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Gerontology Service Townsville Hospital and Health Service

Overview

Gerontology department is medical service based at Townsville Hospital.  We cater for the elderly population of Townsville and the surrounding areas. The service has a strong connection with JCU which is located adjacent to the hospital.  We run a person-centred care and respect for elderly patients.

Gerontology Services offers the services of a multidisciplinary team which include-

  • Geriatricians
  • Administration Officers
  • Advanced Trainees in Geriatric Medicine
  • Basic Physician Trainees
  • Interns and Residents
  • Nursing staff trained in the area of Geriatric care
  • Clinical Nurse Consultant
  • Occupational Therapists
  • Physiotherapists
  • Social Workers 

Referrals

Geriatric Referral form - for referral

Geriatric information on the referral process

Gerontology Services can be contacted using one of the following methods:-

 Location Gerontology Service
100 Angus Smith Drive, Douglas QLD 4814
 Postal Address  IMB 103, PO Box 670, Townsville QLD 4810
 Phone  +61 7 4433 2604
 Facsimile  +61 7 4433 4170
 Email  Townsville Gerontology Services

Gerontology Services provide a wide range of services including 

  • Acute Care of the Elderly Team
  • Delirium-Dementia Ward - Ward 5
  • Geriatric Evaluation & Management Ward
  • Orthogeriatric Shared Care Programme
  • Transition Care Programme (a discharge service)
  • Have a comprehensive research and training program
  • Adjunct lectureship with JCU and
  • Provide services to complete ACAT assessments for those requiring placement from hospital.
  • Falls and Balance
  • Telehealth to rural and remote areas

Specialist clinics

Gerontology Services offer the following specialist clinics to a person who is 65 years or older (50+ for Aboriginal and Torres Strait Islander). 

  • Age Aware Clinic - Memory Loss/cognition
  • Falls/Balance Clinic - Falls/Mobility/Immobility
  • Geriatric Review Clinic - General Medicine in the Older Person - e.g. General health in old age, Parkinson's disease in old age, Osteoporosis etc.

Telehealth for rural and remote areas.

Information on specialist Medical and Cardiac clinic times

Monday morning

  • Falls Clinic (Consultant and Senior Gerontic Physiotherapist) 
  • Registrar ED Falls and urgent review Clinic
  • Senior Gerontic Physiotherapist – available if needed 

Tuesday  morning

  • Age Aware – primarily cognitive/memory loss assessment (Consultant and Registrar) 

Friday afternoon

  • Consultant Geriatric Review Clinic 

Wednesday morning

  • TeleGero clinic (Consultant via telelink) 

TeleGero medicine clinic

Via Telegero, a televised link, we are able to provide specialist services to rural and remote hospital areas including, but not limited, to the following areas:- 

  • Ayr, Bowen, Charters Towers, Clermont, Cloncurry, Collinsville, Home Hill, Hughenden, Ingham, Mackay, Mornington Island, Mt Isa, Proserpine, Richmond, Sarina and Winton (but can be extended outside these areas).
  • Patient information brochure

The Acute Care of the Elderly (ACE)

The aim of the ACE team is to provide a specialised multidisciplinary acute gerontology service for The Townsville Hospital focusing on improving discharge outcomes for the frail elderly. The primary outcome is to minimise functional decline and preventing premature nursing home admission.

Admission Criteria to the ACE Ward

»  Age 65+ (55+ Indigenous)

»  Acute illness or acute episode of chronic episode 

One or more of the following Geriatric Functional Syndromes

  • Fall
  • Immobility
  • Delirium
  • Acute and/or functional decline (i.e. requiring hands on assistance for Personal activities of daily living

The Dementia-Delirium Ward

This Ward specialises in delirium and dementia management of the older patient. Patients are managed by the appropriate team either the medical or surgical team who have  access to the gerontology team.

Geriatric Evaluation & Management (GEM)

To provide an environment with staff specifically trained to care for geriatric patients who have been identified with  Geriatric Functional Syndromes that may compromise their length of stay following an acute medical illness. Early access to the GEMS service should prevent avoidable functional decline and result in better health outcomes. The focus is older people identified as being able to achieve a reversal of their functional decline experienced as a result of an acute illness. Staff will ensure nationally recognised clinical practice standards for the patient group are implemented in order to achieve optimal health outcomes.

  1.  65 years (or 55+ indigenous)
  2.  No acute illness
  3.  The presence of geriatric functional syndromes such as:
  •  
    • Immobility  - assistance to stand and walk 3m
    • Instability   - 2 or more falls in preceding 6months
    •                     - 3 or more falls in preceding 12months
  • Incontinence - presence of urinary incontinence
  • Intellectual Impairment - MMSE less than 23
  • Requiring assistance from another person with ADL's
  • Carer stress
  • Polypharmacy; 5 or more medications.
  1. Patient is able and willing to participate in therapy and self care activities
  2. Capacity to improve functionally

Orthogeriatric Shared Care Program

Those patients with a fractured neck of femur are seen by the Geriatric Medicine Registrar in the Emergency Department as part of their admission pathway.  These patients are admitted under the shared care of Orthopaedics and Geriatric Medicine. The Geriatric Registrar reviews patients twice weekly. There is a combined orthogeriatric ward round once weekly with consultant, registrar, orthopaedic RMO, Pharmacist and nursing support.

Transition Care Program

Transition Care is a Federal/State funded community service to facilitate early discharge and ongoing restorative health care for predominantly older people, but not exclusively so.  Patients are required to achieve aims and goals during their programme. The TCP team are involved in the patient's care for up to three months.

Gerontology Services - Research and Training program

Training program

Go to Toptop of page




Last updated: 4 January 2016