The Center for Geriatric Medicine consists of an interdisciplinary team of healthcare professionals dedicated to working with you to help you maintain your patient's geriatric care, health and quality of life. We also can provide you with caregiver resources and contact information for reputable disease and condition-related organizations to share with geriatric patients and their families.
Nationally Recognized Geriatric Care
Our expertise in providing comprehensive geriatric care, educational programming and a unique Geriatric Fellowship Program have made Cleveland Clinic's Section of Geriatric Medicine one of the top programs of its kind in the United States.
What is the Center for Geriatric Medicine?
The Center for Geriatric Medicine guides hospitals with their geriatric activities, including protocols for falls and delirium.
Our electronic medical records enable coordination of nursing assessment. Metrics for cognitive and physical function are common to all care sites, which facilitates coordination and improved quality of care throughout the system.
Our geriatric care team includes:
- Family medicine and internal medicine physicians with specialty certification in geriatrics
- Psychiatrists and pharmacists with geriatric certification
- Emergency department specialists who have grants to study geriatric health in that setting
- Specialists, including cardiologists, gynecologists, urologists, neurologists, neurosurgeons and orthopedists
- Therapists who specialize in problems common to geriatric patients, such as cognition, swallowing disorders, incontinence, osteoporosis, balance and others.
Why refer your patient to the Center for Geriatric Medicine?
Geriatric care patients present a challenge because of the complexity of their chronic diseases and functional impairments. Their care needs ratchet up significantly when cognitive function is impaired.
The most appropriate diagnoses are not always clear for frail, elderly patients, and choosing among the multitude of treatment options and geriatric care strategies can be daunting. Based on our experience of caring for thousands of older patients, we are able to help determine treatment protocols that consider the interplay of multiple medical conditions, polypharmacy and even socioeconomic factors.
Who should be referred for a geriatric consult or appointment?
Patients may benefit from a Geriatric Medicine consult if they:
- Are frail, over age 75 and live alone
- Have multiple health problems and/or take multiple medications to manage chronic conditions
- Have memory impairments, Alzheimer's disease or are experiencing significant cognitive decline
- Are experiencing behavioral changes, including sadness, depression or anxiety
- Have difficulty performing activities of daily living
- Are experiencing weakness from deconditioning
- Are experiencing balance and gait problems
- Have nutritional concerns, including unexplained weight loss
- Have been hospitalized and require long-term rehabilitation
- Lack a good support network
- Require help with end-of-life care decisions
How do I make a referral or appointment?
To make a referral or an appointment for your patient, please call the Cleveland Clinic Appointment Center at 216.444.5665 or 800.223.2272, ext. 45665. You also may call the Center for Geriatric Medicine at 216.444.6819, or 800.223.2273, ext. 46819.
When would a patient benefit from being referred to a geriatrician?
Contact a geriatrician if your patient is experiencing any of the following:
- If you suspect polypharmacy (when the patient appears to be on too many medications).
- Has memory impairments, Alzheimer’s disease or is experiencing significant cognitive decline
- The patient is displaying behavioral problems resulting from cognitive problems
- If the patient is non-compliant with medications or therapy because of cognitive issues, a letter of capacity may be needed (“expert evaluation”).
- The patient appears to need a caregiver, but has none or the person in place is inadequate.
- If the patient is showing signs of depression, sadness or anxiety.
- The patient has fallen, or the patient has balance or gait problems
- The patient is experiencing weakness from de-conditioning
- If you have nutritional concerns, with the patient showing sudden, unexplained weight loss.
- When there is uncertainty about the goals of care of the patient (aggressive versus comfort and function).
- When the patient requires help with end-of-life care decisions
- When there is difficulty performing activities of daily living (ADL).
Our Services and Programs
Our care, services and programs are patient-centered, comprehensive and delivered in a timely, thoughtful manner. Learn more about our services: