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Geriatric and Continuum Services 

VCU Health’s Geriatric and Continuum Services team offers a multidisciplinary program led by board-certified physicians and nurse practitioners who meet patients wherever they are, whether it be a nursing facility, the hospital or house calls. Through collaboration with a broad range of interprofessional staff of clinicians and administrators, we provide a comprehensive program of compassionate clinical care for adults of any age who have complex needs.

A whole team that focuses on you 

Our team provides superior, evidence-based care to meet your needs and goals. We also offer patient education, self-management support and equal access for all patients. The team includes: 

  • Doctors and nurse practitioners who will provide your medical and mental health care
  • Clinical nurses to help you and the team coordinate your care
  • A social worker to help with community resources and advance care planning 
  • A psychiatrist to help with therapy and medications 
  • A pharmacist to help you learn how to manage your medications 
  • Administrative staff to coordinate office visits and answer calls

Lab and x-ray services are available on-site. For more information on what we offer, visit our locations page. 

Services

VCU Health has a range of clinical services for geriatric care and adults with functional limitations (i.e. significant disease burdens like spina bifida, hypertension and diabetes or early onsite dementia). These include:

  • Ambulatory care (comprehensive primary care that includes help from a licensed social worker, psychiatrist and pharmacist)
  • House calls (permanent, in-home primary care provided by a physician or nurse practitioner for VCU Health patients unable to come to VCU Health's ambulatory clinic. Patients must live within a 15 mile radius of VCU Medical Center)
  • Nursing facility attending service (experts managing your rehabilitation) 
  • Palliative care
  • Transitional care
  • Inpatient consults