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Patient Care

geriatrics patient care banner image: doctors looking at x-rays

We understand that aging often means challenging health care needs for older adults, and we know that a specialized team who understands the complexities of aging can provide the best health care. Our Geriatric HealthCare team has therefore been designed to bring you a team of dedicated professionals – Geriatricians, nurse practitioners, social workers and others. The ranges of services at our clinics are uniquely comprehensive and include geriatric assessments, primary care and specialty clinics.

  • Primary Care Pavilion
    400 Harborside Dr.
    Suite 100
    Galveston, Texas 77555-1188
    409.772.3373
    Monday - Friday, 8AM - 5PM

    UTMB Hospital Acute Care
    for Elders (ACE Unit)

    301 University Blvd
    John Sealy Hospital -10th floor
    Galveston, Texas, 77555
    409.772.1011
  • Administrative Office
    301 University Blvd.
    Rebecca Sealy Hospital - 6.608
    Galveston, Texas, 77555-0177
    409.266.9635
    Monday - Friday, 8AM - 5PM

    Multispecialty Center and Stark Diabetes Clinic
    2660 Gulf Freeway South
    League City, Texas, 77573-1395
    832.505.2100
    Monday - Friday, 8AM - 5PM
The Acute Care for Elderly Unit

elderly people sitting in a lobby

The purpose of the ACE (Acute Care or the Elderly) unit is based on evidence based research which shows that elderly patients who are cared for in a homelike environment, have decreased incidents of hospital complications, such as delirium, decreased morbidity and mortality, improved function, cost savings, and decreased lengths of stay.

The University of Texas Medical Branch at Galveston opened an ACE Unit in 2000. Supported with funding from the Sealy and Smith Foundation, a 20-bed unit, with 12 large and 8 standard-sized private rooms was constructed. The floors are carpeted to decrease glare, sound, and pad falls. Age- and ethnicity-appropriate paintings adorn the unit to promote a sense of "home" and encourage reminiscence. Special lighting helps aging vision. The nursing station is decentralized: with a reception desk , and nurses are spread throughout the unit. A living room is furnished with a couch, chairs and tables. There is a kitchen area where patients and family can get coffee and a snack. A large fish tank and a piano were donated to the unit. ACE unit Volunteers, play for the patients on a weekly basis. The largest patient rooms are furnished with fold-out sofa beds. The staff encourages family members to stay and be involved in the care of the patients.

reception desk

Eligibility for admission to the ACE unit is 70 years of age and older with any variety of acute medical or surgical problems that do not need intensive care treatment. The unit also supports hospice and palliative care patients who need end of life care.

The unit is staffed with an interdisciplinary team which consists of geriatric nursing staff, geriatrician physicians as well as other medical specialist, case managers, physical and occupational therapists, dieticians and a pastor, all who have had some training in the special needs of the elderly. The interdisciplinary team meet once a day to discuss each patient and to plan safe patient discharge. The nurse to patient ration is 1:4, and the patient care technicians are 1:10. The nursing staff focuses on safety, prevention of pressure ulcers, preservation of functionality, and safe discharge.

The Geriatric HealthCare Centers accept traditional Medicare, supplemental insurance and other private insurance plans.

Practice Locations:
  • Multispecialty Center and Stark Diabetes Clinic
    2660 Gulf Freeway South
    League City, Texas, 77573-1395
    832.505.2100

    Primary Care Pavilion
    400 Harborside Dr.
    Suite 100
    Galveston, Texas 77555-1188
    409.772.3373

    UTMB Hospital Acute Care for Elders (ACE Unit)
    301 University Blvd
    John Sealy Hospital -10th floor
    Galveston, Texas, 77555
    409.772.1011

The department of internal medicine is developing evidence based clinical protocols which will be available in EPIC (as order sets) for use when admitting patients with these diagnoses. Their AIM is to standardize care and decrease length of stay and readmission rates.

Currently available protocols are:
  • CAP - Community Acquired Pneumonia Orderset
  • Congestive Heart Failure (CHF)
  • Chronic Obstructive Pulmonary Disease (COPD)
  • Diabetic Ketoacidosis Adult, ICU
  • General Medicine Admission
  • Immunodeficiency Flow Panel
  • MICU/CCU Admission Order Set
  • Oral Analgesic Medicaitons
  • Parenteral Opioids
  • Sepsis, Adult ICU

All protocols can be found in the EPIC order set section.

» For more information

Meaning Use logo

The department of Internal Medicine has a large role in the Meaningful Use Initiative. Our participation is key for the success of the initiative. Please visit the meaningful use website for important communication and updates from the Meaningful Use Initiative.

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