{"id":947,"date":"2024-04-10T09:12:31","date_gmt":"2024-04-10T13:12:31","guid":{"rendered":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/?post_type=chapter&#038;p=947"},"modified":"2024-04-10T09:17:21","modified_gmt":"2024-04-10T13:17:21","slug":"2-2-7","status":"publish","type":"chapter","link":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/chapter\/2-2-7\/","title":{"raw":"2.2.7 Admission and Physical Assessments","rendered":"2.2.7 Admission and Physical Assessments"},"content":{"raw":"Common Steps in Long Term Care Home Admissions:\r\n<ul>\r\n \t<li>Preadmission<\/li>\r\n \t<li>Medication Reconciliation<\/li>\r\n \t<li>Transfer in care communication<\/li>\r\n \t<li>Admission day<\/li>\r\n \t<li>NP\/MD Admission Process<\/li>\r\n \t<li>Admission RAI assessment[footnote]Boltz et al., 2016a[\/footnote][footnote]Boltz et al., 2016b[\/footnote][footnote]CGA Toolkit Plus, 2023[\/footnote][footnote]Health Standards Organization (HSO), 2023[\/footnote][footnote]Outlander et al., 2016[\/footnote][footnote]Public Health Agency of Canada, 2022[\/footnote]<\/li>\r\n<\/ul>\r\nComprehensive LTC Admission Assessment:\r\n<ul>\r\n \t<li>Demographics<\/li>\r\n \t<li>Advanced Care Planning<\/li>\r\n \t<li>History of Presenting Illness (HPI)<\/li>\r\n \t<li>Active Problems<\/li>\r\n \t<li>Medical History<\/li>\r\n \t<li>Surgical History<\/li>\r\n \t<li>Social History<\/li>\r\n \t<li>Review of System (ROS)<\/li>\r\n \t<li>Geriatric Review of Systems<\/li>\r\n \t<li>Functional Abilities<\/li>\r\n \t<li>Medications<\/li>\r\n \t<li>Physical Examination (PE)<\/li>\r\n \t<li>Investigations<\/li>\r\n \t<li>Problem List<\/li>\r\n<\/ul>\r\n<div class=\"textbox textbox--exercises\"><header class=\"textbox__header\">\r\n<p class=\"textbox__title\">Optional Reading<\/p>\r\n\r\n<\/header>\r\n<div class=\"textbox__content\">\r\n<ol>\r\n \t<li><a href=\"https:\/\/www.cgakit.com\/tools-index\">CGA Toolkit<\/a><\/li>\r\n<\/ol>\r\n<\/div>\r\n<\/div>\r\nComplex admissions:\r\n<ul>\r\n \t<li>New admissions to LTC from hospital are medically complex<\/li>\r\n \t<li>~ 1 in 5 patients admitted to a LTC from the hospital setting are readmitted to hospital within 30 days<\/li>\r\n \t<li>Strategies to prevent hospital admission after LTC admission<\/li>\r\n \t<li>Increased patient monitoring for 7 days after admission<\/li>\r\n \t<li>Early detection for chronic disease flares<\/li>\r\n \t<li>More contact with MD\/NP following admission<\/li>\r\n \t<li>Increased specialist consultation<\/li>\r\n \t<li>Effective communication and collaboration between LTC and hospital[footnote]Public Health Agency of Canada, 2022[\/footnote]<\/li>\r\n<\/ul>","rendered":"<p>Common Steps in Long Term Care Home Admissions:<\/p>\n<ul>\n<li>Preadmission<\/li>\n<li>Medication Reconciliation<\/li>\n<li>Transfer in care communication<\/li>\n<li>Admission day<\/li>\n<li>NP\/MD Admission Process<\/li>\n<li>Admission RAI assessment<a class=\"footnote\" title=\"Boltz et al., 2016a\" id=\"return-footnote-947-1\" href=\"#footnote-947-1\" aria-label=\"Footnote 1\"><sup class=\"footnote\">[1]<\/sup><\/a><a class=\"footnote\" title=\"Boltz et al., 2016b\" id=\"return-footnote-947-2\" href=\"#footnote-947-2\" aria-label=\"Footnote 2\"><sup class=\"footnote\">[2]<\/sup><\/a><a class=\"footnote\" title=\"CGA Toolkit Plus, 2023\" id=\"return-footnote-947-3\" href=\"#footnote-947-3\" aria-label=\"Footnote 3\"><sup class=\"footnote\">[3]<\/sup><\/a><a class=\"footnote\" title=\"Health Standards Organization (HSO), 2023\" id=\"return-footnote-947-4\" href=\"#footnote-947-4\" aria-label=\"Footnote 4\"><sup class=\"footnote\">[4]<\/sup><\/a><a class=\"footnote\" title=\"Outlander et al., 2016\" id=\"return-footnote-947-5\" href=\"#footnote-947-5\" aria-label=\"Footnote 5\"><sup class=\"footnote\">[5]<\/sup><\/a><a class=\"footnote\" title=\"Public Health Agency of Canada, 2022\" id=\"return-footnote-947-6\" href=\"#footnote-947-6\" aria-label=\"Footnote 6\"><sup