Geriatric and dementia care at home
For a person with dementia, a waiting room is disorienting and an exam room is frightening. The same appointment at home, in a familiar chair, is often unremarkable.
Care built around the person
We assess cognition, mood, nutrition, continence, mobility and sleep as a whole rather than treating each with a separate prescription. A frequent outcome of a first visit is fewer medications, not more, because reducing an overlong medication list is often one of the most useful things a clinician can do for an older adult.
Support for the caregiver
The family member doing the work is part of the visit. We cover what to expect over the next year, how to handle sundowning and repeated questions, when a symptom is urgent and when it is not, and what respite and adult day options exist in your county.
Advance care planning
When you are ready, we sit down for the conversation about goals of care, POLST forms and healthcare proxies. Doing this early, calmly, at home, spares families the version of the conversation that happens at 2am in an emergency department.
Where we provide this
Morris County
Boonton, Chatham, Chester, Denville, Dover and 14 more towns.
Essex County
Belleville, Bloomfield, Caldwell, Cedar Grove, Essex Fells and 13 more towns.
Union County
Berkeley Heights, Clark, Cranford, Elizabeth, Fanwood and 12 more towns.
Somerset County
Basking Ridge, Bernardsville, Bound Brook, Branchburg, Bridgewater and 12 more towns.
Passaic County
Bloomingdale, Clifton, Haledon, Hawthorne, Little Falls and 11 more towns.
Bergen County
Bergenfield, Cliffside Park, Englewood, Fair Lawn, Fort Lee and 13 more towns.
Questions about geriatric and dementia care
My mother refuses to see doctors. Will this work?
Often yes. Without the trip, the waiting and the unfamiliar building, refusal rates drop sharply. We also allow extra time on first visits with patients who need it.
Do you visit assisted living facilities?
Yes, we see patients in private homes, independent and assisted living apartments and family members' homes across our service area.
Conditions we manage with this
Dementia and Alzheimer's
Care for people living with dementia, in the one place that is still familiar.
Read moreArthritis and Mobility
Joint pain and stiffness treated as what they are: a mobility problem.
Read moreDepression and Anxiety
Low mood and anxiety in later life, treated rather than accepted as ageing.
Read moreGuides about this
How to get a doctor to visit an elderly parent at home
The signs it is time, the three kinds of home care people mix up, and how to raise it with a parent who says they are fine.
6 min readToo many pills? How to review the medication list
How eleven prescriptions happen without anyone deciding, and what a proper review looks for.
7 min readPalliative care vs hospice: the difference
The confusion that stops families asking for help years earlier than they should, cleared up properly.
7 min readOther care we bring to the home
Primary Care House Calls
A full primary care visit in your living room, exam and all.
Read moreChronic Disease Management
Steady follow up for diabetes, heart failure, COPD, hypertension and kidney disease.
Read moreMedicare Annual Wellness Visits
The yearly Medicare wellness visit, done at your kitchen table.
Read morePost-Hospital Transitional Care
A visit within days of discharge, when readmission risk is highest.
Read moreReady for a visit at home?
Call and speak with a real person. We will confirm your insurance, find a time and come to you.
973-607-4911 Call now