Department of Family & Community Medicine

Enhanced Skills Program: Care of the Elderly Rehabilitation Rotation Goals and Objectives

By the end of the rotation, the resident will be able to:

Medical Expert

  • Demonstrate an understanding of the principles of rehabilitation and the adjustments required in the older person and in frail elderly.
  • Demonstrate the ability to diagnose, investigate and manage cognitive impairment, falls, mobility issues, urinary incontinence and understands how these conditions may impact rehabilitation.
  • Demonstrate a comprehensive approach to falls including an assessment of underlying etiology, preventive strategies and post-fall rehabilitation.
  • Manage common medical issues in the rehabilitation patient (e.g. atrial fibrillation, heart failure, COPD, infection) including an appreciation of the impact of multiple concurrent chronic conditions.
  • Demonstrate an approach to pain management that recognizes the adjustments required in the older person.
  • Evaluate baseline (pre-morbid) and current functional abilities (both basic and instrumental activities of daily living) using reliable sources of information including standardized assessment tools.
  • Develop and implement plans for the assessment, management, and maintenance of patients with functional deficits, including the use of adaptive interventions, in collaboration with interdisciplinary team members.

 

Communicator

  • Accurately elicit and synthesize information from, and perspectives of, patients and families.
  • Engage patients and their families as active participants in their care.

 

Collaborator

  • Participate in a collaborative inter-professional rehabilitation team. Understands, recognizes and respects the diversity of roles, responsibilities and competencies of other professionals in relation to their own.
  • Work with others to assess, plan, provide and integrate care for complex geriatric rehabilitation patients.
  • Maintain a positive working environment with consulting health professionals, health care team members, and community agencies.
  • Respects differences, misunderstandings and limitations in oneself and other professional.
  • Reflect on inter-professional team function.
  • Work collaboratively with other health care professionals and community organizations to provide coordinated care for patients and caregivers.

 

Leader

  • Participate in activities that contribute to the effectiveness of their own practice, healthcare organizations and systems.
  • Manage their practice and career effectively. Sets priorities and manage time.
  • Allocate finite healthcare resources appropriately, including referral to other health care professionals and community resources, balancing effectiveness, efficiency and access to optimal patient care.

 

Health Advocate

  • Respond to individual patient health needs and issues as part of patient care. Advocates for individual patients around relevant health matters.

 

Scholar

  • Critically evaluate medical information, its sources, and its relevance to practice, and apply this information to practice decisions.

 

Professional

  • Demonstrate a commitment to their patients, profession and society through ethical practice.