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Chronic Disease

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Compassionate, Long-Term Care for Older Adults at mediDental care

As we age, managing chronic health conditions becomes more important than ever. At mediDental care, we provide dedicated chronic disease management for seniors as part of our specialized geriatric care services in Astoria. Our team is experienced in treating and coordinating care for the most common conditions affecting older adults—helping patients live longer, healthier, and more independent lives. We are committed to serving older people through geriatrics, a specialty focused on delivering high quality care tailored to the unique needs of aging individuals. Geriatrics as a specialty is dedicated to improving the health and well-being of older people through expert, team-based care. Generally, geriatrics expertise is involved when older adults begin to experience complex or multiple health issues that benefit from specialized, coordinated management.

We take a comprehensive, patient-centered approach—one that respects each person’s goals, lifestyle, and values. Our commitment to high quality care ensures that every individual receives attention and treatment tailored to their unique needs.

Why Chronic Disease Management Is Crucial in Geriatric Care

Chronic diseases are long-term conditions that often require ongoing monitoring, lifestyle adjustments, and coordinated treatment plans. In seniors, these conditions can significantly impact daily life, mobility, and independence. Chronic diseases present unique problems and challenges for older adults, including managing multiple health issues and addressing the complexities of multimorbidity.

When managing chronic diseases in older adults, it is essential to consider individual abilities. Tailoring care and recommendations to each person's physical capabilities helps promote better health outcomes and supports independence.

Common Chronic Conditions We Manage:

  • Hypertension (high blood pressure)
  • Diabetes (type 1, type 2, and prediabetes)
  • Heart disease
  • Chronic obstructive pulmonary disease (COPD)
  • Osteoarthritis and rheumatoid arthritis
  • Chronic kidney disease
  • Osteoporosis
  • Dementia and Alzheimer’s
  • Depression and anxiety

Effective chronic care means regular checkups, proactive interventions, and collaboration between the patient, provider, and specialists.

Who Benefits from Chronic Disease Management?

Our chronic disease services offer significant benefit for:

  • Adults aged 65 and older
  • Seniors taking multiple medications
  • Patients with multiple chronic conditions (multi-morbidity)
  • Those recently hospitalized or recovering from illness
  • Individuals experiencing frequent fatigue, mobility issues, or confusion

Structured programs are designed to support these groups by providing coordinated care, education, and ongoing support.

We work closely with family members, caregivers, and doctors to coordinate every aspect of care.

What’s Included in Our Geriatric Chronic Disease Management Program?

Our approach is holistic and deeply personalized, forming part of structured disease management programs. Each patient receives a developed treatment plan that is tailored to their unique medical needs, preferences, and goals. Therapy is a key component of these programs, ensuring that interventions are both individualized and effective. We maintain a strong focus on quality, adhering to the highest standards of care. The program is designed to improve health outcomes and quality of life for every patient.

1. Initial Assessment & Health History Review

  • Review of existing diagnoses and past treatments
  • Evaluation of current symptoms and functional status
  • Medication and supplement review
  • Cognitive screening, mental health check-in

These assessments are typically conducted by health care professionals and medical professionals, who use their expertise to ensure a thorough and accurate review.

2. Customized Treatment Plan Development

  • Evidence-based goals for blood pressure, blood sugar, and other markers
  • Lifestyle modifications (nutrition, physical activity, stress management)
  • Coordination of care with specialists (cardiology, endocrinology, pulmonology, etc.)
  • Inclusion of appropriate medicine to ensure optimal management of chronic conditions
  • Nurses play a key role in developing, documenting, and monitoring the treatment plan to ensure adherence and quality standards
  • Therapy is tailored to each patient’s needs, with ongoing assessment and adjustment as part of the comprehensive treatment plan

3. Ongoing Monitoring & Follow-Up

  • Routine blood work and vitals tracking
  • Medication efficacy and side effect monitoring
  • Symptom updates and disease progression tracking
  • Adjustments to care plan as needed

Attending regular appointments is essential for effective monitoring and follow-up, ensuring that care is personalized and adjustments are made promptly.

