Health News For Champlain


Thursday, October 15, 2009
Pembroke Regional Hospital
New Geriatric Programs Help Local Seniors

PEMBROKE – Two new initiatives targeting the region’s at-risk seniors, many of whom do not have a family physician, are helping keep these individuals safe in a home environment rather than face admission to hospital.

Developed by the Regional Geriatric Program in consultation with a Renfrew County team of experts who specialize in geriatric care, the first involves the placement of Geriatric Emergency Management nurses in the hospital emergency departments in Pembroke, Renfrew and Arnprior. Their role is to assess seniors over the age of 75 and refer them to other hospital services, community resources, or the Mobile Geriatric Day Hospital (MGDH).

Under the direction of the Pembroke Regional Hospital, the MGDH is part of the Ministry of Health and Long-Term Care’s Aging At Home strategy to which seniors are referred for outpatient assessment and treatment by a Geriatric Day Hospital Team lead by nurse practitioner Bonny Johnson and consulting physician Dr. Jenn Becker, with a physiotherapist, occupational therapist and social worker.

After the initial comprehensive assessment is complete, goals are set by the team to address the identified issues (such as mood, mobility, medication compliance, incontinence, constipation, pain, sleep, or social problems), a discharge date is set and the individuals begin their group sessions consisting of exercise and education, while some may continue to have one-on-one sessions based on individual needs.

Participants typically attend once or twice each week for two-and-a-half hours for approximately 12 weeks.

“It is extremely helpful to work with the team to identify problems of the senior population and make changes that can significantly improve function and ability to remain at home safely,” Ms. Johnson said.

“We have learned many things from the first groups who have participated. They have been highly motivated and have shared much humour and wisdom with us.”

What makes this program unique is its mobile aspect. Each week, the team works at three sites, spending two days at the Pembroke Regional Hospital, and one day each at sites located in the Renfrew Victoria Hospital and the Grove Arnprior and District nursing home.

“It’s exciting to be part of a new program and to be able to contribute to the provision of geriatric care in an area where there has been a need for some time,” Dr. Becker said.

Dr. Becker, who also works as a family physician in Arnprior and has specialized training in care of the elderly, said feedback has been very positive since the program began in Pembroke in May and in Renfrew and Arnprior this past summer.

Area resident Jack Watterson said he was very weak when he was first referred to the day hospital but has since regained a lot of his strength and also a lot of useful information.

“It is a really good program,” said Cecelia Laverdure. “I have got a lot of good from it already and my husband thinks I am walking better than I have in two years.”

“As we go forward we hope to be able to tailor the program to the needs of the patients so feedback is very important,” Dr. Becker said.

Sabine Mersmann, Director of the Medical and Rehabilitation programs at PRH said development of the program involved site visits to other existing day hospitals as well as the sharing of information by those sites and other community partners.

Locally, she said Carefor has provided tremendous support, providing transportation for all sites for an extremely reasonable fee to the participants.

“Already this has enabled people to participate who otherwise would have felt unable to come for an extended period,” Ms. Mersmann said. “Until now, we have had very limited specialized geriatric services in the county – this is a step in the right direction to being able to provide more.”

FOR MORE INFORMATION, PLEASE CONTACT:
Carolyn Levesque, Public Affairs and Communications Coordinator
Pembroke Regional Hospital
(613) 732-3675, ext. 6165 / carolyn.levesque@pemreghos.org


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