Our team of experts meets with the patients, family members or caregivers to determine how medical, psychological, cognitive and social problems may be impeding their function or threatening independent living. We work closely with the patient and the family, the patient's physicians, and other care providers to develop a comprehensive plan to help optimize function, independence and quality of life.
We help patients and families develop connections to appropriate community services such as home health care agencies, adult daycare centers and volunteer support groups. Moreover, in conjunction with the patient’s physician, our staff provides ongoing case management and clinical care as necessary. Finally, our center serves as an important educational site for interns, residents and fellows in geriatric medicine. We are a model for other institutions who are developing geriatric centers, and an important site of patient-oriented research in geriatrics.
What to Expect
When you bring a loved on to our center for an assessment, he or she will receive:
- A comprehensive history and medical exam
- Risk evaluation for falls, mobility and musculoskeletal complaints of back or joint pain
- Comprehensive cognitive exam and depression screening
- Review of medications and an evaluation for polypharmacy
- Review of patient priorities and goals of care
- Caregiver counseling
- Assessment for home-based care needs, as well as for nursing home and assisted living placement
We conduct diagnostic assessments on an outpatient basis at our Yale New Haven Hospital-based clinic or at your preferred site. Family meetings are held at each visit and include a physician, case manager, family/caregivers, and if appropriate, the patient. We also work closely with the patient’s own doctor.