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Dr. med. Stefan Scribe image

Department of geriatrics

Dr. med. Stefan Scribe
internal medicine, geriatrics

About the department

The department of geriatrics at Helios Hospital Krefeld provides care for elderly patients with various diseases. The department's goal is to restore daily skills as comprehensively as possible and ensure the patient's return home or to a nursing home as soon as possible. Doctors combine geriatric diagnosis and therapy with early geriatric rehabilitation. A highly specialised medical team comprehensively and individually considers the physical physique and patients' psychological and social situation. In addition, the department has a centre for geriatric traumatology, which uses only the latest modern standards of treatment. An interdisciplinary team of orthopedists and traumatologists, geriatricians, nurses, occupational therapists and physiotherapists, and social workers guarantees the fastest possible return to daily life after an injury or accident.

In the comprehensive treatment concept, doctors take into account chronic diseases such as high blood pressure, diabetes or circulatory disorders and significant functional limitations such as hearing and vision disorders, mobility restrictions, and impairments ranging from mild forgetfulness to dementia or swallowing disorders. An experienced team of doctors and nurses works around the clock to treat life-threatening conditions that acutely threaten respiratory, cardiovascular, metabolic, or renal function.

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Treatment and diagnostic focus of the department

Diagnosis: 

  • Chronic cardiovascular diseases 
  • Hypertension (high blood pressure) 
  • Diabetes mellitus 
  • Less lung capacity
  • Hearing and vision impairment
  • Swallowing disorder
  • Balance and gait disorders
  • Change in muscle performance
  • Less bone stability
  • Skin sensitivity disorders due to decreased nerve conduction
  • Mental and cognitive changes in old age
  • Malnutrition
  • Urinary incontinence
  • Poor wound healing

Diagnostic: 

  • Anamnesis 
  • Physical examination 
  • Laboratory and biochemical tests 
  • Echocardiography / Transesophageal echocardiography
  • Long-term blood pressure measurements
  • Holter ECG (records the electrical activity of the heart continuously over 24 hours)
  • Bicycle ergometer test (measures aerobic endurance)
  • MRI of the heart
  • Colour Doppler scanning of central and peripheral vessels
  • Spirometry (used to assess how well lungs work)
  • Gastroscopy, colonoscopy 
  • Sonographic punctures of the liver, lymph nodes and obscure masses

Treatment: 

  • Conservative treatment (drug therapy) 
  • Intensive care 
  • Electrical cardioversion
  • Therapy for cardiac arrhythmias, including ablation
  • Heart failure therapy
  • Balloon dilatation and stenting of the gastrointestinal tract
  • Percutaneous endoscopic gastrostomy (PEG)
  • Treatment of bleeding ulcers
  • Diabetes therapy
  • Physiotherapy 
  • Ergotherapy 
  • Occupational therapy 
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