What is geriatric medicine?

Geriatric medicine is the study of all aspects of aging including the physical, emotional and psychological concerns of the elderly. It is the medical complement to gerontology, which is the social study of aging..

What does it mean to be “board-certified”?

In order to be board-certified in the sub-specialty of geriatrics in the United States, a physician must already be certified in internal medicine by the American Board of Internal Medicine and complete at least an additional year of training in geriatric medicine, demonstrate competence in care of patients, meet licensing requirements and pass a rigorous examination.

What does an initial consultation include?

  • • A review of all available medical records, charts, data and history
  • • A review of all concerns that the person, their family, the caregivers or facility (if involved) may have
  • • A discussion regarding what is important in life to this person, goals of care, wishes for resuscitation and other interventions
  • • A functionality assessment focusing on quality of day-to-day life, including suggested ways for the family or other caregivers to help
  • • Evaluation of acute, chronic and neuropathic pain and recommendations for management
  • • Referrals to physical or occupational therapists as necessary
  • • A review of medications, including over-the-counter products and supplements, to identify drugs, dosages and interactions that may be troublesome to the older person
  • • A physical examination
  • • A  mental and emotional examination, including:
    • Examination for memory problems, decision making capacity, and dementia, which can be caused by factors as varied as vitamin deficiencies, Alzheimer’s disease or strokes
    • Treatment recommendations for agitation and mood problems, including training in techniques for moderating anger or reaction in the demented individual without increasing their confusion
    • Diagnosis of depression and recommendations for treatment and behavioral interventions
  • •Preparation of a report to be delivered to the person evaluated or durable power of attorney, the family physician and, if that person chooses, to  other caregivers or facility
  • •Communication and collaboration with the primary physician who, in most cases, will continue to manage patient care and emergencies. ElderConsult is also available to provide primary care in some areas. This is especially helpful to those who are housebound or refuse to visit a physician
  • Does ElderConsult accept Medicare or Supplemental Insurance?

    We do not accept Medicare or Supplemental Insurance, nor participate in HMOs. However, we will send a HIPPA bill sheet to your insurance carrier if you have non-HMO, non-Medicare supplemental insurance. We cannot guarantee that your insurer will reimburse you—you should contact them for more information.

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