Patients who are over the age of 65, and are at risk or demonstrate signs of frailty.
The Geriatric Navigation and Support program is led by a Registered Nurse. Nurses will make visits to local retirement homes and often patient’s home to assess patients using various assessment tools and communicate the findings of these assessments with the patient’s primary care provider. The goal of these visits is to provide timely care that will prevent ER visits, hospital admissions and assist the elderly in accessing healthcare. As well, the nurse provides support to retirement home staff through knowledge sharing and system navigation to connect patients to resources such as Home and Community Care, the Alzheimer society, and other community agencies that support clients to stay in their home as long as possible.
