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Geriatric services - CALHN

Geriatric services for Central Adelaide Local Health Network (CALHN), covering Royal Adelaide Hospital (RAH) and The Queen Elizabeth Hospital (TQEH), includes:

Community geriatric services

Multi-disciplinary community geriatric team

Telephone: (08) 8222 7934
Fax: (08) 8222 7778
Email: health.calhnmcgs@sa.gov.au

The Multi-disciplinary community geriatric service (MCGS) is a quick response team operating five days per week (between 9.00 am and 5.00 pm) and provides a free, short term (up to 12 weeks), service to the CALHN catchment population, living at home and within residential aged care facilities. The aim is to support general practitioners (GPs) and other community care providers with a comprehensive multidisciplinary assessment, intervention and care planning for frail older people with dementia or geriatric syndromes.

Resources

Transition care program

Phone: (08) 8222 8864
Fax: 1300 724 900

The Transition care program (TCP) provides short term (up to 12 weeks) support, either at home or within an aged care residential setting, for older people following hospital discharge. TCP supplies low-intensity therapy and assistance with daily living, with the goal of the older person regaining as much independence as possible. Assistance may include a combination of: nursing, physiotherapy, occupational therapy, speech therapy, social work, and/or dietary advice.

All TCP's referrals come through Commonwealth Department of Health's My Aged Care program and the South Australian hospital system.

Community Falls Prevention Service

Telephone: 1300 034 557 or (08) 8222 8867
Fax: 1300 724 900

Falls assessment clinics provide multi-disciplinary assessment and management for older people with complex falls related presentations. The geriatrician-lead team consists of an occupational therapist, physiotherapist and nurse. There are two falls clinics within the CALHN region, based at Sefton Park and The Queen Elizabeth Hospital (TQEH).

Eligibility:

Client consents, is willing to adopt recommended strategies and interventions, and:

  • is living in the CALHN region (community and low level care)
  • is aged 65 years or older, or 50 years for Aboriginal and Torres Strait Islander (ATSI)
  • has history of two or more falls in the past 12 months or one fall with a serious injury
  • has multiple co-morbidities
  • has not had a recent review by geriatrician or multidisciplinary program
  • does not have an acute fracture or acute illness (is medically stable).

Note: Permanent residents of high level care are not eligible for this service

Resources

CALHN In-patient geriatric services

Inpatient geriatric services are available at RAH and TQEH. 

Residential aged care placement team - RAH

Telephone: (08) 8222 5100 or (08) 8222 4641
Speed Dial: 1228
Pager: 1228

The placement team are a resource available at RAH to guide and assist patients and their families through the placement pathway. The placement team organise the aged care assessments (ACAT), facilitate transition to residential care, encourage the correct information be circulated and are happy to answer any questions about the process of ACAT and placement. Placement includes community or residential transitional care program (slow stream rehab), respite and permanent.

Care for the older person - RAH

Natalie Spence, Clinical Practice Consultant

Telephone: (08) 8222 2955
Fax: (08) 8222 5900
Page: (08) 8222 4000 # 1676
Mobile: 0402 132 975
Speed dial: 1440

This service manages and coordinates the care of older people at RAH by:

  • assisting patients with behavioral issues
  • facilitating the acute and aged care sectors to work in partnership
  • helping residents of residential aged care facilities’ avoid hospital admission or access early discharge supports
  • involvement in the transfer of care from the acute sector into the community
  • improving communication flow across sectors
  • liaising with TQEH regarding transfer of Geriatric Evaluation and Management Unit (GEMU) patients
  • provision of cognitive assessment
  • reviewing TCP readmitted patients
  • supporting communication about in-patients.

 

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