Geriatric Outreach Assessment Service

The Geriatric Outreach Assessment Service is a community resource for seniors who are coping with multiple health problems. It is also a resource for families and family doctors.

Anyone can make a referral. However, a person's family physician must be notified and approve the referral because he/she plays a key role in follow-up. Seniors without a family physician are welcome to contact us to discuss their options regarding geriatric assessment.

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The Geriatric Outreach Assessment Service specializes in...

  • Assessment/Review of each client’s issues, needs and concerns...
  • Geriatrician review of medical issues and medications...
  • Evaluation of the need for and the potential for gains from rehabilitation...

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The Outreach Team works with...

  • Clients, families and other caregivers...
  • Family physicians, Community Care Access Centre case managers and other health care professionals

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Who may benefit from the Geriatric Outreach Assessment Service?

  • Aged 65 years and older with complex health issues
  • Recent decline in managing day-to-day activities
  • Difficulty with getting around
  • Recent falls or fear of falling
  • Concerns about medications
  • Recent changes in ability to cope
  • Recent changes to social supports and/or caregiver stress
  • Multiple admissions to hospital or visits to the emergency department or family physician
  • Mood/memory/thinking changes as part of other health changes
  • Recent and unexplained changes in health status

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Frequently asked questions

Q. How does the Outreach Assessment Service work?

A: One of the team members will call you and arrange to visit you in your home to gather information. With your permission, we contact other people in your “circle of care.”

Our team (physician, nurse, occupational therapist, physiotherapist and social worker) then works together to develop recommendations for you and your family doctor aimed at helping with current issues and preventing further problems.

Q. What might some of the outcomes of this geriatric assessment be?

A: Some outcomes might include:

  • Further tests to add to our understanding of your health issue
  • Ways to promote more independence
  • A change to your medications
  • Linkage with other community-based services
  • A short period of rehabilitation such as the Day Hospital (outpatient) or Geriatric Inpatient Unit
  • Attendance at a geriatric clinic
  • A final report is sent to your family doctor.

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Contact information

  • Specialized Geriatrics, Geriatric Outreach Assessment Service - St. Mary’s of the Lake Hospital site, Providence Care
  • 340 Union St., P.O. Box 3600, Kingston, Ontario, K7L 5A2
  • Telephone: 613-544-7767, Toll-free: 1-800-214-5848

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