4. Patient and Caregiver Education

  • Understanding medications, symptoms, and warning signs
  • Guidance for home monitoring (blood sugar, blood pressure, etc.)
  • Nutritional counseling and exercise planning
  • Learning about chronic disease management and opportunities to learn new strategies for improving health
  • Developing practical skills for self-management, such as symptom control and making informed health decisions

Our team also provides advice and ongoing support to patients and caregivers, ensuring they receive the guidance and advice needed to manage chronic conditions effectively.

5. Advance Care Planning & Support

  • Conversations about future care preferences
  • Assistance with health proxies and long-term care planning

Technology and Tools for Better Senior Health

We use the latest tools to monitor health status and reduce complications:

  • Remote monitoring devices for blood pressure and glucose
  • In-house lab testing for fast results
  • Electronic health records to coordinate care and track progress
  • Patient portal access for scheduling and communication

Our tech-enhanced approach empowers patients and families with knowledge and access, helping seniors maintain their health and prevent complications from chronic diseases.

Managing Medication in Older Adults

Polypharmacy (taking multiple medications) is common in seniors, and it requires careful oversight.

We Focus On:

  • Avoiding drug interactions
  • Adjusting dosages for aging kidneys/liver
  • Simplifying regimens when possible
  • Ensuring adherence through easy-to-follow instructions

We review medications regularly and educate patients on what they’re taking and why.

Addressing Emotional and Cognitive Health

Chronic conditions often come with emotional strain. Depression, anxiety, mental health conditions, and cognitive decline are common—and treatable.

We provide:

  • Screening for mental health disorders and mental health conditions
  • Counseling referrals and medication support
  • Memory testing and dementia screening
  • Support for caregivers managing cognitive impairment in loved ones

Lifestyle Support for Long-Term Health

Managing chronic illness isn’t just about medications. It’s also about lifestyle choices, including eating healthy foods and making good choices about what to eat. Exercise and lifestyle recommendations should be adapted for those with disabilities to ensure everyone can benefit from tailored care programs.

We Help With:

  • Healthy, senior-friendly diet plans
  • Safe, adaptable exercise routines
  • Fall prevention and home safety
  • Smoking cessation and alcohol moderation
  • Sleep support and stress reduction techniques

We guide seniors toward realistic, sustainable changes.

Why Choose mediDental care for Geriatric Chronic Disease Management in Astoria?

  • Comprehensive, coordinated care under one roof, including expert management of chronic conditions such as cardiovascular disease
  • Experienced in aging-related care and complex cases
  • Personalized, respectful communication with patients and families
  • Convenient location with same-day or telehealth options
  • Trusted primary care in Astoria for patients of all backgrounds
  • A leading provider in geriatric care, recognized for innovation and excellence in serving older adults

We’re your partner in maintaining health, comfort, and dignity through all stages of aging.

Schedule Your Geriatric Chronic Disease Management Visit Today

Don’t wait to take control of your health. Let our team at mediDental care help you manage your chronic conditions with compassion, experience, and personalized attention.

📍 Located in Astoria, Queens
📞 Call us or book your appointment online

Better care. Better outcomes. Personalized chronic disease management—only at mediDental care, your trusted provider of primary care in Astoria.

Frequently Asked Questions

Do you coordinate with specialists?

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Yes, we work closely with cardiologists, endocrinologists, nephrologists, and other providers to ensure seamless care.

How often will I need to come in?

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It depends on your condition, but most patients are seen every 1–3 months, with labs and medication reviews as needed.

Are these services covered by Medicare?

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Yes, chronic disease management visits are typically covered by Medicare and most insurance plans.

What if I need help managing medications?

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We provide detailed instructions, help simplify your regimen, and can include family or caregivers in medication planning.

Can I still be independent if I have chronic conditions?

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Absolutely. Our goal is to help you stay active, independent, and in control of your health for as long as possible.

Find Us

Get in Touch

Address:

2246 31st St, Astoria, NY 11105

Hours of Operation

Monday
10:00 am - 6:00 pm
Tuesday
10:00 am - 6:00 pm
Wednesday
10:00 am - 6:00 pm
Thursday
10:00 am - 6:00 pm
Friday
Closed
Saturday
Closed
Sunday
11:00 am - 4:00 pm