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Seniors are the most frequent users of emergency services and their numbers are on the rise They are also at risk of adverse health outcomes while in hospital when compared to their younger counterparts Frailty a state of increased vulnerability is common to Canadian seniorsIn the community it is considered the cumulative effect of multiple issues causing physical andor cognitive limitationsHoover RotermannSanmartin Bernier 2013 Frail patients are at increased risk of having prolonged hospital stays once admitted hospital Goldstein Andrew Travers 2012 Based on the 20092010 Canadian Community health survey 32 of seniors living in community are pre-frail and 24 are frail The percentage of frail seniors increase with age from 62 at 65 to 52 at age 85 or older Hoover et al 2013 When seniors go into hospital they often leave worse than they come in In one study of2279 799senior patients were discharged with hospitalization associated disability Of that 799 413 died within 1 year and only 301 returned to baseline function Canadian Medical Association2012 To prevent elderly patient admissions and ease transfer of patients home the MississaugaHalton Local Health Integration Network has made aging at home a slogan for the last 10 years to cope with the dramatic increase in its elderly population Ontarios Action Plan for Seniors 2013 Initiatives like the Nurse Practitioner Averting Transfers NPSTAT program from Long-Term Care facilities are available to those in Long Term Care Facilities however the home dwelling seniors have no services to avert them from the negative effects of emergency visit and possible admission If you are in need of Urgent Care during off hours or on holidays many frail seniors can spend 4 6 hours waiting in chairs or stretchers in overcrowded rooms with ill contagious people as they wait for minor treatments The following paper isa community assessment of the Mississauga-Halton Local Health Integration network MH-LHIN its growing elderlypopulation acute care services available to themand a
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