Geriatrics

Geriatric Emergency Management Program

Overview

The Geriatric Emergency Management (GEM) Program at The Ottawa Hospital supports older adults who come to the Emergency Department. 

Specially trained nurses assess patients aged 65 and older to identify health risks that may not be immediately visible, such as frailty, confusion or challenges with mobility. The goal is to improve care by recognizing these risks early and helping patients avoid unnecessary hospital stays. 

A nurse in blue scrubs supports and guides an elderly person using a walker as they walk down a bright hospital hallway together.

Frequently asked questions (FAQs)

The Emergency Department staff may ask the GEM Nurse to see you if have had:  

  • Other recent visits to the Emergency Department.
  • Any major changes in the amount of help you need at home.
  • Any concerns about your physical safety, your emotional safety and/or the safety in your home.
  • Any recent change in your health, memory or your ability to manage day-to-day activities at home.

GEM nurses can make recommendations for support at home or follow up with specialists if you need it. The goal of the GEM nurse is to help you to go back to where you live and be as safe and as independent as you can be. 

You must be referred to a GEM nurse by the Emergency Department. People must be 65 years or older and be living in their own home or a retirement residence.

The GEM nurse will ask you a few questions about how you are doing. If it is needed, they will do a more detailed assessment including your physical and mental health and how you are managing at home. The GEM Nurse will spend about 30 minutes talking to you. You do not have to participate if you do not want to. When possible, and if you agree, the GEM nurse may speak with your family and/or caregivers to help with the assessment.

A GEM nurse can help make a follow-up plan to help you when you leave the Emergency Department. This may include: 

  • Sending a letter to your family doctor or other health-care professionals who give you care.
  • Making referrals to medical specialists.
  • Linking you up with support from health agencies or community services.