Geriatric Medicine & Healthy Aging Care in Wayne, PA
Dr. Andrew Rosner Provides Personalized Concierge Primary Care to Support Health, Independence & Quality of Life
Living longer is important. But for Andrew Rosner, MD, healthy aging is about much more than adding years to life. It is about helping patients remain healthy, safe, independent, and able to enjoy the people and activities that make those years meaningful.
One of Dr. Rosner’s greatest pleasures as a physician is watching patients in their 70s, 80s, and 90s continue to travel, spend time with loved ones, and participate in activities that bring them joy. His approach to geriatric care is designed to help make that possible for as long as safely achievable.
Located in Wayne and serving older adults throughout the Main Line and greater Philadelphia region, Rosner Concierge Medicine provides the time, accessibility, and continuity of care that become increasingly valuable as healthcare needs grow more complex.
Andrew Rosner, MD | Board-Certified Family Physician | Named “Top Doctor” by Main Line Today in 2023, 2024 & 2025
What Does Healthy Aging Mean?
There is no single definition of aging well. For one patient, maintaining independence may mean continuing to travel. For another, it may mean safely living at home, spending time with grandchildren, gardening, exercising, or simply continuing the routines that make everyday life fulfilling.
Dr. Rosner believes quality of life is as important as quantity of life. Healthy aging therefore involves more than managing diagnoses. It means looking proactively at the factors that can affect independence and well-being over time, including:
- Preventing and managing disease
- Remaining physically active
- Maintaining strength and mobility
- Reducing the risk of falls
- Supporting cognitive health
- Staying mentally and socially engaged
- Maintaining good nutrition
- Reviewing medications for safety and necessity
- Managing chronic conditions effectively
- Planning care around the patient’s individual goals
Dr. Rosner partners with each patient to understand what matters most to them and develops their healthcare plan accordingly.
Personalized Preventive Care for Older Adults
Preventive healthcare does not automatically stop at a particular birthday.
Recommendations for certain cancer screenings change as patients get older, but chronological age is only one consideration. A healthy, active older adult may have very different screening needs from another person of the same age with significant medical conditions.
Dr. Rosner individualizes preventive screening decisions using established guidelines while also considering each patient’s:
- Overall health and functional status
- Personal medical history
- Family history
- Genetic testing when relevant
- Individual preferences and goals
This may include personalized decisions about breast, cervical, colorectal, prostate, and other cancer screenings. Rather than applying an age cutoff to every patient, Dr. Rosner takes the time to explain the potential benefits and considerations of continued testing so patients can participate meaningfully in decisions about their care.
Helping Older Adults Maintain Independence
Remaining independent is an important goal for many older adults, but independence and safety need to be considered together. Dr. Rosner routinely evaluates mobility and fall risk during annual wellness exams and, when appropriate, during follow-up visits throughout the year.
His evaluation may include conversations about:
- Balance and mobility
- Exercise and physical activity
- Nutrition
- Previous falls
- Medications that may cause sedation or dizziness
- Vision and hearing
- Memory and cognitive function
- Stairs, area rugs, grab bars, and other potential hazards in the home
Dr. Rosner also evaluates a patient’s ability to manage the instrumental activities of daily living, such as managing medications, shopping, and paying bills. Changes in these abilities can provide important insight into whether additional support may be beneficial.
For some elderly patients, Dr. Rosner also has the ability to make home visits when needed. Seeing a patient’s home environment can provide additional insight into safety, mobility, and the practical challenges they may be facing.
When additional support could improve mobility or safety, Dr. Rosner may recommend physical therapy. Physical therapy can help address balance; range of motion, chronic pain, vertigo, and other concerns that may affect a patient’s ability to safely continue the activities they enjoy.
Chronic Disease Management for Older Adults
As health needs become more complex, managing one condition without considering the others can create new challenges.
Dr. Rosner routinely cares for older adults with conditions including:
- High blood pressure
- Diabetes
- High cholesterol
- Heart disease
- Arthritis
- Osteoporosis
- Thyroid disorders
- COPD and asthma
- Dementia and memory concerns
- Parkinson’s disease
- Chronic kidney disease
For patients living with multiple conditions, Dr. Rosner looks at the entire picture rather than treating each diagnosis independently.
This is particularly important when several specialists are involved. Changes recommended for one condition may affect medications or treatment plans for another, making a primary physician who understands the patient’s complete medical history especially valuable.
Medication Management & Polypharmacy
Taking multiple medications becomes increasingly common with age. Polypharmacy, generally defined as taking five or more medications, can also increase the potential for medication interactions and side effects such as sedation, cognitive impairment, and falls.
Dr. Rosner routinely reviews medications with his patients at each visit, with particular attention to older adults taking several prescription medications.
Medication review may include:
- Confirming that each medication is still necessary
- Reviewing dosage and how medications are being taken
- Identifying potential interactions
- Considering medications that may contribute to sedation or falls
- Reviewing changes made by specialists
- Discussing potential side effects
- Helping patients and family members understand why medications have been prescribed
When specialists change a medication or a patient is hospitalized, Dr. Rosner reviews those recommendations within the context of the patient’s overall care.
Memory & Cognitive Health
Occasional forgetfulness does not necessarily indicate cognitive disease, but changes in memory, judgment, or the ability to manage everyday responsibilities deserve thoughtful evaluation.
Cognitive assessment is a common part of Dr. Rosner’s annual exams for older patients.
