AgeWell Center for Senior Health
Baptist AgeWell Center for Senior Health is a specialized outpatient center and primary care team focused on promoting healthy aging for older adults with complex needs. The center is designed to serve patients 65 and older. AgeWell specializes in patients who have experienced an unexplained decline in health and/or have had two or more hospital visits in the past twelve months. We offer a comprehensive approach that looks at the whole person – and it all starts with your personalized geriatric assessment.
AgeWell’s comprehensive geriatric assessment starts with the New Patient Visit. This is the “getting to know you” visit and helps to determine the patient’s current health, functioning, and goals for daily living. Patients are encouraged to bring their caregiver or a family member, and all current prescribed and over-the-counter medications. The first visit typically lasts 2 ½ hours.
The first 45 minutes is spent with a Social Service Coordinator who gathers information regarding personal goals, current limitations or challenges, and family support. This is followed by the medical exam consisting of a series of assessments and a comprehensive visit with a geriatrician.
The geriatric assessment continues over the course of a few months, as care providers get to know the patient's and family's unique situation and needs.
Request a New Patient AssessmentTime: 5 Minutes
Our online request form takes approximately 5 minutes to complete and all data is encrypted to protect your privacy. You will receive a reply the following business day to coordinate a date and time. If you would like to speak with someone during normal business hours, please call the Baptist AgeWell Institute at 904.202.4243.
Personalized Care Plan
In preparation for this visit, the geriatrician, psychiatrist, care coordinators, pharmacist, therapists, dietician and nurses collaborate to create a plan of care designed to support each patent’s health, independence and personal goals. The second visit also typically lasts 2 ½ hours.
Advance Care Planning
This visit usually occurs after the patient has been with AgeWell for some time. The patient and their caregivers meet with trained staff to discuss ongoing health and other related issues. More than an end-of-life discussion, the visit and support helps assure the patient that their appointed decision makers (surrogates) will carry out their wishes should they lose their decision making capacity.
Services and treatment options are tailored specifically for each patient through a personalized care plan.
Coordinating care involves reaching out to many community resources needed to carry out the activities outlined in the care plan. The care coordinators at AgeWell are the “point persons” who often manage these activities between the patient and other providers by exchanging information among providers responsible for different aspects of care.
Medication Therapy Management
Part of the geriatric assessment includes taking a thorough review of all of a patient’s medications, including prescriptions, over the counter medications, herbals and supplements. A clinical pharmacist will work with our geriatrician in evaluating and improving the medication regimen.
Behavioral Health Care
Behavioral (mental) health is essential to overall health and well-being of older adults. Behavioral health problems are not a part of normal aging. most conditions are treatable by medication and/or behavioral interventions. Our geriatricians work collaboratively with the psychiatrist and psychologist to address mental health issues faced by our patients. Referrals to behavioral health specialists by our physicians and care coordinators connect patients with community resources to help improve the mental health and quality of life of older patients.
The rehabilitation program at AgeWell helps seniors improve and maintain their independence. The program is staffed by physical, occupational and speech therapists trained in providing care to older patients and working with their care partners.
Bladder Training Program
The National Institute on Aging states that urinary incontinence “can happen for many reasons. For example, urinary tract in¬fections, vaginal infection or irritation, constipation, and some medicines can cause bladder control problems that last a short time. When incontinence lasts longer, it may be due to:
- Weak bladder muscles
- Overactive bladder muscles
- Damage to nerves that control the bladder from diseases such as mul¬tiple sclerosis or Parkinson’s disease
- Blockage from an enlarged prostrate in men
- Diseases such as arthritis that may make it difficult to get to the bath¬room in time
The AgeWell Center for Senior Health provides a Bladder Health program. This nurse-practitioner run clinic is designed to help our affected patients regain bladder control.
Nutritional Counseling Program
At the AgeWell Center, a nutritional assessment helps identify patients’ nutritional risks. This information is used to improve nutrition as part of the patient’s overall care plan.
Proactive and Preventive Care
We help our patients maintain their independence by taking a proactive and preventive approach to care. This includes an annual wellness visit, immunizations,health screenings, and advance care planning.
Age Well at Home
AgeWell patients who are not able to come to the AgeWell Center may be able to get basic primary care services at home. AgeWell at Home provides routine primary care services in the home for older adults who have:
- Significant cognitive issues
- Funtional limitations
- Medical conditions that make visits to a doctor’s office extremely difficult
Palliative care focuses on providing patients with relief from the symptoms, pain and stress of having a serious illness of any diagnosis.
Pastoral counseling is available to provide spiritual comfort to patients in need.