The geriatricians at the Geriatric Ambulatory Practice of Montefiore Medical Center are all board-certified physicians, and include internists and family physicians with additional subspecialty boards in geriatric medicine. Our outstanding multidisciplinary team includes geriatricians, geriatric psychiatrists, nurse practitioners, nurses and social workers, who provide both primary care and consultations. If additional consultations are required, Montefiore offers an extensive range of subspecialty health services, including: Montefiore Einstein Center for Heart and Vascular Care, Montefiore Einstein Center for Cancer Care, Women's Health at Montefiore, Montefiore Einstein Center for Transplantation and Surgery at Montefiore.
The geriatrics team assesses and treats all the different types of conditions affecting the older person's health and well-being, including:
Montefiore geriatricians begin with a complete patient evaluation, including physical health and ambulation, examination of memory, medication usage and nutrition. The assessment and recommended plan are discussed with the patient and caregivers. A Montefiore geriatrician coordinates care, which may include:
Our multidisciplinary team, including geriatricians, nurse practitioners, social workers and geropsychiatrists, specializes in the medical and psychosocial evaluation and ongoing care of older adults who have dementia. Our physicians consider the patient's family life when evaluating and determining a care plan for memory loss, depression, Alzheimer's disease and other dementias.
Information about support programs is provided to assist patients and their families.
More than one-third of community-dwelling adults who are age 65 or older fall every year. In half of these cases, the falls are recurrent. They carry a risk of hospitalization, functional decline and nursing home placement. Most falls are multifactorial and need close attention to various risk factors in individual patients. As the number of community-dwelling adults over 65 has increased significantly, we added a Falls Assessment Program in the Geriatrics Ambulatory Practice. The Program provides assessments of patients with a history of or risk factors for falls. The evaluation includes:
After the evaluation, recommendations are made to reduce a patient's risk for falls and, if appropriate, patients are referred to specialists in other disciplines. For patients seen as consultations, recommendations are communicated to the primary care provider.
One-third of women and one-fifth of men over age 50 will experience osteoporotic fractures. The effects of osteoporosis can be minimized through early diagnosis and a specialized program that includes medication, diet and exercise. The Geriatrics Ambulatory Practice Bone Center focuses on metabolic bone diseases in older adults, providing: