Updated: Monday May 2, 2011

Geriatric Program


The Geriatric Program has been developed by the Smithville Medical Centre Family Health Team (SMC FHT) to improve the quality of life of seniors, allowing them to remain as independent and healthy as possible. The Team consists of a Nurse Practitioner working with the patient’s Family Physician to provide a comprehensive assessment; to access other community based home care resources in coordination with the Community Care Access Centre Case Manager and to support care givers enabling them to make informed decisions. The team will work to identify any cognitive impairments that may exist as well as identifying any extra services or support that may be needed. This program has the support of a Registered Dietitian and Mental Health Counselors onsite as well.

The program is structured around three separate visits with the Nurse Practitioner and are usually booked for approximately one hour. The first visit is an individual interview with the client/patient to do some history taking and cognitive assessments. The second visit will be with family members only, without the client/patient present. The third visit is a physical assessment at which time other tests may be ordered. The visits are booked according to a referral from the Family Doctor.

Some of the Initial Discussion will include:

  • Current living situation
  • Work history
  • Hearing
  • Vision
  • Dental
  • Cognition – MMSE: (max 30); MOCA: (max 30)
  • Depression – Geriatric depression screen
  • Falls/mobility
  • Osteoporosis
  • Caregiver support
  • Continence
  • Medications
  • Nutrition
  • Cardiovascular/stroke risk
  • Driving
  • Do you have a Power of Attorney? Personal Care?
  • Financial care/property?
  • Do you have a valid, up to date Will?
  • End of Life Care directions?
  • Lifestyle issues
  • Activities of daily living

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