Eldercare House Calls
Would you or loved one benefit from geriatric medicine and geriatric psychiatric care delivered directly to your home or residential facility?
In-Home Geriatric Psychiatric Care
Home-based healthcare allows our geriatric patients to maintain their independence while remaining in the comfort and safety of their own homes. At Metro Medical Direct, we treat seniors requiring a broad spectrum of medical and psychiatric care. This is especially helpful because many chronic medical conditions, injuries, and recovery after a hospital discharge are often accompanied by mental health issues such as anxiety or depression.
Eldercare Services We Offer
Dr. Raymond Zakhari, NP, at Metro Medical Direct offers the following medical and psychiatric services for older adults:
- Sick and follow-up visits
- Chronic disease management
- Preventive care, including fall prevention
- Physical exams
- Psychiatric evaluations
- Medication management
- Hospital care at home
- Post-discharge care
- Palliative care
We treat geriatric patients with arthritis, pressure sores, diabetes, Parkinson’s disease, dementia, heart disease, and major depression – and so much more. Dr. Zakhari also offers transitional care and memory disorders programs. All care is provided at a patient’s residence. Secure, real-time, telehealth or telepsych video visits are available for established patients.
FAQs: Our In-Home Eldercare Services
Our transitional care program bridges the gap between hospital discharge and home. Most hospital readmissions occur in the months immediately following discharge, while awaiting a follow-up appointment with a physician's office. Geriatric house calls can prevent minor problems from becoming major issues and provide continuity of care to patients who need it most.
The Metro Medical Direct program is unique among healthcare providers because the transitional care provided by Dr. Zakhari combines medical and psychiatric care, which can put an end to the revolving door of hospital admissions and ER visits.
Conditions treated through Metro Medical Direct’s transitional care program include:
- Stroke (CVA/TIA) – which can be caused by a blood clot or bleeding in the brain
- Congestive Heart Failure (CHF) – a condition in which the heart is not able to pump effectively
- Chronic Obstructive Pulmonary Disease (COPD) – typically involves emphysema and chronic bronchitis, lung diseases that make it difficult to breathe. COPD is a major cause of right-sided congestive heart failure.
- Chronic Medical Conditions – including uncontrolled diabetes, hypertension (high blood pressure), and more
- Dementia – often associated with functional decline and memory problems, such as with Alzheimer’s disease
The following services are included in Metro Medical Direct’s transitional care program:
- Inpatient Evaluation (before the patient leaves the hospital):
- Chart review
- Patient and family interview
- Disease-specific management needs assessment
- Medication reconciliation to prevent medication errors
- Discharge guide – please print this form and have these questions answered before you are sent home from the hospital
- Home Visit (within 48 hours of discharge):
- Medical house call to evaluate how a patient is adjusting to being home and make revisions to the plan of care, if necessary
- Education and training for patients, family members, or caregivers about the condition and patient’s needs
- Follow-Up Home Visits:
- Medical house calls depending on identified needs
- Follow-up with patient’s primary healthcare provider
- Medical care for new issues or ongoing needs
Our memory evaluation includes a comprehensive physical and neuropsychiatric assessment to properly diagnose a patient’s condition and prescribe treatment.
Dr. Zakhari offers special expertise in evaluating and treating age-related memory disorders that affect cognition and behavior in older adults. He can manage the full spectrum of behavioral problems that often accompany dementia, providing a valuable resource for patients, families, and caregivers.
We help geriatric patients with mild cognitive impairment, Alzheimer's disease, Lewy body dementia, vascular dementia (brain damage caused by multiple strokes), Parkinson's disease dementia, and frontotemporal dementia (FTD).
Patients who have already been diagnosed with a memory disorder can benefit from a memory evaluation by Dr. Zakhari. Those who wish to plan for the future may also benefit from a memory evaluation.
An important part of this evaluation is determining whether the condition is due to aging, sensory overload, or another health problem that should be investigated.
Some early signs and symptoms of dementia include:
- Decrease in levels of functioning, hygiene, and/or incontinence
- Sudden weight loss or gain and problems with eating or feeding
- Difficulty managing appointments, medications, or finances
- Complicated or poorly managed chronic health condition
- Two or more hospital or ER visits within one year
- Poor judgment, impaired thinking, or confusion
- Skin breakdown, bedsores, or pressure ulcers
- History of poor balance or falls
- Changes in sleep patterns
If you have noticed new short-term memory loss, a change in a person’s ability to perform everyday tasks (such as handling finances, executive planning, shopping, or cooking), unusual behaviors, or confusion, consider a confidential consultation with Dr. Zakhari.