geriatricsThe Geriatric Clinic specializes in the care and treatment of the elderly population. Our specialists are nationally renowned for their expertise.


We offer the following services:

  • Outpatient care
  • Treatment
  • Consultation services

Clinic staff are also available to answer questions, schedule referrals, and provide personalized support to you or your loved one regarding treatment and care. We will work closely with you to make sure you receive excellent care during your visit.


Elder Care

What is elder care?

Americans are living longer and living well for longer periods of time. This has created a relatively new and growing area of health care and provider services, known as elder care. Elder care encompasses a wide variety of issues, including choosing an appropriate health care provider to care for an aging patient, and making decisions about moving an elderly person from the home environment to a residential care setting. People ages 65 and older are the fastest growing segment of America's population. Many elderly people are living healthy, active, and independent lives. However, as more people reach their 80s and 90s, the number of elderly adults needing assistance with daily living increases, along with the responsibilities of those who provide care for them.

Elder care statistics

According to a 2010 report -- the latest statistics available -- from the U.S. Department of Health and Human Services' Administration on Aging:

  • The older population (people 65 years or older) numbered 39.6 million Americans.

  • The number of older Americans, ages 65 and over, is projected to increase from 35 million in 2000 to about 72 million by 2030.

  • Today, people who reach age 65 have an average life expectancy of an additional almost 19 years (19.9 years for women and 17.2 years for men) than what was estimated in 1900.

What is involved in choosing a health care provider for the elderly patient?

Different stages in life can require different health care providers. For elderly adults, it is important to have a personal health care provider, or primary care doctor, who understands the special needs of older patients.

Many types of doctors, including family practitioners, internists, and geriatricians, care for elderly patients. A family practitioner provides health care to all family members, regardless of age. An internist specializes in internal medicine generally for adults. A geriatrician is specially trained in elder care.

Choosing the right primary care doctor is an important decision. Generally, you want a health care provider who is competent and well trained, and cares for and about the patient. Other considerations include:

  • Will my insurance pay for office visits and doctor services?

  • Is the health care provider a solo practitioner, or is he or she part of a practice group?

  • Does the doctor accept Medicare patients? What are the practice's Medicare policies and procedures?

  • What are the health care provider's managed care affiliations?

  • Is the doctor's office in a convenient and safe location?

  • At which hospital does the doctor treat patients?

  • Am I comfortable with the age and gender of the health care provider?

  • Are there any language barriers?

  • Is the doctor a good listener and communicator, explaining things clearly, fully and patiently?

  • What is the doctor's policy about continuing to follow patients who move to residential care centers?

What is involved in interviewing the health care provider?

Once you have selected two or three possible health care providers, it is a good idea to visit their offices and ask them questions about office policies and their approach to elder care. For example:

  • How far in advance do I have to make an appointment for a nonemergency visit?

  • How are emergency visits handled?

  • Do you treat many elderly patients?

  • How do you feel about having family involved in health care decisions?

  • Do you continue to follow patients if they move to a local residential care facility?

What is involved in getting ready for the appointment?

To make the most of each visit to the health care provider's office, it is best to plan ahead. The following guidelines may help you to prepare for the appointment:

  • Know all the basic information that is likely to be asked of you (see Basic Information Form).

  • Bring medical records or have them sent ahead.

  • Know what medications the patient is taking, including prescription drugs, over-the-counter medicines, and vitamin and herbal supplements.

  • Know all diagnosed medical conditions.

  • Bring along a family member to act as a "second set of eyes and ears" for the elderly patient.

  • Write down questions beforehand, including any concerns you would like to discuss with the health care provider.

  • Bring a notepad and pencil or a tape recorder with you to record instructions and take notes.

When visiting the doctor, it is best to have the following basic information available to help your visit be as productive as possible. You may use this Basic Information Form to help you prepare for your next medical appointment.

Basic Information Form





Phone No.


Date of birth


Social Security No.


Medicare No.


Medicaid No.


Additional insurance provider


Policy No.


Primary physician's name


Phone No.


List diagnosed medical conditions:




List past surgeries and year performed:




List all medications:

(Name of drug)

Prescription or other?




















Selecting an elder care facility

Knowing if and when the time is right for an elderly person to move from the home to a residential care setting can be one of the most difficult decisions a family must make. Many people continue to care for the elderly adult at home even though it becomes physically and emotionally exhausting for them to do so. Sometimes, moving to a residential care setting may become the most realistic decision to ensure the best care for the elderly person.

Moving from home and into residential care facility should be considered when one or more of the following situations applies:

  • The elderly person requires round-the-clock care.

  • The elderly person cannot manage activities of daily living (eating, toileting, bathing) without assistance.

  • The elderly person is prone to violent outbursts (physical and/or verbal) or is a danger to himself or to others.

