The Geriatric Medicine Department at Joshi Hospital is dedicated to the unique healthcare needs of older adults. As individuals age, their medical requirements evolve, often involving multiple health concerns that need careful coordination and long-term management. The department focuses on providing holistic, compassionate, and evidence-based care to ensure healthy aging, improved quality of life, and independence for senior citizens.

Geriatric care extends beyond treating illnesses; it aims to support physical, emotional, social, and cognitive well-being. The team at Joshi Hospital works closely with patients and families to understand their individual needs, lifestyle, and medical background. With growing life expectancy, the role of specialized geriatric care has become increasingly important, helping seniors navigate the challenges associated with aging with dignity and confidence.

Scope of Services

The department addresses a wide range of health issues commonly faced by older adults. These include chronic conditions, functional decline, memory disorders, nutritional challenges, mobility issues, and age-related syndromes. Key areas of care include:

• Chronic disease management, covering hypertension, diabetes, arthritis, thyroid issues, heart disease, and respiratory illnesses.
• Management of acute illnesses such as infections, fever, dehydration, and sudden weakness.
• Cognitive evaluations for memory loss, dementia, and age-related cognitive decline.
• Fall assessment and prevention, including balance checks, gait evaluation, and identifying risk factors.
• Polypharmacy management, ensuring safe and appropriate medication use with minimized side effects.
• Nutritional assessment and guidance, addressing deficiencies, weight loss, or obesity in older adults.
• Osteoporosis and bone health management, including fracture prevention.
• Mental health support, addressing anxiety, depression, sleep disturbances, and social isolation.

Comprehensive Geriatric Assessment (CGA)

A key component of the department is the Comprehensive Geriatric Assessment, a structured evaluation that helps understand the medical, functional, psychological, and social aspects of a senior patient’s health. This includes:

• Detailed medical history review
• Functional assessment for daily activities
• Cognitive and mood assessment
• Mobility and balance evaluation
• Medication review
• Social support and living environment analysis

CGA helps create personalized care plans that address not just the illness but the overall well-being of the patient.

Management of Geriatric Syndromes

Older adults often experience conditions known as geriatric syndromes — complex, multifactorial issues requiring specialized attention. Joshi Hospital provides dedicated care for:

• Frequent falls
• Incontinence
• Frailty and weakness
• Delirium and confusion
• Mobility disorders
• Chronic pain
• Malnutrition

The goal is to prevent complications, maintain independence, and enhance day-to-day functioning.

Rehabilitation & Mobility Support

Aging often brings challenges related to mobility, joint stiffness, muscle weakness, or recovery after illness. The Geriatric Medicine team works closely with physiotherapists and rehabilitation experts to provide:

• Strength and balance training
• Post-hospitalization rehabilitation
• Fall-prevention programs
• Joint and muscle therapy
• Assistive device recommendation

This integrated approach helps seniors regain confidence, remain active, and reduce the risk of injuries.

Family Support & Counselling

Caring for elderly family members can be challenging. The department also supports caregivers through:

• Guidance on long-term care planning
• Counselling on managing dementia or chronic illnesses
• Education on medication management
• Advice on nutritional and lifestyle support

This collaborative approach ensures both patients and families feel supported throughout the treatment journey.

Preventive Health for Seniors

Preventive care plays a crucial role in promoting healthy aging. The department provides:

• Routine health check-ups
• Screening for blood pressure, cholesterol, blood sugar, and bone density
• Vaccination guidance
• Fall-risk and cognitive screening
• Lifestyle advice tailored to age and medical condition

Regular monitoring helps detect potential issues early and maintain overall wellness.

Coordination with Other Specialties

Older adults often require care from multiple specialties. The Geriatric Medicine team works closely with departments such as cardiology, neurology, orthopaedics, nephrology, endocrinology, psychiatry, and physiotherapy to ensure seamless, multidisciplinary treatment.