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| Geriatric
Rehabilitation Program
University Centre,
550 University Avenue, Toronto, Ontario M5G 2A2
Toronto Rehab's
Geriatric Rehabilitation Program offers inpatient and outpatient
rehabilitation services that enhance independence and quality of
life for older adults with complex medical, cognitive and psychosocial
needs. The program is part of the Regional
Geriatric Program of Toronto - Central Service (RGP).
If you are unsure
which service of the Geriatric Rehabilitation Program to apply to,
please call 416-597-3422, ext. 3099.
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Geriatric
Rehabilitation Service
| Tel: |
416-597-3422
ext. 3038 |
| Fax: |
416-597-0836 |
| Type
of service: |
Inpatient |
| Average
length of stay: |
6
to 8 weeks |
| Number
of beds: |
16 |
| Referral
required: |
Personal,
family and physician referrals are accepted |
Geriatric Rehabilitation
benefits elderly people who are experiencing multiple physical,
emotional, cognitive and social conditions that interfere with their
independence and quality of life. Treatment is designed to improve
personal functioning to the highest possible level so patients can
return home to live in their community.
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Dialysis
Service (a new service)
Number of beds:
12
This new service
provides patients with daily hemodialysis and daily rehabilitation.
The dialysis service is located at the University Centre and staffed
by University Health Network dialysis professionals. Dialysis patients
receive two hours of dialysis six days a week. The shorter, more
frequent dialysis means patients have more energy and are better
able to participate fully in daily rehabilitation. Patients must
arrange to have a permanent dialysis spot at a community hospital
on discharge.
On admission,
an interprofessional team of specialists assesses patients. Individualized
treatment plans are then developed for each patient based on personal
goals and abilities.
Admission Criteria:
| • |
Over
the age of 65 |
| • |
Multiple
medical, functional, emotional and/or social problems |
| • |
Defined
rehabilitation goals |
| • |
Desire and ability to actively participate in a rehabilitation
program |
| • |
Potential
to improve in the areas of physical functioning, activities
of daily living, mobility, social functioning, communication
and cognition |
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Geriatric
Day Hospital
| Tel: |
416-597-3422
ext. 3099 |
| Fax: |
416-597-6542 |
| Type
of service: |
Outpatient |
| Referral
required: |
Personal,
family and physician referrals are accepted |
On admission,
patients are assessed by an interprofessional team. From this, individualized
treatment plans are developed for each patient based on personal
goals and abilities. Therapy is usually provided in individual sessions
and is designed to restore physical function, and promote socialization
and reintegration of the patient in the community. Patients generally
attend therapy a couple of half-days a week for up to three to four
months.
Admission Criteria:
| • |
Over
the age of 65 |
| • |
Experience
some difficulty with activities of daily living, mobility, cognition,
social functioning and/or communication |
| • |
Have
the ability and desire to attend and participate in a rehabilitation
program |
| • |
Have a family physician in the community |
| • |
Are
capable of accessing transportation to and from the Geriatric
Day Hospital |
| • |
Do
not require one-to-one supervision to ensure safety while attending |
| • |
Can
benefit from two or more professional services including: Medicine,
Nursing, Occupational Therapy, Pharmacy, Physiotherapy, Social
Work, Speech-Language Pathology, Therapeutic Recreation, and
Dietetics |
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Geriatric
Medicine Clinic
| Tel: |
416-597-3422
ext. 3099 |
| Fax: |
416-597-6542 |
| Type
of service: |
Outpatient |
| Referral
required: |
Physician |
This clinic
conducts specialized geriatric medical assessments of seniors who
are experiencing:
| • |
Deterioration
of memory or cognition |
| • |
Multiple physical disabilities |
| • |
Mobility
problems, falls or decreased physical function |
| • |
Bowel
or bladder difficulties |
| • |
Swallowing
or communication problems |
| • |
Challenges
coping with multiple chronic illnesses or multiple medications |
| • |
Inadequate
family or community supports |
| • |
Possible
abuse or neglect, alcoholism, poor nutrition or weight loss |
Following
the assessment, recommendations and referrals may be made to other
hospital, outreach or community-based programs and services.
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Geriatric
Psychiatry Service
| Tel: |
416-597-3422
ext. 3041 |
| Fax: |
416-591-6812 |
| Type
of service: |
Inpatient |
| Average
length of stay: |
6
to 8 weeks |
| Conditions:
|
Alzheimer,
Lewy bodies, and related dementia |
| Number
of beds: |
20 |
| Referral
required: |
Health
care professional |
Geriatric Psychiatry
specializes in assessing and treating elderly persons who have behavioural
challenges related to Alzheimer disease and other types of dementia.
Care is provided in a secure environment.
Treatment focuses
on issues such as dementia-related agitation, wandering, aggression
and resistiveness to care. The goal is to maximize the patient's
level of functioning and to minimize the burden of caring for (non-professional)
caregivers.
Service Highlights:
| • |
Comprehensive
assessment of psychiatric, medical, functional, physical and
psychosocial status of each patient. |
| • |
Individual
care plans address each patient's physical, cognitive and social
functioning needs. |
| • |
Patients
are encouraged to actively participate in group activities,
which focus on enhancing and maintaining functional abilities.
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| • |
Upon
discharge, clinical findings and recommendations about future
care are shared with the family, the patient's physician and
other care providers. Supportive counselling for families and
caregivers is also available. |
Admission Criteria:
| • |
Diagnosis
of dementia |
| • |
Psychiatric
complications of dementia including behavioural disturbances
such as agitation, aggression, depression and/or delusions |
| • |
Age
65 or older (younger individuals are accepted on a case-by-case
basis) |
| • |
Medically
stable |
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|
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Geriatric
Psychiatry Clinic
| Tel: |
416-597-3422
ext. 3099 |
| Fax: |
416-597-6542 |
| Type
of service: |
Outpatient |
The clinic provides
specialized psychiatric assessments of elderly persons experiencing:
| • |
Depressed
mood |
| • |
Symptoms
of late onset schizophrenia |
| • |
Paranoia,
delusions or hallucinations |
| • |
Anxiety
disorders |
| • |
Behavioural
disturbances associated with dementia |
| • |
Other
psychiatric disorders |
An assessment
includes a comprehensive psychiatric examination, consultation with
the referring physician and other professional caregivers, and referrals
to other appropriate community and hospital-based programs and services
as required.
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Geriatric
Outreach Team
| Tel: |
416-597-3422
ext. 3099 |
| Fax: |
416-597-6542 |
The interprofessional
Outreach Team conducts assessments, on behalf of service providers
in the community, and provides consultations to elderly patients
and their families in the home or in a long-term care facility.
The team:
| • |
Assesses
the person's support network |
| • |
Evaluates
accessibility factors in the care setting |
| • |
Links
patients and families to appropriate support services |
| • |
Identifies patients who may benefit from an inpatient assessment
and/or rehabilitation program |
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last
update: February 27, 2003
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