Geriatric Consultative Services
Rochester General Hospital
1415 Portland Ave.
Medical Office Building (MOB), Suite 200
Rochester, NY 14621
Click here for Driving Directions
Phone: (585) 922-0390
Fax: (585) 922-0395
Call (585) 922-0390 and we will talk with you about your needs and how you can benefit from our services.
We accept most insurance plans. Self-referrals are also accepted. You may also ask your primary care physician to refer you to our services. We will work with your doctor to help you stay as independent as possible.
Stay active. Stay independent. Stay in control.
Whatever health issues you need help with, we’re here to help you stay active, positive, and in control of your life.
Our Geriatric Consultative Services team led by a certified geriatrician, nurse practitioner, ANCC board certified Gerontological nurse and Licensed social worker are here to work alongside you, your family members and your physicians and caregivers to help you stay independent as long as possible. We do not provide primary care, but we will work with your primary care physician.
We provide expert evaluations and recommendations on a wide range of common conditions that you may be experiencing to help promote your independence, dignity, and comfort so that you can lead a productive and meaningful life.
How we can help.
Falling Assessment - “My family is worried I might fall. How can I make them rest easier?”
Injury from a fall is a big concern for families and seniors. Falls can result in fractures, and worse, the loss of independence, taking away the ability to live at home, use stairs, and grocery shop. We can evaluate your risk of falling with a fall assessment.Since certain medical conditions increase the likelihood of a fall, proper assessment and intervention can help us improve these situations and reduce the risk.
Memory Problems - “My memories are too precious to lose.”
The thought of not being able to remember things is frightening for anyone. We all get a little anxious if we forget the little things–such as where we placed the car keys, or friends’ names. Though troubling, these may be routine effects of aging and not indicative of memory loss.
Severe memory loss and confusion is a different matter. And it’s important to understand that these conditions may be a result of medications. Our Geriatric Consultive Team can determine if drug interactions are causing the problem.
Incontinence - “I enjoy life. I have a busy social calendar. But lately I’ve been concerned about bladder control. What can I do?”
More people are admitted into nursing homes for incontinence than for any other medical condition.
People sometimes feel too ashamed to talk to their doctors about it.
More than half of the people with incontinence can be helped through proper assessment, appropriate medications and behavioral approaches. Our experienced Geriatric Consultative Team has helped many regain control of this important function, helping them live a richer life.
Assessment of Care - “I cannot live alone anymore. What are my options?”
Home is where the heart is. Not the hassle. If you or a loved one needs assistance in the home, our expert staff can evaluate your needs and recommend the ideal solution.
A variety of home-care options exist to assist you with your household work. And we can recommend many other fine living options in our community to fit your needs.
Depression - “Sometimes I just can’t summon the energy. And life seems more trouble than it’s worth."
Depression is caused by many things - loss, divorce, illness–which can significantly alter your mood and perspective. The warning signs can include sleeplessness, loss of appetite, memory loss, and the loss of interest in the simple life pleasures and often isolation. Failure to recognize these key symptoms results in only one in ten being treated for depression.
The good news–eighty percent of people improve after appropriate diagnosis and treatment. If you or a loved one is suffering from depression, let our Geriatric Consultative Team help you recognize the
signs and treat it.
Geriatric Consultative Services Team
Steven Rich, MD
Director, Geriatric Consultative Service
Faculty: Attending Physician at Rochester General Hospital
Medical School: University of Buffalo School of Pharmacy/ University of Rochester
Internship/Residency: University of Rochester Specialty: Geriatrics
Certification: American Board of Internal Medicine/American Board of Geriatrics
Darlene K. Welsh RN, MS, FNP-c
Certified Family Nurse Practitioner
I have over 40 years of nursing experience; 29 of those years as a Critical Care/ICU nurse with certification in Critical Care and Infusion nursing. I have been a Family Nurse Practitioner for 6 years; 3 years focused as a Stroke Nurse Practitioner and Clinical Coordinator of the Stroke Team at Highland Hospital. For the past 3 years , I have worked at Rochester General Hospital in the Emergency Department Observation Unit, Stroke Care Unit and Geriatric Consulting Service. I have also worked at St. John Fisher College as an adjunct Professor of Nursing and mentor for nurse practitioner students.
My husband and I have raised and shown Clydesdale Horses for the past 25 years; we also bred and raised Bloodhounds for police agencies, search and rescue. We retired from crop farming 6 years ago and now have a small farmette in Pavilion, NY.
Judy Laduca, Practice Manager
Cari Spade, LMSW
Cari Spade joined the team in the spring of 2010 as the staff social worker. Prior to her position at the Geriatric consultative services she worked at RGH for nine years as a medical social worker. In her role, Cari is able to help families plan for the future, provide educational information to patients and families, provide emotional support and guidance, and can coordinate a link for patients and families with community resources that are available. Cari lives in the Rochester area with her husband and her two daughters. She enjoys camping, hiking, and traveling.
Lynn Bement, BSN RN-BC
Lynn has been in nursing for over 30 years and recently achieved ANCC Board Certification in Gerontological Nursing. Starting her career as an LPN she worked in Nursing homes and spent 8 years at Rochester General Hospital and then 13 years with the Department of Veteran’s Affairs. In 2007 she graduated from Monroe Community College with an AAS, and then in 2010 earning her BSN from Keuka College. Lynn works closely with the Geriatrics team as a Lead Nurse to provide care not only to our patients, but also support to families and caregivers. Lynn enjoys spending time with her family, traveling, camping and reading.
Ruth Palacio, LPN
Ruth joined the GCS team in July 2009. She started her nursing career at RGH in 1997 and from there worked at Via Health Home Care, RGH 5200 - respiratory floor and RGH 4800. She received her BSN degree in 1990 from Wesleyan University-Philippines. She enjoys working with geriatric patients and their families. If she’s not at work she likes to spend quality time with her family and friends, playing piano, gardening and traveling.
Darlene Westcott (Darlena)
Darlena resides in Penfield; she joined RGHS in May 2008. Her focus is working with various insurance companies, with a special interest in Medicare. She participates in coding classes and Medicare seminars to further her education. Darlena is on the Committee for the transition to ICD~10 for The Long Term Care Division.
Family is a priority to Darlena and spends every moment she can with them. Her pride and Joy is her Grandson.