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Dr. med. Engelbert Zilles image

Department of geriatrics

Dr. med. Engelbert Zilles
internal medicine, geriatrics

About the department

The department of geriatrics at Academic Hospital Neuwerk Monchengladbach performs medical care for older people. Doctors in the department have special knowledge in treating complex and multifaceted conditions of the elderly. The goal of the geriatrics department is always to reintegrate into the familiar home environment and maintain daily skills and independence as much as possible. The medical team includes highly qualified therapists, nurses, psychologists and speech therapists. Based on the department, they conduct ADL training (re-learning things of everyday life), hand training using the Armeo system, and group and individual therapies.

Geriatricians strive to treat existing diseases and achieve healthy ageing. The department uses all modern diagnostic capabilities, including interventional endoscopy and sonography. Another direction is a video endoscopic examination of swallowing for the differential diagnosis of all swallowing disorders. In addition, speech therapists pay a lot of attention to language and speech disorders and impaired sensitivity in the tongue and lips.

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Treatment and diagnostic focus of the department

Diagnosis and pathological conditions:

  • Restrictions in the cardiovascular system
  • Stroke
  • Surgical interventions
  • Infections
  • Mental and cognitive changes in old age, especially dementia and delirium (confusion)
  • Less lung capacity
  • Immune system disorders
  • Change in muscle performance
  • Less bone stability
  • Swallowing disorders
  • Urinary incontinence
  • Poor wound healing, chronic wounds and bedsores

Diagnostic: 

  • Functional diagnostics
  • Sonography
  • Endoscopy (with 24-hour emergency service in cooperation with the Department of Internal Medicine)
  • Fibroendoscopic Swallowing Examination (FEES)
  • Resting, stress, and long-term ECG
  • Echocardiography
  • Doppler sonography or duplex sonography of blood vessels with colour-coding

Treatment options: 

  • Physiotherapy treatment
  • ADL training (re-learning things of daily life)
  • Basic stability training
  • Hand training (including with the Armeo therapy system)
  • Individual therapy (according to Zimt and Bobath, mirror therapy)
  • Group therapy (coordination, writing training, cognitive training, fine motor skills)
  • Speech therapy
  • Treatment by a psychologist
  • Radiation and nuclear medicine procedures
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