Among the best in the U.S.
Yale-New Haven Hospital has been named as one of the top hospitals in the United States, according to U.S.News & World Report's annual "Best Hospitals" rankings.
Yale-New Haven ranked among the very best in the nation in 10 medical specialties, including geriatrics, which ranked #20.
Dorothy Adler Geriatric Assessment Center
Yale-New Haven Hospital offers one of the oldest and most comprehensive geriatric assessment programs in the United States in the Dorothy Adler Geriatric Assessment Center. The Adler Center, founded in 1981, draws patients and families from throughout Connecticut, as well as from New York, Massachusetts and Rhode Island.
At the Dorothy Adler Geriatric Assessment Center a team of experts meets with the patient, family members and/or caregivers to evaluate how age-related problems affect daily functioning. Our staff members coordinate their expertise in medicine, geropsychiatry and nursing in helping families identify and treat correctable problems. Further, we help locate and connect patients with community resources that assist in optimizing the patient's living situation.
When you bring a loved one to YNHH for assessment, he or she will receive a comprehensive medical exam, assessment for problems of falls, mobility and musculoskeletal complaints like back or joint pain; geropsychiatry consultation; caregiver counseling; and assessment for nursing home and assisted living placement. Diagnostic testing is done as an outpatient at Yale-New Haven or at the patient's preferred site. Family meetings are held at each visit and include physician, case manager, family/caregivers and, if appropriate, the patient. The team works closely with the patient's own physician.
To schedule an appointment or to speak to one of our specialists,
please call 203.737.8859.
New guidelines tout exercise to prevent falls
A new set of guidelines, developed by a panel of experts that was co-chaired by YNHH geriatrician Mary Tinetti, MD, tout exercise, including the slow, controlled movements in martial arts like tai chi, as a way to prevent falls among older adults.
Pioneers in Geriatric Assessment
Yale-New Haven Hospital is a pioneer in the assessment of those with declining self-care skills. In 1981, a group of doctors, nurses and social workers concerned about the care of older patients established a geriatric clinic in a corner of the hospital's primary care center. One of the patients they treated was a woman named Dorothy Adler. After her death, her sons, two local businessmen, decided to support an expanded center that would evaluate older men and women who were having difficulty caring for themselves. In 1987, a center was opened in Dorothy Adler's name. In 2009, the Adler Center moved into a free-standing building at 874 Howard Avenue, directly across the street from YNHH.
Acute Care for the Elderly unit
The Acute Care for the Elderly (ACE) unit cares for patients 65 and older who are admitted to the medical service. This unit focuses on the function of older individuals and reviews daily the "geriatric vital signs" of mobility, mental status, continence, nutrition and integrity of the skin. A team of specially trained physicians, nurses, physical and occupational therapists, social workers, nutritionists and care coordinators ensure that patients are kept as functional as possible during hospitalization. The nurses who work on this unit receive specialized training to reduce falls and decrease the incidence of pressure ulcers.
Nursing home/Life care/Assisted living services
YNHH also has a special medical group called Yale-New Haven Geriatric Services, which provides primary care for patients in several local nursing homes, two life care centers and an assisted living facility. YNHH physicians, working with physician assistants, care for more than 500 short and long-term nursing home residents. The practice provides high quality subacute, transitional care to patients discharged from Yale-New Haven Hospital and other area hospitals.
Special geriatric programs at Yale-New Haven
YNHH uses a Yale-developed test called the Tinetti Gait and Balance Scale to determine older people' risk factors for falling. This tool has successfully decreased the rate of falling in elderly people in the community.
YNHH uses a Yale-developed Confusion Assessment Method to make a diagnosis of delirium. This method has become the gold standard for diagnosing delirium throughout the world. Yale researchers have also developed an intervention which has decreased delirium in hospitalized elderly patients.
Yale-New Haven Geriatrics has special expertise on functional decline in disability in older adults - determining risk factors and developing a successful intervention to prevent functional decline in older people.
Another area of expertise at Yale-New Haven is an understanding of what influences older people' medical decisions and how treatment preferences change as diseases (such as terminal heart failure, chronic lung disease and cancer) progress.
Yale-New Haven Geriatrics has one of the nation's leading programs on driving problems in older people. The program has data on risk factors for crashes and moving violations, the impact of driving cessation on depressive symptoms in older individuals, and how both education programs and physical conditioning programs can improve the driving performance of older people.
Yale's Program on Aging/Claude D. Pepper Older Americans Independence Center
Yale's Program on Aging is an outstanding research program which combines research, training of young physicians and collaborative relationships with people and agencies in the surrounding communities.
In 1992, the Program on Aging became one of the first National Institute on Aging Claude D. Pepper Older Americans Independence Centers. The mission of this Center is to develop and test clinical interventions that maintain or increase independence among older people. More than 40 research projects are currently underway to enhance function and quality of life for older people who often experience multiple disabilities and chronic diseases.
The Yale Program on Aging:
- Determines the physical, psychological and social factors that put older people at risk for developing geriatric health problems.
- Determines which factors are associated with physical, social, psychological and cognitive functioning.
- Develops and tests treatments to prevent or reduce functional disability among older people.
- Trains researchers and supports collaborative studies about understanding, treating, preventing or reversing functional disabilities.
- Translates research findings into improved quality of life and health for older people and more responsive healthcare delivery.