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Geriatric
YNHH

Geriatric Services

The goal of Yale-New Haven Geriatric Services/Northeast Medical Group is to maintain the independence and enhance the quality of life of older people - through diagnosis, assessment, treatment, follow-up care and research studies. The skills and sensitive expertise of the Yale-New Haven geriatrics team -- coupled with their groundbreaking research -- have improved the lives of countless patients and their families.

Geriatric

 Among the best in the U.S.

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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 #22.

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.

Contact Us

To schedule an appointment or to speak to one of our specialists, 
please call 203.737.8859.

New guidelines tout exercise to prevent falls

FPO

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.

Senior Assessment Program

The Senior Assessment Program at Yale-New Haven Hospital Saint Raphael Campus is a comprehensive consultative service designed to help seniors with age-related concerns, such as medical problems or difficulty with self-care. This outpatient care service focuses on the complex health care needs of the geriatric population. The program’s unique interdisciplinary approach provides older adults with comprehensive physical, medical, psychosocial and functional assessments. These are coordinated to establish an individualized care plan for each patient, his/her family, providers or other caregivers.

The key geriatric team consists of a board-certified geriatrician, advanced practice nurse specialist in geriatrics and other specialists in nutrition, physical therapy, etc. The geriatric team strives to maximize function and minimize morbidity in each patient and balance each patient’s quality of life with his/her care needs.

At the visit, our staff:
  • Diagnoses physical problems, including incontinence, pain, falls and decreased mobility
  • Evaluates mental difficulties, such as depression, dementia, memory loss, confusion and related behavior problems, as well as decision-making capability
  • Assesses living arrangements and social and financial resources

The geriatric team then develops a care plan that addresses the needs of the patient and their family caregivers, and involves the patient’s physicians and appropriate community service agencies. The plan includes:

  • Education in the diagnosis and prognosis of identified health problems and treatment options
  • Help in developing realistic short- and long-term (health and social) goals and strategies for meeting those goals
  • Support for family members and caregivers
  • Information and referral to community agencies and financial assistance programs when needed
  • Education on safety in the home and community

Locations

The Senior Assessment Program is located at:

Branford Outpatient Facility
84 North Main St.
Branford, CT 06405 | Map

Contact Us

Appointments are available on Thursday mornings.  To schedule an appointment, please call 203.789.3275. Please note that appointments are required; the facility cannot accommodate walk-ins. Thank you for your understanding.

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

Falls
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.

Delirium
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.

Functional Decline
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.

Decision Making
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.

Driving
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.

ElderCare Clinic

Our ElderCare Clinic offers six locations that provide primary care and social services to hundreds of seniors in easy-to-access community settings, including elderly housing complexes. Benefits include:

  • Convenient locations
  • Complete geriatric primary care
  • Long-term relationships with permanent staff who specialize in providing care to older adults
  • Less wait for follow-up appointments
  • Coordination of care with your M.D. specialist
  • Ease in scheduling appointments

To participate in the ElderCare Clinic, you must be age 60 or older. 

Locations

Surfside Apartments

200 Oak St., Unit #3

West Haven, CT 06516 | Map

Tower One/Tower East

18 Tower Lane, 2nd Floor

New Haven, CT 06519 | Map

Atwater Senior Center

26 Atwater Street

New Haven, CT 06513 | Map

Casa Otonal

135 Sylvan Ave.

New Haven, CT 06519 | Map

Edith Johnson Towers

114 Bristol St., 2nd Floor

New Haven, CT 06511 | Map

Occupational Plus

2080 Whitney Ave.

Hamden, CT  06518 | Map

For hours of operation at each location and to schedule an appointment, please call 203.789.3275.

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.

CareCard

CareCard is a free health and wellness program for adults 55+. Features include:

  • Free and low-cost screenings, like diabetes, blood pressure and pulmonary at various sites
  • Nurse consultant to answer questions and provide information
  • Free seminars by physicians and specialists on topics from head to toe
  • Free legal consultation for simple legal questions - provided by the New Haven County Bar Association by appointment
  • AARP driver safety refresher course
  • Annual tax filing assistance
  • Book club at the CareCard office
  • Social and recreational events like flower arranging and researching your family tree
  • Free notary services

For more information about CareCard, please call 203.789.3275.

Grimes Center

The Grimes Center is a licensed 125-bed skilled nursing facility affiliated with Yale-New Haven Hospital. Our affiliation with Yale-New Haven offers a unique facility for both long-term residential care for those unable to live independently and short-term rehabilitation for patients who have experienced elective surgery, an injury or traumatic major illness. Learn more.

Healthy Aging Line

Our Healthy Aging Line provides older adults and their caregivers with a gateway to the medical care and support they need. This service is free, confidential and staffed with service representatives specializing in resources for older adults.

Whether you want to sign up for a senior seminar, need an assessment appointment or annual tax filing assistance, call our Healthy Aging Line at 203.789.3275.

Down Syndrome Adult Assessment

Adults with Down syndrome are living longer lives. Research shows that people with this condition often develop Alzheimer's disease at an earlier age, which may go undetected. With the help of the Connecticut Down Syndrome Congress, Yale-New Haven Hospital Saint Raphael Campus offers assessments for adults with Down syndrome to identify, diagnose and treat geriatric conditions.

Assessments are offered the fourth Tuesday of each month from 9 am-noon, by appointment. To schedule an appointment, please call 203.789.3275.

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Yale School of Medicine
Magnet Recognition Best Hospitals 2012-2013

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