  • The elderly person has "wandered" away from the safe surroundings of home or neighborhood.

  • The caregiver's health and well-being is adversely affected by continuing to render care at home.

Types of out-of-home options for elderly adults

Many types of out-of-home care options are available for elderly adults, depending on the level of care required. These may include:

  • Assisted living facility (ALF). ALFs provide maximum independence for elderly people who remain relatively active and healthy. Typically, a healthy spouse and an impaired spouse can live together in an ALF. Most ALFs feature apartment-style living, including individual kitchens, and many services for the elderly, such as 24-hour security, transportation, and recreational and social programs.

  • Residential care facility (RCF). RCFs are for those who are no longer able to live alone and independently, but do not require skilled nursing care. At an RCF, the elderly person can receive assistance with personal hygiene, grooming, and/or other activities of daily living, as well as bedside care for minor and temporary illnesses. Typically, RCFs offer rooms, not apartments, and provide some recreational and social services for elderly adults.

  • Skilled nursing facility (SNF). SNFs are also known as nursing homes, convalescent centers, and rest homes. At SNFs, elderly patients receive continuous nursing services under the care of a registered nurse or licensed vocational nurse. SNFs can provide more extensive care services than assisted living or residential care facilities. Such services include intravenous fluids, blood pressure monitoring, medication injections, and care for patients on ventilators. SNFs often provide recreational, rehabilitative, and social programs for residents.

  • Others. Special care centers are available for people with particular medical conditions, such as Alzheimer's disease or dementia. For patients displaying violent or disruptive behaviors or presenting a danger to themselves or others, special psychiatric facilities may be an option.

What to consider when selecting an elder care facility

In general:

  • Is the facility staff amenable to your taking a tour and stopping in at mealtime to visit with residents?

  • What care services are provided and do these services match your own individual needs?

  • How much input does the individual and family have in daily life and care?

  • What choices of accommodations are available?

  • Are there graduated levels of care available? For example, can residents move from an assisted living environment to a higher level of care should the need arise?

  • What personal items can be brought from home? What items are not allowed?

  • Can residents have their own car on the premises?

  • What is the visitation policy?

  • Does the facility have a particular religious affiliation, and, if so, is the individual satisfied with this affiliation?

  • How would an emergency situation, such as fire or severe winter storm, be handled by the facility? Does the facility have an emergency or crisis management plan in place?

The facility:

  • Is the facility clean and tidy throughout? Are sanitary standards strictly enforced?

  • Are appropriate safety measures taken, such as clearly marked fire exits, well-lighted hallways, bathroom grip bars, and an in-room emergency call system?

  • Is the facility located in a safe and convenient location?

  • Is 24-hour security provided?


  • Are individual rooms bright, cheery, and roomy?

  • Do room arrangements allow for privacy?

  • Do individual rooms have windows, allowing for natural light and a pleasant view?

  • Are the common areas (activity rooms, lobby, gathering rooms) large, bright, and well kept?

  • Is the dining room welcoming, spacious and not too crowded, and easy to move around in?

  • Is the kitchen area clean and organized?

Respect for the elderly individual:

  • Does the facility have a written policy about patients' rights and responsibilities? Is it made readily available?

  • Is the staff trained to treat residents with dignity and respect?

  • Are patients and families involved in developing the patient's care plan?


  • What is the number of staff members available per shift?

  • Is the staff friendly and respectful of patients?

  • Are continuing education and training a priority?

  • Specifically, what staff medical services are provided, such as health care providers, nursing, physical therapy, respiratory care, and occupational therapy?

Nursing care:

  • What is the patient-to-nurse ratio?

  • Is nursing care provided 24 hours a day?

  • What are the credential requirements for the nursing staff?

Licensure and certification:

  • Is the facility licensed by the state?

  • Is it licensed to provide Medicare and Medicaid coverage?


  • Which services are included in the standard rate? Are other services provided for additional fees?

  • What are the facility's Medicare and Medicaid policies?

Medical considerations:

  • Is a health care provider available for emergencies?

  • Are personal doctors allowed to follow patients at the facility, or does a facility-appointed doctor treat residents?

  • Does the facility have arrangements with a nearby hospital should an emergency occur?

  • Is emergency transportation available?


  • Is a well-rounded program of social and recreational activities available for groups and individuals? For example, does the facility offer outdoor outings, arts and crafts classes, movie outings, exercise classes, reading clubs, and the like?

  • Does the facility stay active and connected with the surrounding community?

  • Are outside trips and activities planned regularly?

Nutritional needs:

  • Are meals provided at the facility, and what are the meal plan options?

  • Does a licensed dietitian approve all menus?

  • Can the facility accommodate those people with special dietary restrictions?

