CONTINUOUS CARE
At the heart of this approach lies a comprehensive geriatric assessment, combining a full medical examination, a review of treatments, a cognitive and functional assessment, a nutritional analysis, and the assessment and management of frailty, whilst taking into account the patient’s social environment and available resources.
Within this framework, the geriatric care programme is structured around five key areas, which ensure continuity and consistency throughout the care pathway.
The five pillars of the geriatric care programme
The inpatient unit admits elderly patients in acute or unstable conditions requiring specialist care. This may involve a flare-up of a chronic condition, an acute intercurrent illness or a sudden loss of independence.
Hospitalisation enables a comprehensive geriatric assessment to be carried out, appropriate treatments to be initiated, complications associated with immobility to be prevented, and preparations to be made for a safe return to the patient’s usual place of residence or to a suitable care facility.
The in-hospital liaison team works across all hospital departments with older patients admitted to wards other than the geriatric department.
It provides specialist expertise in managing complex geriatric issues such as confusion, polypharmacy, loss of independence or difficulties with discharge.
Italso helps to optimise treatments, prevent functional decline and coordinate the discharge plan.
The day hospital enables diagnostic and functional care without conventional hospitalisation. It is intended for patients requiring a structured, comprehensive assessment over the course of a day.
The centre carries out specialist medical assessments, cognitive evaluations, functional tests (gait, balance, independence), nutritional and social assessments, as well as coordinated multidisciplinary consultations. This service enables a comprehensive approach whilst allowing the patient to remain in their usual living environment.
Contact
Geriatric Day Hospital
Geriatric consultations
The outpatient liaison service ensures continuity of care between the hospital and community care providers. It involves close collaboration with GPs, home care services, nurses, physiotherapists, rehabilitation centres, care homes, and family carers. It plays a vital role in organising discharges, ensuring a safe return home and maintaining continuity of care following hospitalisation.
All these measures form part of a patient-centred approach to care, where each situation is assessed on a case-by-case basis in order to provide a tailored, compassionate and coordinated medical response, in constant liaison with local healthcare partners.
Our multidisciplinary team
Our multidisciplinary team comprises, in addition to geriatricians, nurses, physiotherapists, occupational therapists, psychologists, neuropsychologists, social workers, speech and language therapists, dietitians, as well as other specialist staff involved in the patient’s holistic care.
Hospital Physicians
Hospital Physician
Head Nurses
A30
B30
Secretariat
A30
B30
Social Workers
A30
B30
Occupational Therapist
Occupational Therapist
Physiotherapists
Physiotherapist
Physiotherapist
Physiotherapist
Speech and Language Therapist
Speech and Language Therapist
Neuropsychologist
Neuropsychologist
Dietitian
Dietitian
Consultation
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Geriatric Day Hospital
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