Department of Family & Community Medicine

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:

Medical Expert

  • 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:
    • delirium
    • falls
    • immobility
    • pressure ulcers
    • medication-related adverse effects

 

Communicator

  • 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

 

Collaborator

  • 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

 

Leader

  • 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.

 

Health Advocate

  • 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

 

Scholar

  • 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.

 

Professional

  • 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