Dr. Frank Molnar - Regional Geriatric Program of Eastern Ontario

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Clinical Scenario • A patient is in your office who is clearly unfit to drive home. MMSE 6/30. You tell them they should not drive home but they refuse to comply. You feel they are an imminent threat to public safety. What do you do?
Geriatric Outpatient System Nested in Community Care System Local Health Integration Network (LHIN) Regional Geriatric Advisory Committee (RGAC) Information Champlain DH Leadership Committee Day Hospital Forum Day Hospitals / Geriatric Clinics Primary Care Geriatric Assessment Outreach Teams (GAOT) Geriatric Emergency Management (GEM)
Page 1 and 2: ‘Negotiating’ the ‘Thorny’
Page 3 and 4: The Assessment of Fitness-to-drive
Page 5 and 6: Sometimes fitness-to-drive is less
Page 7 and 8: Let’s Focus on a high volume clin
Page 11 and 12: What happens AFTER the assessment?
Page 13: Ontario Highway Traffic Act Report
Page 16 and 17: Physician Assessment Patient not sa
Page 18 and 19: Fitness to Drive Unclear - Further
Page 20 and 21: UNCLEAR - How to Report OR • “P
Page 22 and 23: Outcomes of the Specialized Assessm
Page 24: UNSAFE - How to Report Moderate to
Page 27 and 28: SAMPLE - WRITTEN STATEMENT TO THE P
Page 29 and 30: Patient Not Fit to Drive (permanent
Page 31 and 32: Patient Not Fit to Drive • Meetin
Page 33 and 34: Patient Not Fit to Drive • Meet w
Page 35 and 36: Patient Not Fit to Drive • Meet w
Page 37 and 38: Patient Not Fit to Drive • THEN a
Page 39 and 40: Patient Not Fit to Drive • If pat
Page 41 and 42: UNSAFE TO DRIVE DISCLOSURE MEETING:
Page 43 and 44: Enough Talk - time for cases
Page 45: Clinical Scenario • You have foun
Page 49: GAOT Letter • For your medico-leg
Page 52: Discussion: Other means to improve

Dr. Frank Molnar - Regional Geriatric Program of Eastern Ontario

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