Geriatric Services

Acute Care for the Elderly (ACE) Unit

About us || What to expect || Who the unit benefits || The team

About the Acute Care for the Elderly Unit

A nurse's hand gives comfort to a senior's hands
  • We provide Comprehensive Geriatric Assessments for older adults, and when it's needed and appropriate, we put our patients in touch with community support services. A Comprehensive Geriatric Assessment is a multidimensional, interdisciplinary diagnostic process to determine the medical, psychological and functional capabilities of an older adult to develop a co-ordinated and integrated plan for management and longitudinal follow-up.

  • The Acute Care for the Elderly Unit provides an elder-friendly environment for patients over 70 years of age who have multiple chronic health conditions, may be seeing a decline in their function and/or are facing complex social issues.

  • There is an emphasis on the patient’s mobility and function to help them maintain their independence and ability to return home.

  • The unit embraces a collaborative and inter-professional philosophy to providing care. The team works closely with community partners facilitating a safe transition home by ensuring that the appropriate supports are in place.

  • Location:
    • There are six Acute Care of the Elderly beds on the 14th floor of St. Michael’s Hospital in the Cardinal Carter Wing.
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What to expect

A senior patient sitting on her bed
  • Who will I see?
    • The Acute Care for the Elderly Unit embraces a collaborative and inter-professional philosophy to providing care. You will be seen by the geriatrician, nurse co-ordinator, chaplain, occupational therapist and physiotherapist. You may also be seen by other health care providers such as a dietician, speech language pathologist, pharmacist or occupational/physiotherapy assistant.

  • What happens around discharge?
    • The team works closely with community partners to ensure a safe transition home and that the appropriate supports are in place.
    • A care conference meeting with you, your family, our team and community partners may take place to facilitate a durable discharge plan.

Who may benefit from an admission to the Acute Care for the Elderly Unit?

  • Admission criteria:
    • 70 years or older.
    • Presents with acute, complex medical illness and a geriatric syndrome, including memory loss, mobility problems and falls, bowel or bladder difficulties, poor nutrition or unexplained weight loss, elder abuse/neglect, and challenges managing multiple illnesses and medications.
    • Has the potential to return to or close to pre-illness levels of function.

  • Exclusion criteria:
    • Requires intensive medical monitoring (such as telemetry) or surgery
    • Resides in long-term care or requires long-term care as the support system is maximized
    • Terminal disease with poor prognosis
    • Presents with primarily an active psychiatric diagnosis and/or behavioural issues not related to delirium
    • Designated Alternative Level of Care status
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Our Acute Care for the Elderly team

Dr. Karen D’Silva
Dr. Karen D’Silva
geriatrician
Dr. Maria Zorzitto
Dr. Maria Zorzitto
geriatrician
Mary-Anne Lee
Mary-Anne Lee
nurse practitioner
Joanna Stanley
Joanna Stanley
physiotherapist
Lisa Vandewater
Lisa Vandewater
occupational therapist
Edma Joy Apostol
Edma Joy Apostol
OT/PT assistant
Anne-Louise Jannaway
Anne Louise Janaway
chaplain

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