GERIATRIC CONSULTATION - VHA handbook

TARGET POPULATION

a. Requests for geriatric consultation need to be limited to a specified target population in order to: take full advantage of the limited number of geriatric providers; maximize the benefits of these services to the health care system and on behalf of other providers; and best serve the targeted patient population.

b. Inclusion criteria may include, but are not limited to, one or more of the following:

(1) “Geriatric syndromes,” such as impaired cognition, urinary or fecal incontinence, gait or balance disorder, falls, or delirium;

(2) Medical condition(s) whose management is (are) made particularly complex by advanced age, frailty, or one or more comorbidities or coincident conditions;

(3) Continuing decline in the face of ongoing management;

(4) Consideration for extended care placement, such as: CLC, HBPC, Homemaker Home Health Aide, Respite, or Assisted Living;

(5) Concern over elder abuse or neglect; or

(6) Impending disability with potentially alterable health risks.

c. Exclusion criteria may include, but are not limited to, a patient co-managed by a

community provider requesting prescription renewal only

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