Comprehensive Geriatric Evaluation

Geriatric disorders are common in physician practices and can be time intensive and difficult to manage. Geriatric patients and their caregivers often need to be engaged in active learning about diagnostic and treatment options. S+AGE provides this through specialized diagnosis and management. The inter-disciplinary team at S+AGE includes: 

      • Board Certified Physicians with specialty in Geriatric Medicine
      • Clinical Neuropsychologists
      • Licensed Clinical Social Worker
      • Pharmacist
      • Licensed Vocational Nurse


Each patient starts with a comprehensive geriatric evaluation to determine the medical, psychological, and functional capabilities and limitations. Standard elements of this evaluation include: medical history review, cognitive testing, depression screening, gait and balance testing, medication review, vision and hearing screening as well as lab studies. After the assessment, a treatment plan is then developed and shared with the patient and the primary caregiver. 

S+AGE is not a primary practice. We will ensure proper communication with the patient’s primary physician by sending a detailed report of evaluation results with specific treatment recommendations and periodic communications with S+AGE Geriatricians regarding patient status and treatment. S+AGE Geriatricians continue to serve as geriatric specialists, available as needed, to assist the primary physician with long-term care or specific medical issues. 

S+AGE recognizes that each elderly patient is a unique individual. Our staff is friendly and knows each patient by name. Initial evaluations take about two hours; follow-up meetings are scheduled as needed. 

Most of the services at S+AGE are covered by Medicare as well as many insurance plans.

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Neuropsychological Testing

When an individual is coping with memory loss, it is important that they undergo a full diagnostic process to determine the cause of the memory loss. Only with a diagnosis, can the appropriate treatment be assigned. 

At S+AGE, neuropsychological testing is one of the tools we use to diagnose disorders that cause memory impairment. Our Neuropsychologist will conduct a battery of tests with you that will help us determine what parts of the brain may be impaired. With this information, we can more successfully build an individualized treatment plan that will be effective for you and your caregivers. 


Memory Evaluation

Whether you are aware that you have memory loss, or if you are hearing from friends and family that you are becoming more forgetful, it's a good idea to see a professional that can determine if your memory loss is a part of normal aging or something more serious. Whether you start with a free memory screening or a full evaluation covered by your medical insurance, our S+AGE team are experts in helping you understand the changes you may be experiencing in memory function.


Care Management

Our S+AGE Care Manager is a licensed clinical social worker that is responsible for helping patients, families and caregivers improve their responses to the changes and challenges that are associated with aging. As a patient's functional level changes, it is often difficult to know what steps need to be taken to ensure the individual's ongoing physical health, mental health, and safety. Working closely with patients and their families, the S+AGE Care Manager develops a treatment plan to define and address these needs in the most effective and least intrusive manner. Additionally, the S+AGE Care Manager can connect you with community resources including: home health care, housing, transportation, adult day health care, senior center, activities, medical equipment, and mental health services. 


Care Transitions

Being in the hospital is traumatic for the elderly individual and his or her caregiver. S+AGE makes this transition easier by providing additional support during this difficult time. For established patients, our Care Manager will mobilize additional support while the individual is transitioning from the acute hospital to a skilled nursing facility or directly to home. With a little extra guidance during this time, the patient and caregiver feel supported and empowered so that fewer medication errors will occur and the likelihood of a re-hospitalization is diminished.


Individual Psychotherapy

Our S+AGE Neuropsychologists have extensive experience providing psychotherapy to older adults and their families. Coping with life's changes can be difficult. We are here to help.


Medication Management

Most older adults take multiple medications that may interact poorly with each other, actually causing negative side effects and contributing to falls. Our S+AGE Geriatricians take the time to review each medication with you, provide education on the proper use of each medication, and determine how the medication may be affecting you individually. Our doctors will make recommendations that may reduce the number of medications you are taking with the goal of improving quality of life.

In addition, S+AGE offers in-person access to our consulting pharmacist Janice Hoffman, PharmD two days per week. Dr. Hoffman, meets with patients, families, and the S+AGE Geriatrician to offer her expertise on each individual patient's medication regimen with the goals of reducing polypharmacy and improving adherence. 


Resource Referral

Our staff is knowledgeable in all the local and community resources that are available to you and your caregivers. With a phone call, we can quickly assess your needs and provide appropriate referrals. 


Supportive Counseling

The S+AGE Care Manager is a licensed clinical social worker and is available to provide supportive counseling for patients who are having difficulty coping with the impact of their medical conditions. We believe that our patients should have an experienced professional to turn to when they need help. 


Caregiver Support

Family caregivers and non-family caregivers play an essential role in the ongoing health and well-being of our patients. At S+AGE, the Care Manager is dedicated to helping caregivers adjust to the challenges they face throughout the aging process. Through education, counseling, advocacy, and resource coordination, the Care Manager helps to integrate the caregivers into the overall plan of care so that their concerns and needs are adequately addressed.