EASTERN GERIATRICS ASSOCIATES

FIND US AT THE CORNER OF LOVE AND CARE

We offer Outpatient including nursing home visits/Telehealth, and inpatient services 

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KNOX PRIVATE HOSPITAL

Epworth Hospital

OUR SERVICES

Taking Care of You

COMPREHENSIVE GERIATRIC ASSESSMENT

Comprehensive and Personalized

Through a multidimensional diagnostic process we determine the medical, psychological, and functional capabilities of a frail elderly with aim to develop a coordinated and integrated plan for treatment and long-term follow-up.

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COGNITIVE ASSESSMENT

The Support You Need

Since Eastern Geriatrics Associates opened, our patients have depended on us to provide this valuable service.

Age related memory changes are manageable and do not interfere with independence and function. 

Those changes are usually recognised by carers or family members.

If you have a concern about your next of kin`s level of cognition, consult your GP and ask for referral to a geriatrician.

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FALLS AND BALANCE

The Support You Need

Fall-related hospitalisation is common among elderly. 103,025 people aged 65 and over were hospitalised for a fall-related injury in 2013–2014, three and a half times as many cases as 45–64 year olds.

Certain medical problems such as cognitive impairment and incontinence may contribute to this matter.

If you are concerned about risk of fall in your family member, contact your GP and ask for referral to a geriatrician.

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MEDICATION ASSESSMENT

Concerned about Polypharmacy?

Polypharmacy is defined as the use of 5 or more medicines of any type including over the counter and natural therapies.

People who take many medications may benefit from a medication review to reduce the risks associated with polypharmacy.

If you are concerned about the number of medication you take, you may benefit from referral to a physician/geriatrician. Through this service, Eastern Geriatrics Associates provides the high quality, comprehensive and personalized medication assessment.

CONTINENCE ASSESSMENT

Customized and Comprehensive

Incontinence is a term that describes any accidental or involuntary loss of urine or bowel motion.
Incontinence is a widespread condition that ranges in severity from 'just a small leak' to complete loss of bladder or bowel control. In fact, over 4.8 million Australians have bladder or bowel control problems for a variety of reasons.
If you or a family member has this condition then talk to your GP as you may benefit from comprehensive assessment by a physician/geriatrician.
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PERIOPERATIVE ASSESSMENT

The Support You Need

If you have few medical comorbidities or you take 5 or more medications and you have a plan for elective surgery, you may benefit from a physician  assessment before and after surgery in order to minimise the risk of common complications which may arise during this time.
This will help you have a stress-free recovery and facilitates transfer to a rehabilitation unit should you need one after surgery.

CAPACITY ASSESSMENT

The Support You Need

Capacity is the ability to take in information, understand its meaning, and make an informed decision using the information.
Failure to Recognize Incapacity Can lead to increased disability, Complications of disease states, Death, and Loss of independence.
If you have a concern about the capacity of your family member then consult with your GP and ask for referral to a geriatrician.

ACUTE AND CHRONIC PAIN MANAGEMENT

Customized and Comprehensive

What is chronic pain?

Having pain is a common experience for older people.

The extent to which pain disrupts daily routines

may get worse with age.

Pain is often poorly evaluated and managed in older

people.

There is no reason to suffer silently with persistent pain

as you get older.

You deserve adequate pain management that improves quality of life, and conserves the ability to perform your daily activities.

Proper assessment including appropriate imaging such as CT scan,and MRI(mostly bulk-billed or with small out-of pocket costs),and optimising your analgesics is part of our program to improve your quality of life.We can do appropriate referrals whenever needed for interventions such as steroid injections and nerve ablation.

We can also guide you if you are interested in trying medicinal cannabis for your chronic pain.

NEWS

Every person with Alzheimer’s experiences the disease differently, but people tend to experience a similar trajectory from the beginning of the illness to its end. The precise number of stages of Alzheimer’s is somewhat arbitrary. Some experts use a simple three-phase model (early, moderate and end), while others have found a granular breakdown to be a more useful aid to understanding the progression of the illness.

