Module 2: Direct Comprehensive Primary Care in the LTC Setting
25 2.2.7 Admission and Physical Assessments
Common Steps in Long Term Care Home Admissions:
- Preadmission
- Medication Reconciliation
- Transfer in care communication
- Admission day
- NP/MD Admission Process
- Admission RAI assessment[1][2][3][4][5][6]
Comprehensive LTC Admission Assessment:
- Demographics
- Advanced Care Planning
- History of Presenting Illness (HPI)
- Active Problems
- Medical History
- Surgical History
- Social History
- Review of System (ROS)
- Geriatric Review of Systems
- Functional Abilities
- Medications
- Physical Examination (PE)
- Investigations
- Problem List
Optional Reading
Complex admissions:
- New admissions to LTC from hospital are medically complex
- ~ 1 in 5 patients admitted to a LTC from the hospital setting are readmitted to hospital within 30 days
- Strategies to prevent hospital admission after LTC admission
- Increased patient monitoring for 7 days after admission
- Early detection for chronic disease flares
- More contact with MD/NP following admission
- Increased specialist consultation
- Effective communication and collaboration between LTC and hospital[7]