When there are concerns about memory, evaluation may include:
- In-office memory and cognitive testing
- Discussion of changes observed by the patient or family
- Review of family history
- Appropriate laboratory testing
- Genetic testing when appropriate
- Imaging when clinically indicated
If testing suggests cognitive impairment that requires additional evaluation, Dr. Rosner works with neurology colleagues to help establish an accurate diagnosis and appropriate treatment plan. His involvement does not end with the referral. Dr. Rosner continues to support both the patient and family as they navigate cognitive changes and make decisions intended to preserve safety and quality of life.
Coordinating Complex Senior Healthcare
Older adults often find themselves managing appointments and recommendations from several physicians at once. Dr. Rosner describes his role as being the “quarterback” of his patients’ healthcare team.
He routinely reviews specialist consultation notes and communicates with specialists and hospital physicians when needed to help ensure that recommendations, medications, and treatment plans make sense together.
Care coordination may involve:
- Specialists
- Hospitals and hospital physicians
- Rehabilitation facilities
- Physical therapists
- Home health providers
- Other members of the patient’s healthcare team
Dr. Rosner also helps patients and families understand diagnoses, test results, treatment recommendations, and complex medical decisions. The goal is to provide a true medical home—one physician who knows the patient’s complete health history and can help connect the different pieces of care.
Partnering with Older Patients and Their Families
Geriatric medicine frequently involves more than the physician and patient alone.
With his patient’s involvement and permission, Dr. Rosner often partners with spouses and adult children to develop a more complete understanding of health concerns, changes in function, and support needs.
This can be especially important when there are concerns about memory, medication management, mobility, or the ability to safely manage daily responsibilities. Dr. Rosner also discusses advance care planning with patients and families when appropriate.
These conversations provide an opportunity for patients to express and document their preferences regarding future medical care so that their wishes can be understood and honored.
For families, having a physician who knows their loved one well can provide an important source of guidance as medical decisions become more complex.
The Benefits of Concierge Medicine for Older Adults
Healthcare can become increasingly complicated with age. More medications, specialists, testing, and changing health needs can leave both patients and families struggling to keep track of the entire picture. The concierge model gives Dr. Rosner the time and accessibility to remain closely involved.
For older adults and their families, this may provide:
24/7 access to Dr. Rosner
Longer appointments
Same-day and next-day appointment availability
Personalized preventive care
Regular medication review
Fall-risk and mobility assessment
Cognitive and memory evaluation
Chronic disease management
Coordination among multiple specialists
Help understanding diagnoses and treatment recommendations
Family involvement when appropriate
Advance care planning
Home visits for some elderly patients when needed
A physician who knows the patient's history, priorities, and goals
As Dr. Rosner puts it, he aims to be a partner and ally for his geriatric patients—helping them and their families navigate the later years with greater confidence, safety, and peace of mind.
FAQs About Geriatric Medicine & Healthy Aging
At What Age Should Someone Consider Geriatric-Focused Primary Care?
There is no single age at which every patient suddenly needs a different approach to primary care. Dr. Rosner individualizes care based on overall health, chronic conditions, medications, mobility, cognitive health, and the complexity of a patient's medical needs rather than age alone.
Should Older Adults Stop Routine Cancer Screenings at a Certain Age?
Not necessarily. Guidelines may recommend stopping certain screenings at particular ages, but the appropriate decision depends on the individual. Dr. Rosner considers established screening guidelines alongside a patient's overall health, personal and family history, genetic information when relevant, and individual preferences before recommending whether screening should continue.
Does Dr. Rosner Perform Memory Testing?
Yes. Memory and cognitive assessment are common components of Dr. Rosner's annual exams for older adults. When concerns arise, he may also consider laboratory testing, family history, genetic testing, or imaging depending on the individual situation. Patients who require additional evaluation may be referred to a neurologist.
Can Dr. Rosner Help Reduce Fall Risk?
Yes. Dr. Rosner assesses balance, mobility, medications, vision, hearing, and potential home hazards that may contribute to falls. When appropriate, he may also recommend physical therapy to improve balance, mobility, strength, or other functional concerns.
Does Dr. Rosner Review Medications Prescribed by Other Specialists?
Yes. Dr. Rosner routinely reviews medication changes made by specialists and considers them within the context of the patient's complete medication list and health history. He also communicates with specialists and hospital physicians when needed to help coordinate care.
Does Dr. Rosner Involve Family Members in an Older Patient's Care?
When appropriate and with the patient's involvement, yes. Dr. Rosner often works with spouses and adult children to better understand health concerns and help families navigate increasingly complex healthcare needs.
Does Dr. Rosner Make House Calls?
Dr. Rosner is able to make home visits for some elderly patients when needed. In addition to improving access to care in certain circumstances, a home visit can provide valuable insight into mobility, fall risks, and safety within a patient's everyday environment.
Navigate Healthy Aging with Dr. Rosner
The later years of life should not be defined solely by medical appointments, medications, and diagnoses. Dr. Rosner’s goal is to help his older patients remain as healthy, safe, independent, and engaged as possible so they can continue doing the things that bring meaning and enjoyment to their lives.
If you or a loved one is looking for personalized geriatric medicine and healthy aging care in Wayne, the Main Line, or the greater Philadelphia region, contact Rosner Concierge Medicine to learn more about membership and becoming a patient of Dr. Andrew Rosner.
Learn More About Concierge Medicine: Healthcare Services Designed Around You
Every patient has unique health goals, concerns, and priorities. Rosner Concierge Medicine provides comprehensive primary care services focused on prevention, wellness, and long-term health.
What a Concierge Medicine Membership Includes
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Personalized healthcare planning
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Comprehensive annual evaluations
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Preventive health screenings
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Same-day appointments
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Direct physician communication
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Care coordination
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Enhanced convenience and continuity of care
