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Comprehensive Geriatric Assessment

Comprehensive Geriatric Assessment CHAPTER 5 LAURENCE 2. RUBBNSTEIN and DARRYL WIELAND SEPULVEDA MEDICAL CENTER Comprehensive geriatric assessment is a multidimensional, often interdis- ciplinary diagnostic process designed to define an elderly individuai's medical, psychosocial, and functional capabilities and problems to arrive at an overdl plan for therapy and long-term follow-up. While compre- hensive clinical assessment methodologies have benefited nonelderly groups of patients as well, multidimensional assessment has asssumed a key role in geriatric care because the delicate complexity of the typical frail elderly patient demands multidimensional diagnosis to attain both a reasonable understanding of the patient's problems and a prudent plan of treatment. The present chapter provides a critical review of the literature on geriatric assessment and an evaluation of the evidence of its benefits. Further, we identify issues and problems regding the knowledge base of geriatric assessment and the effectiveness of geriatric assessment pro- grams, pointing the way to new research. ORIGINS AND DEVELOPMENT The philosophy of geriatric assessment-that careful, multidhensiond review of the capacity and problems of frail elders can lead to long-term benefits to their functional health-originated during the 1930s in the work of pioneer British geriatricians (Brocklehurst, 1975; Matthews, 1984). Physicians Marjory Warren, Lionel Cosin, and Sir Ferguson Anderson http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Annual Review of Gerontology & Geriatrics Springer Publishing

Comprehensive Geriatric Assessment

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Publisher
Springer Publishing
ISSN
0198-8794
eISSN
1944-4036
DOI
10.1891/0198-8794.9.1.145
Publisher site
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Abstract

CHAPTER 5 LAURENCE 2. RUBBNSTEIN and DARRYL WIELAND SEPULVEDA MEDICAL CENTER Comprehensive geriatric assessment is a multidimensional, often interdis- ciplinary diagnostic process designed to define an elderly individuai's medical, psychosocial, and functional capabilities and problems to arrive at an overdl plan for therapy and long-term follow-up. While compre- hensive clinical assessment methodologies have benefited nonelderly groups of patients as well, multidimensional assessment has asssumed a key role in geriatric care because the delicate complexity of the typical frail elderly patient demands multidimensional diagnosis to attain both a reasonable understanding of the patient's problems and a prudent plan of treatment. The present chapter provides a critical review of the literature on geriatric assessment and an evaluation of the evidence of its benefits. Further, we identify issues and problems regding the knowledge base of geriatric assessment and the effectiveness of geriatric assessment pro- grams, pointing the way to new research. ORIGINS AND DEVELOPMENT The philosophy of geriatric assessment-that careful, multidhensiond review of the capacity and problems of frail elders can lead to long-term benefits to their functional health-originated during the 1930s in the work of pioneer British geriatricians (Brocklehurst, 1975; Matthews, 1984). Physicians Marjory Warren, Lionel Cosin, and Sir Ferguson Anderson

Journal

Annual Review of Gerontology & Geriatrics – Springer Publishing

Published: Sep 1, 1989

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