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As people age, their medical care can become more and more complex. At Boston Medical Center, the Geriatrics Program is devoted to the unique healthcare needs of those 70 and older whether they are mobile, homebound, or in a nursing home. Care is provided in a coordinated, team approach aimed at helping preserve the greatest degree of independence possible. The program’s doctors, nurses, case managers, nurse practitioners and social workers have geriatrics skills and experience to meet a patient’s primary care needs, even if transition from one setting to another becomes necessary.

Ambulatory Practice

Office-based primary care in the Shapiro clinic is available. Specialized care includes:

  • Chronic heart or lung disease
  • Chronic pain
  • Dementia and memory loss
  • Depression
  • Diabetes
  • Falls
  • Frailty
  • Multiple medications
  • Urinary incontinence

Geriatrics Assessment Center

The Geriatrics Assessment Center (GAC) provides older adults with a comprehensive, interdisciplinary team evaluation to help the patient, family, and primary physician develop a treatment plan that addresses medical, psychological, social, and functional issues. Common issues addressed at the GAC include:

  • Chronic heart or lung disease
  • Chronic pain
  • Dementia and memory loss
  • Depression
  • Diabetes
  • Falls
  • Frailty
  • Multiple medications
  • Urinary incontinence

Home Care Program

Established in 1875, BMC’s Geriatrics Home Care Program is the oldest, continuously operating in-home medical service in the United States, delivering care to those who cannot leave their homes for treatment. In addition to being seen at home, the care team will help coordinate other needed medical services such as ophthalmology, podiatry, psychiatry, and hearing services.

Patients in the Home Care Program are seen by a physician and nurse case manager team and must:

  • be 70 years of age or older
  • be homebound and live in the city of Boston
  • choose a BMC geriatrics physician as their primary care doctor
  • choose BMC if hospitalization or specialty care is needed

Memory Disorders Clinic

Difficulty remembering new information, finding words or solving everyday problems can be upsetting for elderly and aging patients: from those faced with the first signs of memory loss to those suffering with late stage neurocognitive impairment (dementia).

A collaborative team including a neurologist, geriatrician, geriatrics nurse, and social worker welcomes those 60 and older who have concerns about memory loss, assuring patients feel heard and comforted within the clinic setting. A complete cognitive diagnostic evaluation will assess the patient’s condition and includes lab testing and imaging to determine causes for memory loss. Social work assistance is also readily available to help educate families and connect to resources within the community, often reducing caregiver burden.

The clinic’s family-centered treatment approach includes patient and caregiver education, caregiving techniques, and emotional support, as well as access to experimental medications, clinical trials, and a partnership with the Boston University Alzheimer’s Disease Center. The clinic also provides continued follow-up care to monitor for changes in care needs and disease advancement, as well as interpreter services for its patients.

Appointments are available within two weeks with the option to transfer complete care to the geriatric clinic if necessary.

Assessment Includes:

  • Comprehensive cognitive evaluation (assessment of condition)
  • Laboratory tests and imaging to determine causes for memory loss
  • Diagnosis and cognitive treatment recommendations
  • Social work assistance to help educate families and direct them to community and health care resources
  • Connection with the Boston University Alzheimer’s Disease Research Center

Nursing Home Program

Delivering primary care to those 65 and older at several of the best known skilled nursing facilities located in Boston and Quincy, BMC geriatrics providers are specially trained to provide care in both short-term rehabilitation and long-term care settings.

Locations include:

Skilled Nursing and Rehabilitation Facilities



Benjamin Healthcare Facility



Bostonian Nursing Home



Harbor Lights Rehabilitation & Nursing Center

South Boston


Marian Manor

South Boston


Marina Bay



Park Place

Hyde Park


Roscommon Extended Care Center



Saint Joseph Rehab



Sherrill House

Jamaica Plain


Stonehedge Rehab

West Roxbury


Hospital Care

Patients who require hospitalization are admitted to the Geriatrics Inpatient Service and care is directed by one of the geriatrics doctors. The inpatient team includes both physicians and nurses specializing in geriatrics as well as pharmacists, physical and occupational therapists, social services, and discharge planning specialists as needed. In addition, access to doctors in more than 70 medical specialties ensures care is comprehensive and convenient.

When patients are ready to leave the hospital, the inpatient team coordinates with care providers within and outside of the hospital to ensure that the necessary services for continued well-being are received.