Geriatric and Elder Care
WEIGHT LOSS PROGRAM
Comprehensive
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“Geriatric syndrome” is a term that is often used to refer to common health conditions in older adults that do not fit into distinct organ-based disease categories and often have multifactorial causes. The list includes conditions such as cognitive impairment, delirium, incontinence, malnutrition, falls, gait disorders, pressure ulcers, sleep disorders, sensory deficits, fatigue and dizziness. These conditions are common in older adults, and they may have a major impact on quality of life and disability. Geriatric syndromes can best be identified by a geriatric assessment, which is offered at Tapia Internal Medicine Clinic, PLLC.
Cognition
The incidence of dementia increases with age, yet many patients with cognitive impairment remain undiagnosed. The value of making an early diagnosis includes the possibility of uncovering treatable conditions. The evaluation of cognitive function preformed at Tapia Internal Medicine Clinic, PLLC is conducted through a computer based screening that test your memory impairment.
Falls/Imbalance
Patients who have fallen or have a gait or balance problem are at a higher risk or having a subsequent fall and losing independence. At Tapia Internal Medicine Clinic, PLLC we never want you to feel like you’re losing control. Your primary care physician should regularly ask about recent falls and fall risks. There are effective interventions for people with a history of falls or risk for falling such as physical therapy, assistive devices (walkers, lift chairs) and/or a supervised exercise program, which is something our providers can assist with.
Activities of daily living
An older adult's functional status can be assessed at 2 levels: activities of daily living (ADLs) and instrumental activities of daily living (IADLs). These are things that the physicians at Tapia Internal Medicine Clinic, PLLC look for in geriatric patients.
IADLs refer to the ability to maintain independent household include:
- Shopping for groceries
- Driving or using public transportation
- Using the telephone
- Performing household chores
- Preparing meals
- Doing laundry
- Taking medications
- Handling finances
ADLs refer to self-care tasks which include:
- Bathing
- Dressing
- Toileting
- Maintaining continence
- Grooming
- Feeding
We provide comprehensive obesity treatment across the continuum, offering medications and surgery in addition to a strong foundation of lifestyle medication.
-Medical Director
Treatments available at Tapia Clinic
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Achieve your weight loss goals!
We’re always accepting new patients ! We believe in providing the best possible core at all our
existing patients and welcome new patients to sample the servcie we have to offeer.
903-739-7920
Medication
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How Do
the Medications Work?
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Contrave®
is an extended-release medication that works in the hypothalamus, the brain’s central thermostat that controls appetite, temperature and how the body burns energy. It’s a combination of two existing drugs: The antidepressant Wellbutrin® and the addiction drug naltrexone
Phentermine
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Qsymia®
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Saxsenda®
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Wegovy®
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Xenical®
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Each of the above listed medications have side-effects, risks and benefits of use. The information provided here is intended to give you a very basic overview of the types of weight loss medications currently available. Please ask your bariatrician for additional information based on your medical history and current physical condition.
surgical treatment
Accredited by the American College of Surgeons
Springfield Clinic Surgery Center and Bariatric Department in Springfield is accredited by the American College of Surgeons in their accreditation and quality improvement program. The program helps promote uniform standards and continuous quality improvement while recognizing the excellent work being done by groups like ours. Bariatric surgery is safe and effective in an outpatient setting, Springfield Clinic’s Surgery Center is one of fewer than 20 across the nation accredited to perform bariatric surgery in a free-standing ambulatory surgery center. This all translates to shorter OR times, same-day discharge for patients and high-quality surgical outcomes. Learn more about this accreditation.
Surgical Treatments
Gastric bypass | Sleeve gastrectomy | Duodenal switch | SADI-S
Patient Resources
Springfield Clinic Bariatric Patient Resources
- Your Bari Book
- Taking Anti-obesity Medications
- New Patient Questionnaire (please download, print, complete and bring it with you to your first appointment)
Downloadable Patient Education
- Persuading Your Employer to Cover Obesity Treatment (Obesity Medicine Association)
- Conquering Emotional Eating (Obesity Action Coalition)
- Navigating Fast Food with Children (Obesity Action Coalition)
- Fashion at Every Size (Obesity Action Coalition)
Frequently Asked Questions
A well-woman exam is a complete physical that includes an examination of your reproductive organs. During the exam the physicians at Tapia Internal Medicine Clinic PLLC will obtain your vitals, including heart rate, blood pressure, height and weight. The provider will then examine your body from head to toe, looking into your eyes and ears, feeling your organs and checking your reflexes. This will also include a pelvic exam.
The Pap smear checks for abnormalities in the cells of your cervix. Abnormal cells may be a sign of cervical cancer. Detecting changes early may improve the success of treatment.
Clinical breast examinations can detect a lump in your breast and other changes that might require more testing. Breast exams are one of the most important early breast cancer screenings. If more testing is required your physician may order a mammogram. A mammogram is an x-ray picture of the breast.
Osteoporosis is a common disease that is characterized by low bone mass, microarchitectural disruption, and skeletal fragility, resulting in an increased risk of fracture. The goal of bone density screening is to identify persons at increased risk of sustaining a low-trauma fracture who would benefit from intervention to minimize that risk.
- Irregularities in your menstrual cycle.
- Pelvic or menstrual pain.
- Urinary tract infections.
- Yeast infections.
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