrate a commitment to physician health and sustainable practice
- Demonstrate a commitment to reflective practice
- gather information about personal performance, know one’s owns limits, and seek help appropriately
- demonstrate awareness of self and an understanding of how one’s attitudes and feeling impact their practice
- reflect on practice events, especially critical incidents, to deepen self-knowledge