The Senior Assessment Program 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