The most common system, developed by Dr. Barry Reisberg of New York University, breaks the progression of Alzheimer’s disease into seven stages. 

Here is a summary of the seven stages of Alzheimer’s based on Dr. Resiberg’s system:

Stage 1: No Impairment

During this stage, Alzheimer’s is not detectable and no memory problems or other symptoms of dementia are evident.

Stage 2: Very Mild Decline

The senior may notice minor memory problems or lose things around the house, although not to the point where the memory loss can easily be distinguished from normal age-related memory loss. The person will still do well on memory tests and the disease is unlikely to be detected by loved ones or physicians.

Stage 3: Mild Decline

At this stage, the family members and friends of the senior may begin to notice cognitive problems. Performance on memory tests are affected and physicians will be able to detect impaired cognitive function.

People in stage 3 will have difficulty in many areas including:

  • Finding the right word during conversations

  • Organizing and planning

  • Remembering names of new acquaintances

People with stage three Alzheimer’s may also frequently lose personal possessions, including valuables.

Stage 4: Moderate Decline

In stage four of Alzheimer’s, clear-cut symptoms of the disease are apparent. People with stage four of Alzheimer’s:

  • Have difficulty with simple arithmetic

  • Have poor short-term memory (may not recall what they ate for breakfast, for example)

  • Inability to manage finance and pay bills

  • May forget details about their life histories

Stage 5: Moderately Severe Decline

During the fifth stage of Alzheimer’s, people begin to need help with many day-to-day activities. People in stage five of the disease may experience:

  • Difficulty dressing appropriately

  • Inability to recall simple details about themselves such as their own phone number

  • Significant confusion

On the other hand, people in stage five maintain functionality. They typically can still bathe and toilet independently. They also usually still know their family members and some detail about their personal histories, especially their childhood and youth.

Stage 6: Severe Decline

People with the sixth stage of Alzheimer’s need constant supervision and frequently require professional care. Symptoms include:

  • Confusion or unawareness of environment and surroundings

  • Inability to recognize faces except for the closest friends and relatives

  • Inability to remember most details of personal history

  • Loss of bladder and bowel control

  • Major personality changes and potential behavior problems

  • The need for assistance with activities of daily living such as toileting and bathing

  • Wandering

Stages 7: Very Severe Decline

Stage seven is the final stage of Alzheimer’s. Because the disease is a terminal illness, people in stage seven are nearing death. In stage seven of the disease, people lose the ability to communicate or respond to their environment. While they may still be able to utter words and phrases, they have no insight into their condition and need assistance with all activities of daily living. In the final stages of Alzheimer’s, people may lose their ability to swallow.

ABOUT US

Dr Ali Kosari MD,FRACP

Dr Ali Kosari is the founder of Easter Geriatric Associates. He is a Physician consultant and a Geriatrician and has been practicing medicine for more than 15 years.

He is the medical director at Epworth Health-check and a member of Medical Advisory committee.

He has also obtained Clinical Diploma in Pain and Palliative Medicine.

Medical form with stethoscope

OPENING HOURS

Mon - Fri: 8:30am-4:30pm
Sat-Sun: Closed

CONTACT US

To arrange an appointment:

Patients and Family Members

  • Consult your GP and request a referral to us

  • Call us to make an appointment

 

General Practitioners

Referrals can be faxed or emailed to our secure email:

info@easterngeriatics.com.au or eFax:03 9923 6410

 

MEDICARE BILLING: 

Private fee with medicare rebate available.

BULK-BILLING: 

Bulk-billing can be arranged upon GP request. 

Address:

Suite 1A, Knox Private Hospital, 262 Mountain Hwy, Wantirna, VIC 3152

P 03 9887 5352  F 03 9923 6410

Maroondah Consulting Suites, 108 Mt,Dandenong Rd,Ringwood East 3135

P 98701400

Epworth Medical Center, Suite G1,173 Lennox Street, Richmond,  vic,3121

Email:

Phone:03 9887 5352

©2017 BY EASTERN GERIATRICS ASSOCIATES. PROUDLY CREATED WITH WIX.COM