class=\"footnote\">[6]<\/sup><\/a><\/li>\n<\/ul>\n<p>Comprehensive LTC Admission Assessment:<\/p>\n<ul>\n<li>Demographics<\/li>\n<li>Advanced Care Planning<\/li>\n<li>History of Presenting Illness (HPI)<\/li>\n<li>Active Problems<\/li>\n<li>Medical History<\/li>\n<li>Surgical History<\/li>\n<li>Social History<\/li>\n<li>Review of System (ROS)<\/li>\n<li>Geriatric Review of Systems<\/li>\n<li>Functional Abilities<\/li>\n<li>Medications<\/li>\n<li>Physical Examination (PE)<\/li>\n<li>Investigations<\/li>\n<li>Problem List<\/li>\n<\/ul>\n<div class=\"textbox textbox--exercises\">\n<header class=\"textbox__header\">\n<p class=\"textbox__title\">Optional Reading<\/p>\n<\/header>\n<div class=\"textbox__content\">\n<ol>\n<li><a href=\"https:\/\/www.cgakit.com\/tools-index\">CGA Toolkit<\/a><\/li>\n<\/ol>\n<\/div>\n<\/div>\n<p>Complex admissions:<\/p>\n<ul>\n<li>New admissions to LTC from hospital are medically complex<\/li>\n<li>~ 1 in 5 patients admitted to a LTC from the hospital setting are readmitted to hospital within 30 days<\/li>\n<li>Strategies to prevent hospital admission after LTC admission<\/li>\n<li>Increased patient monitoring for 7 days after admission<\/li>\n<li>Early detection for chronic disease flares<\/li>\n<li>More contact with MD\/NP following admission<\/li>\n<li>Increased specialist consultation<\/li>\n<li>Effective communication and collaboration between LTC and hospital<a class=\"footnote\" title=\"Public Health Agency of Canada, 2022\" id=\"return-footnote-947-7\" href=\"#footnote-947-7\" aria-label=\"Footnote 7\"><sup class=\"footnote\">[7]<\/sup><\/a><\/li>\n<\/ul>\n<hr class=\"before-footnotes clear\" \/><div class=\"footnotes\"><ol><li id=\"footnote-947-1\">Boltz et al., 2016a <a href=\"#return-footnote-947-1\" class=\"return-footnote\" aria-label=\"Return to footnote 1\">&crarr;<\/a><\/li><li id=\"footnote-947-2\">Boltz et al., 2016b <a href=\"#return-footnote-947-2\" class=\"return-footnote\" aria-label=\"Return to footnote 2\">&crarr;<\/a><\/li><li id=\"footnote-947-3\">CGA Toolkit Plus, 2023 <a href=\"#return-footnote-947-3\" class=\"return-footnote\" aria-label=\"Return to footnote 3\">&crarr;<\/a><\/li><li id=\"footnote-947-4\">Health Standards Organization (HSO), 2023 <a href=\"#return-footnote-947-4\" class=\"return-footnote\" aria-label=\"Return to footnote 4\">&crarr;<\/a><\/li><li id=\"footnote-947-5\">Outlander et al., 2016 <a href=\"#return-footnote-947-5\" class=\"return-footnote\" aria-label=\"Return to footnote 5\">&crarr;<\/a><\/li><li id=\"footnote-947-6\">Public Health Agency of Canada, 2022 <a href=\"#return-footnote-947-6\" class=\"return-footnote\" aria-label=\"Return to footnote 6\">&crarr;<\/a><\/li><li id=\"footnote-947-7\">Public Health Agency of Canada, 2022 <a href=\"#return-footnote-947-7\" class=\"return-footnote\" aria-label=\"Return to footnote 7\">&crarr;<\/a><\/li><\/ol><\/div>","protected":false},"author":517,"menu_order":22,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[],"contributor":[],"license":[],"class_list":["post-947","chapter","type-chapter","status-publish","hentry"],"part":3,"_links":{"self":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/chapters\/947","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/wp\/v2\/users\/517"}],"version-history":[{"count":4,"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/chapters\/947\/revisions"}],"predecessor-version":[{"id":951,"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/chapters\/947\/revisions\/951"}],"part":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/parts\/3"}],"metadata":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/chapters\/947\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/wp\/v2\/media?parent=947"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/chapter-type?post=947"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/wp\/v2\/contributor?post=947"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/wp\/v2\/license?post=947"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}