Background image for the top navigation. The Barbara Bush Children's Hospital link. Clinicians page link. Works on Wellness and Employee Benefits page link Family Services page link. Link to Senior Services page.
Email to a friend    Printer Friendly Page
Text Size: decrease font increase font
Care & Services
Clinical Services
Find a Doctor
Maine Medical Partners
Autism & Development Disorders Inpatient Research Collaborative (ADDIRC)
Cardiovascular Institute - Heart Health at Maine Medical Center
the Pharmacy at Maine Medical Center
Community Prevention and Wellness - Maine Medical Center
Clinical Departments - Emergency Medicine
Patients, Families, and Visitors - Maine Medical Center, Portland, Maine
Maine Digestive Health Center at Maine Medical Center
Maine Medical Center Scarborough Surgery Center
Neuroscience Institute at Maine Medical Center
Surgical Services at Maine Medical Center
Palliative Care - Maine Medical Center
Portland Identification and Early Referral
Maine Medical Center - Cancer Care At MMC
Maine Medical Center - Maine Transplant
Maine Medical Center - Maine Transplant Program - Message from tjhe Director
Geriatric Care | Maine Medical Center
Maine Medical Center - Department of Emergency Medicine
Maine Medical Center - Integrative Medicine Services
Maine Medical Center - Nephrology and Kidney Transplantation Highlights:
Maine Medical Center - Internal Medicine-Pediatrics
Psychiatry, Maine Medical Center, Adult, Child, Mental Health in Southern Maine
Maine Medical Center - Nutrition Services
Maine Medical Center - Family Medicine
Psychiatry Residency Programs - Maine Medical Center - Department of Psychiatry
About Radiology - Maine Medical Center
Maine Medical Center - Rehabilitation Medicine
Maine Medical Center - Respiratory Care
Patient and Family Services
Maine Medical Center - Vocational Services - Who We Are
Maine Medical Center - Women's Care

Acute Care for the Elderly Unit (ACE)

Patient and a nurseHospitalized elders often have multiple and complex medical issues, requiring comprehensive assessment and close attention by a well coordinated treatment team. Furthermore, hospitalization for the frail elderly can pose a significant risk for a decline in general function. The Acute Care for the Eldery (ACE) Unit at Maine Medical Center is specifically designed to address these needs and to prevent functional decline in acutely ill, hospitalized, community dwelling elders and assist them and their families with the transition back into the community. This multidisciplinary model of care has been shown nationally to significantly improve the clinical outcomes of hospitalized elderly patients, improve their functional status at discharge and reduce the rates of transfer to nursing homes. The program's success lies in its attention to maintaining physical and psychosocial functioning despite an acute illness and in its provision of education and support to patients and their families around medications, geriatric syndromes, living options and community resources.The philosophy is further complimented by an environmental design and that encourages mobility and prevents physical injury.There is a focus on getting patients out of bed and moving around as early in the hospital stay as well as attention to delirium prevention.

Patient in a hospital bedPatients over the age of 70 on the ACE Unit at Maine Medical Center are evaluated for risk factors that can result in functional decline.  These risk factors include: evidence of geriatric syndromes, such as hearing or vision impairment; impaired mobility; altered urinary or bowel elimination; cognitive dysfunction as evidenced by presence of depression, delirium and/or dementia; dehydration/malnutrition; impairment of self care; living alone or with poor social supports; hospitalization within last 31 days; or evidence of neglect or abuse. The specifics of the individual cases are reviewed in a daily interdisciplinary team meeting. The ACE Unit team at Maine Medical Center includes a Geriatrician, Advance Practice Geriatric Clinical Nurse Specialist, Physical or Occupational Therapist, Dietician, Social Worker, Chaplain representative, Care Coordinator, Nurse Manager, Nurse Director, Charge Nurse, Geriatric Psychiatric Nurse Practitioner and a Pharmacist. This team meets daily to review risk factors for decline and make recommendations to minimize or modify these factors. The team begins discharge planning from admission, attempting to identify a reasonable discharge date and location that takes into consideration the medical and social considerations of the individual patient. Individual team members will meet with patients related to specific issue raised by the team or expressed by the patient or their family. In addition, nursing care protocols are initiated to target risk factors.

Common diagnosis in patients on the ACE units are likely to be congestive heart failure, dehydration, mental status change, gastrointestinal bleeding, pneumonia, stroke, or chronic obstructive pulmonary disease.

MMC Geriatric Care Home
MMP Geriatric Medicine
Inpatient Services
Consult Service
Outpatient Programs
Geriatric Assessment
Memory Disorders
Make Appointment/
Contact Us
Resources for Caregivers
Nursing Home Care/Assisted Living Communities
MaineHealth Partnership for Healthy Aging

Maine Medical Center | 22 Bramhall Street | Portland, Maine 04102-3175 | (207) 662-0111