  • For people who want to take some meals in privacy, is there a small kitchen or kitchenette available in the individual room or apartment?

Additional services:

  • Does the facility provide chaplain services?

  • Are housekeeping and laundry needs available? If so, are they included as part of overall fees or provided at an extra cost?

  • Is transportation available for trips to the local shopping center, grocery store, library, and bank?

D. James Ballard, B.S., P.T., DPT

Jim’s chief clinical interests are Parkinson's disease rehabilitation, balance training, vestibular rehabilitation and male and female pelvic floor muscle rehabilitation. He is a member of the Deep Brain Stimulation Team at the University Health Sciences Center. In this capacity, he assesses the motor effects ... Read More


Balance/Vestibular, Geriatrics, Movement Disorders, Parkinson's Disease, Pelvic Dysfunction/Incontinence, Physical Therapy


Health Profession Education Building
University Rehabilitation and Wellness Clinic
(801) 587-9161

Carole A. Baraldi, M.D.

Carole Baraldi, M.D., is a physician at the University of Utah Hospital Geriatric Clinic and at Emeritus at Salt Lake Skilled Nursing Facility. As a geriatrician and hospice and palliative care specialist, her clinical interests include providing comprehensive geriatric evaluations with a particular interest in ... Read More


Geriatrics, Pain Medicine & Palliative Care


University Hospital
Geriatrics, Clinic 1
(801) 581-2628

Miriam D. G. Beattie, D.N.P.

Miriam Beattie, DNP, GNP-BC, ANP-BC, is a Doctor of Nursing Practice at the University of Utah in the Division of Geriatrics. As a board-certified Gerontological Nurse Practitioner, her clinical interests include: outpatient geriatric care, prevention of delirium in older adults who are hospitalized, rehabilitat... Read More


Geriatrics, Nurse Practitioner


University Hospital
Geriatrics, Clinic 1
(801) 581-2628




A location has not yet been added by this physician.




A location has not yet been added by this physician.




Veterans Administration Medical Center

Timothy W. Farrell, M.D.

Timothy W. Farrell, M.D., is a board-certified family physician who holds a Certificate of Added Qualification (CAQ) in geriatric medicine. He maintains a primary care geriatrics practice at the Sugar House Health Center as well as a consultative geriatrics practice at the University of Utah Hospital. Dr. Farrel... Read More




Sugar House Health Center (801) 213-8845
University Hospital
Geriatrics, Clinic 1
(801) 581-2628

Heather A. Hayes, P.T., Ph.D., DPT

Heather Hayes, DPT, NCS, PhD is a Doctor of Physical Therapy (DPT) with advanced certification as a neurologic clinic specialist (NCS). She specializes in the treatment and research of individuals with any neurological disorders, including but not limited to; Stroke, Multiple Sclerosis, Parkinsonsim, ALS, balanc... Read More


ALS, Balance/Vestibular, Geriatrics, Movement Disorders, Multiple Sclerosis, Neurology, Physical Therapy, Stroke


Health Profession Education Building (801) 587-9161

Natalie A. Sanders, D.O., FACP

Dr. Sanders completed her undergraduate medical education at the College of Osteopathic Medicine of the Pacific in Pomona, CA. She subsequently graduated from the Internal Medicine Residency program from the University of Utah and was selected as a Chief Medical Resident. She practiced for three years as a Gener... Read More


Faint and Fall, Geriatrics


University Hospital
Faint & Fall Clinic
(801) 213-2033

Mark A. Supiano, M.D.

Mark A. Supiano, MD, is a geriatrician in the University Hospital Geriatrics Clinic. As a geriatrician, his clinical interests include providing comprehensive geriatric assessment consultations with a particular interest in high blood pressure (hypertension) and disorders of blood pressure regulation (orthostat... Read More




University Hospital
Geriatrics, Clinic 1
(801) 581-2628

Jill Stratford Waldron, M.S., APRN

Jill Stratford Waldron, graduated from the University of Utah, with her Masters of Science in Nursing, and a Masters Certificate in gerontology. She is a board certified Gerontological Nurse Practitioner (GNP) and gerontologist, with over 15 years of experience in cardiology and 5+ years in teaching undergradu... Read More


Cardiology, Geriatrics, Gerontological Nurse Practitioner, Heart Failure, Heart Transplant, Nurse Practitioner


University Hospital
Heart Failure Clinic
(801) 585-5122
University Hospital
Heart Transplant Clinic
(801) 585-3693


University Hospital

50 N Medical Dr
Salt Lake City, Utah 84132

(801) 581-2628

Sugarhouse Health Center

1138 E Wilmington Ave.
Salt Lake City, Utah 84106

(801) 213-8845

Greenwood Center

7495 S State Street
Midvale, Utah 84047

(801) 213-8840