Darnall Army Community Hospital Geriatrics Rotation
OBJECTIVES
To provide the Darnall Family Medicine residents with both primary care and consultation experience for patients in ambulatory, community and long-term care settings in order to understand the interaction of natural aging and disease, as well as the techniques of assessment, therapy, and management.
We hope you enjoy this rotation! If you have any suggestions, please let a faculty member know.
BEFORE YOU START
- Familiarize yourself with basic geriatric care.
The following website, Geriatrics at Your Fingertips, is good for a quick overview, http://www.geriatricsatyourfingertips.org/default.asp . Within the geriatrics syllabus, review the sections on Aging, Geriatrics Syndromes, and General Management principles in detail. - Review the geriatric assessment instruments listed on this site.
- Review the Clinic and Sevocity EMR orientations, listed in the left-hand tool bar on this page.
**ABSENCES: Please let the staff know of any absences so that we know when to expect you in clinic. If you plan to miss more than 4 clinic days in a rotation, we need you to plan to cover a weekend of call in exchange for that.
GETTING STARTED
On the first day of the rotation, please report to the Nix Senior Health Care Center at 8:15am for a brief orientation.
If you have any questions during your stay, please contact either Tish Rodriguez at 358-3200 or Janie Trevino at 358-3934. Also, note that we all us laboratory coats when doing direct patient care, so please plan accordingly.
Hotels in the Area
The St. Anthony Hotel is in the heart of San Antonio is convenient to the Geriatrics Clinic and to Fort Sam Houstion. For further information, click here to visit their website. The NIX Senior Health Care Center is two blocks south of the St. Anthony Hotel at 414 Navarro, Suite 1111.
Directions to Parklane West (Skilled Nursing Facility):
From the Nix Hospital, go north on St. Mary's, Turn right on Pecan (after the park), Left on Broadway. Proceed approximately 4 miles to the first light past Hildebrand. Turn right and go another 1/5 miles to Harry Wurzbach. Turn right and turn into the Towers right before the Fort Sam gate. Go around the back and you have arrived.
NIX SENIOR HEALTH CENTER INFORMATION
You will spend most of your time at the Nix Senior Health Center. It is located in Ste. 1111 of the Nix Healthcare Center, 414 Navarro, San Antonio, TX. Again, please review the clinic orientation listed in the left-hand tool bar on this page. The orientation walks you through how to use the ACIS electronic medical record system. Take advantage to learn how to apply and interpret the different instruments (MMSE, CLOX, IADL, etc) available on the resources page. There might be opportunities to infiltrate some joints and do some other small procedures.
PARKLANE SKILLED NURSING FACILITY INFORMATION
You will go to the nursing home at least three times (3x) a week. Our teaching nursing home is Parklane West. You will be responsible for working with the attending there. Parklane is located on the third floor of the Parklane Health Care Center, see directions in the left-hand tool bar on this page. For more information, please review the information provided on the Parklane rotation page.