Patient Care Referrals and Appointments: 866-MEDTALK (1-866-633-8255) Patient and Physician ReferralThe Montefiore Center for Aging & Independence offers outstanding primary and consultative care for older adults, with geriatricians available for your medical care needs. Aging Creates New Life Challenges The Montefiore Einstein Division of Geriatrics offers outstanding primary and consultative care for older adults at Montefiore Medical Center. Our dedicated physicians are all faculty members of the Albert Einstein College of Medicine and strive to adopt the latest innovations into clinical practice. Einstein's board-certified geriatricians are either internists or family physicians, who work with a multidisciplinary team of nurse practitioners, social workers, geriatric psychiatrists, nurses and others to coordinate care and offer specialized diagnosis and treatment for the many chronic and acute health conditions facing older adults. Einstein provides geriatric care in all settings, from the home to the hospital. Why should I look for a physician who specializes in geriatric medicine? There are many changes that take place while we age, physically, mentally and emotionally. The aging process creates a new set of medical concerns. A geriatrician specializes in primary medical care for patients over 65. Why should I choose an Montefiore Einstein doctor? The Montefiore Einstein Division of Geriatrics is one of the nation’s top-rated centers in providing primary medical care for patients over 65. Where can I find an Montefiore Einstein geriatrician? Call 866-MEDTALK (1-866-633-8255) for a referral. Conditions We Treat Comprehensive care of older adults including high blood pressure, high cholesterol, heart conditions, arthritis, emphysema, diabetes, falls, balance problems, osteoporosis, urinary incontinence, sleep disturbances, memory loss, depression, dementia, Alzheimer’s disease, changes in function impacting well-being and independence, elder abuse and neglect, and others. Treating the Whole Person: Comprehensive Care of Older Adults The Montefiore Einstein geriatrics team assesses, treats, and coordinates care for all different types of conditions affecting older adults. These include: Common medical illnesses such as high blood pressure, high cholesterol, heart conditions, arthritis, emphysema, and diabetes. Geriatric syndromes such as falls, balance problems, osteoporosis, urinary incontinence, and sleep disturbances. Memory loss, depression, dementia, Alzheimer’s disease, and related issues that affect patients and their families. Changes in function that can impact well-being and independence, such as ability to walk and manage their own care Evaluation of potential elder abuse and neglect The Treatment Process We begin with a complete patient evaluation, including physical health and ambulation, examination of memory, medication usage, and nutrition. The assessment and recommended plan is then discussed with the patient and caregivers. Inpatient Hospital Treatment for Older AdultsThe Montefiore Geriatrics Acute Care Service provides comprehensive, integrated primary and consultative care for older adults hospitalized at Montefiore Medical Center's Moses Division. Montefiore Medical Center Geriatrics Acute Hospital Service 111 East 210th Street Bronx, NY 10467 Requests for consultation or primary care: 866-MEDTALK (1-866-633-8255)Montefiore Medical Center is the site of inpatient clinical activities of the Einstein Division of Geriatrics. The Division of Geriatrics Acute Care Service provides comprehensive, integrated primary and consultative care for older adults hospitalized at Montefiore Medical Center. The service is comprised of community-dwelling older adults, residents from long-term and sub-acute care facilities, and consultations from surgical and other disciplines. Primary care and consultations for older adults are provided at the patient’s and/or physician’s request. The Montefiore Einstein geriatrics team provides medical care with a special focus on the following: maintaining physical and cognitive function in the hospital addressing decision-making and advance directives developing a discharge plan with the patient, family and caregivers Montefiore Einstein's Division of Geriatrics faculty physicians have particular expertise in the acute care of the frail elderly, with the goal of examining and improving the use of acute care services for this population. This highly visible service assists physicians in all specialties at Montefiore in managing elderly patients, as they are among the most vulnerable and complex patients admitted to the hospital. The service is led by a geriatrician faculty member and staffed by geriatricians, geriatrics fellows, residents, and students, as well as nurses, pharmacists, rehabilitation specialists, and geropsychiatrists. Outpatient Geriatric CareAn outpatient practice for older adult patients with specialists in dementia, Alzheimer’s Disease, memory loss, osteoporosis and bone density evaluation, falls assessment and prevention, and elder abuse and neglect. Services Provided Consultative geriatric assessment Consultative falls assessment Consultative dementia assessment Consultative osteoporosis assessment Consultative evaluation for potential elder abuse and neglect Primary geriatric care - treatment of acute and chronic medical problems and age-related conditions Medication management Vaccinations Laboratory Testing Referral and coordination Geriatric psychiatry and neurology Specialty care Skilled home care services Social work consultations for supportive counseling, coordination of community services, and entitlements Evaluation for nursing home placement and PRI completion Hospital care at the Moses Division of Montefiore Medical Center 24-hour coverage Geriatrics Ambulatory Practice-Medical Arts Pavilion 3411 Wayne Ave. Bronx, NY 10467 Comprehensive geriatric care services including evaluation and assessment for falls, dementia, osteoporosis, elder abuse and neglect; treatment of acute and chronic medical problems; referral and coordination of geriatric psychiatry and neurology, specialty care, and home care; social work consultations; nursing home placement and PRI completion; hospital care. Montefiore Einstein Center for the Aging Brain (CAB) 6 Executive Plaza, Suite 297 Yonkers, NY 10701 The Center for the Aging Brain (CAB) provides multidisciplinary assessment for cognitive complaints. Home Visiting ProgramSpecialized in-home primary and consultative geriatric medical care for homebound older adults. Robert and Joyce Menschel Geriatric Home Visiting Program Schedule an appointment: 866-MEDTALK (1-866-633-8255) The Montefiore Einstein Geriatric Home Visiting Program offers specialized in-home primary and consultative geriatric medical care for homebound older adults. Patient Care The Montefiore Einstein Geriatric Home Visiting team performs a complete patient evaluation, including an examination of physical status, mobility, memory, medications, psychological well-being, nutrition, home environment and safety. Homebound older adults who may benefit include those who are physically frail, have difficulty with walking or travel, and/or have memory problems. The assessment and plan of care is discussed with the patient and caregivers. Patients are seen at home approximately every three months with periodic reassessment and communication with family and caregivers occurs as needed. Services Cognitive, functional and physical examinations Treatment of acute and chronic medical problems Medication management Vaccinations and flu shots Laboratory testing Skilled home care referrals PRI completion Hospital care when needed by the Geriatrics Acute Hospital Care Service at Moses Division, Montefiore Medical Center 24-hour on-call coverage Nursing HomeClinical affiliated sites for Einstein Division of Geriatrics-sponsored education and training of medical students, residents and/or post-graduate geriatrics fellows in geriatric medicine. The programs and institutions listed are clinical affiliated sites for education and training of medical students, residents and/or post-graduate geriatrics fellows in geriatric medicine sponsored by the Montefiore Einstein Division of Geriatrics. King’s Harbor Multicare Center 2000 Gun Hill Road Bronx, NY 10469 Medical Director: Roy Goldberg, M.D., rgoldberg@kingsharbor.com King’s Harbor Multicare Center provides subacute and long-term nursing care for more than 700 residents in the Bronx. King's Harbor is the primary site for Einstein geriatrics fellowship, residency, and medical student training in long-term and sub-acute rehabilitaion care for older adults.