Geriatric Care

Geriatric care is most effective when it is consistent. Seeing the same provider over time allows the care team to understand the patient’s history, medications, baseline health, functional abilities, personal goals, and family support system. This makes it easier to recognize changes and respond appropriately.

Continuity of care is especially important for older adults who see multiple specialists, have frequent medication changes, receive home health services, or have recently been hospitalized. Advanced Health helps coordinate care across providers so patients and families are not left trying to manage every detail alone.

Care coordination may include:

• Reviewing specialist recommendations
• Following up after hospital or rehabilitation discharge
• Updating medication lists
• Coordinating home health or therapy services
• Reviewing test results and referrals
• Supporting caregivers and family communication
• Connecting patients with additional care programs
• Monitoring changes in symptoms or function

This coordinated approach helps reduce gaps in care, supports safer transitions, and gives older adults a more reliable healthcare home.

Advanced Health provides primary care support for many age-related health needs and concerns, including:

• High blood pressure
• Diabetes and prediabetes
• High cholesterol
• Heart disease
• COPD and respiratory concerns
• Arthritis and chronic pain
• Kidney disease
• Medication management
• Fall risk and balance concerns
• Mobility changes
• Fatigue or weakness
• Memory or cognitive concerns
• Sleep problems
• Weight loss or nutrition concerns
• Depression, anxiety, or social isolation
• Urinary concerns
• Post-hospital recovery
• Wound care needs
• Preventive screenings and annual wellness visits

Some changes may seem minor at first, but they can be important in older adults. New confusion, worsening weakness, frequent falls, sudden weight changes, shortness of breath, swelling, medication side effects, or loss of independence should be discussed with a healthcare provider.

The purpose of geriatric care is not only to manage diagnoses. It is also to support independence, comfort, safety, and quality of life. For many older adults, this means helping them stay active, remain at home safely, manage chronic conditions, prevent avoidable complications, and feel more confident in their care.

At Advanced Health, we work with patients and families to understand what matters most. Some patients may want help staying independent at home. Others may need closer monitoring after a hospital stay, support managing multiple medications, or guidance for chronic disease control. Our care plans are designed around each patient’s health needs, goals, and daily life.

Older adults may benefit from additional support beyond regular office visits. Advanced Health offers several care programs that can work alongside geriatric primary care.

Chronic Care Management can help eligible patients with two or more chronic conditions receive ongoing support between visits. Remote Patient Monitoring can help track important readings such as blood pressure, blood sugar, oxygen levels, weight, and other health data from home. Transitional Care Management helps patients after discharge from a hospital, skilled nursing facility, rehabilitation facility, or other inpatient setting. Wound care services can support patients with chronic, complex, or slow-healing wounds.

These services help older adults stay connected to their care team and allow providers to respond more quickly when concerns arise.