Geriatrics & Palliative Medicine

Jennie Sealy Hospital dusk

Patient CareGeriatrics & Palliative Medicine


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.

Locations

  • Academic Office - Geriatrics & Palliative Medicine

    301 University Blvd
    Rebecca Sealy Hospital - 6.608
    Galveston, Texas, 77555-0177

    Phone: 409.772.1987

    Hours of Operation: Mon-Fri, 8am-5pm
  • UTMB Hospital Acute Care for Elders (ACE Unit)

    301 University Blvd
    Jennie Sealy Hospital -11th floor
    Galveston, Texas, 77555

    Phone: 409.266.9304
  • Adult Primary Care, Multispecialty Center

    2660 Gulf Freeway South
    League City, Texas, 77573-1395

    Phone: 832.505.2100
    Fax: 281.337.0704

    Hours of Operation: Mon-Fri, 8am-5pm
  • Adult Primary Care, Multispecialty Center - Geriatrics & Palliative Medicine

    2660 Gulf Freeway South
    League City, Texas, 77573-1395

    Phone: 832.505.2100
    Fax: 281.337.0704

    Hours of Operation: Mon-Fri, 8am-5pm

The purpose of the ACE (Acute Care for 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 opened a 20-bed medical-surgical ACE Unit in 2000, with funding support from the Sealy and Smith Foundation. In April 2016, the ACE unit relocated to the new Jennie Sealy Hospital. The unit is staffed with a team of inter-professional staff with special training and experience in the needs of the elderly. The staff includes nurses, geriatricians and other medical and surgical specialists, care managers, social workers, physical and occupational therapists, dieticians and pastoral care providers. Evidence showed that seniors who receive inpatient care on ACE units have fewer hospital-acquired complications such as delirium and decubitus ulcers, better functional and cognitive outcomes, and lower health care costs.

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.

Welcome to UTMB Geriatrics House Call! Dr. Vinod Kaushik, board certified geriatrician, and his colleagues provide a community based service for Galveston County, devoted to the care and treatment of the elderly homebound patient. UTMB Geriatrics House Call provides you an office experience in the comfort and privacy of your home by geriatric specialized healthcare providers.

Our services include the following:

  • Monitoring long term treatment of chronic conditions 
  • Medication management
  • Temporary visits after hospitalization before patient is able to return to clinic
  • Coordination of care with home health agencies
  • Basic blood work, procedures, and imaging in the home
  • Coordination of social needs
  • Coordination with UTMB health specialists and hospital
  • Palliative Care

Eligibilty for the House Call Program include the following:

  • Patients over 65 years of age
  • Difficulty transporting to clinic appointments due to cognitive or physical decline
  • History may include stroke, severe decline in mobility, Parkinson’s, dementia, COPD, congestive heart failure, oxygen dependency
  • Resident of Assisted Living or Memory Care Unit

 
      * Geographical restrictions may apply
      * Each case reviewed by House Call Team for acceptance

 

The Palliative Medicine Consult Service functions as an inpatient consultation service in Jennie Sealy Hospital and TDCJ Hospital Galveston to provide ongoing consultations, support, and education to hospital professionals and patient families to improve the care of patients with advanced stages of illness.  We seek to provide symptom management and relief from suffering, enhance communication about illness and death, and improve the quality of living for patients and their families.  The team helps make recommendations for the coordination of care where needed and assist the primary healthcare team, patients, and families in the delivery of safe, excellent, compassionate, and seamless care throughout the continuum of treatment.

The Palliative Medicine Team also manages the Inpatient Hospice Service (GIP) in collaboration with three contracted Hospice companies.  GIP may be initiated when the interdisciplinary group determines that the patient’s medical condition warrants a short-term inpatient stay for symptom management that cannot feasibly be provided in other settings.

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

Practice Locations:

Locations

  • Adult Primary Care, Multispecialty Center

    2660 Gulf Freeway South
    League City, Texas, 77573-1395

    Phone: 832.505.2100
    Fax: 281.337.0704

    Hours of Operation: Mon-Fri, 8am-5pm
  • Adult Primary Care, Multispecialty Center - Geriatrics & Palliative Medicine

    2660 Gulf Freeway South
    League City, Texas, 77573-1395

    Phone: 832.505.2100
    Fax: 281.337.0704

    Hours of Operation: Mon-Fri, 8am-5pm
  • Geriatrics House Call Program - Primary Care Pavilion (PCP)

    400 Harborside Dr.
    Galveston, TX 77550

    Phone: 832.505.2100
    Fax: 409.747.3585
    Email: Geri.HouseCalls@utmb.edu    

    House Call Visits
    : Mon-Fri, 8am-4pm

  • Primary Care Pavilion (PCP) - Geriatrics & Palliative Medicine

    400 Harborside Dr., Ste. 100
    Galveston, TX 77555-1188

    Phone:409.772.3373

    Hours of Operation: Mon-Fri, 8am-5pm
  • UTMB Hospital Acute Care for Elders (ACE Unit)

    301 University Blvd
    Jennie Sealy Hospital -11th floor
    Galveston, Texas, 77555

    Phone: 409.266.9304