At MedStar Montgomery, we turn our expertise in medicine, research, and compassion toward care focused on the dignity and well being of the elderly, whether it is in promoting health and preventing disease or managing chronic conditions.
That’s why we provide comprehensive, collaborative care from a staff extensively trained to meet the unique health-care needs of elderly patients. Our physicians and nurses have a deep respect for the people they care for and are committed to working with patients, family members, and caregivers to ensure quality of life and health.
Our services include diagnosis and assessment, as well as education and treatment recommendations that extend beyond prescriptions. We provide broad expertise in the care of dementia; severe chronic illnesses, such as hypertension, diabetes and heart failure; arthritis and hip-fracture services; and end-of-life care.
Established in 1992, NICHE is the only national nursing geriatric initiative to improve the care of older hospitalized adults and is comprised of more than 300 hospitals throughout North America, including MedStar Montgomery Medical Center. The goal of NICHE is to achieve systematic nursing change that will benefit hospitalized older patients.
Our goal at MedStar Montgomery is to create a safer environment for our older adults.Some of the initiatives that MedStar Montgomery has implemented as part of their NICHE designation include:
- Red drinking straws instead of clear ones for better visibility
- Night-lights near the bathroom in patient rooms
- Wall clocks with large numbers
- Patient handbooks in a large font
Falls are one of the leading causes of co-morbidity in the elderly and disabled populations. The Falls Prevention Program offered at many MedStar National Rehabilitation Network facilities identifies individuals at risk for falling, isolates each person’s specific risk factors, and provides the services and education necessary to reduce falling risks.
Physical and occupational therapy focuses on increasing mobility and safety by targeting the deficits that pose the greatest risk for falls, including
- Impairments to the musculoskeletal or sensorimotor system (from aging, arthritis, deconditioning, and orthopaedic trauma/surgery)
- Peripheral or central nervous system pathology
- Decreased functional mobility status
- Impaired vision
- Vestibular dysfunction
- Cognitive impairments
- Problems with the home environment
If their physician refers a patient to Falls Prevention Program, that patient will be evaluated by a highly skilled physical therapist who will assess all systems that contribute to fall risks. The physical therapist will contact referring physicians with the results of the evaluation and recommend therapy services, which may include physical or occupational therapy.
- Physical therapy will be recommended to address the needs of those patients with musculoskeletal or sensorimotor impairments, vestibular impairments, or functional mobility deficits. Physical therapy goals will be directed at reducing the individual's fall risk, minimizing the effects of these impairments, and increasing the individual's capabilities for safe functional mobility.
- Occupational therapy will be recommended to address the needs of those individuals with visual or cognitive impairments or deficits in activities of daily living or home management. Occupational therapy goals will be directed at reducing the individual's fall risk by minimizing the effects of these impairments and maximizing the individual's safety with functional mobility and daily activities.