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Geriatric assessment in the office setting.

W D Pace1

  • 1Department of Family Medicine, University of Colorado School of Medicine, Denver.

Geriatrics
|June 1, 1989
PubMed
Summary

Routine screening for functional limitations in elderly patients is crucial. Validated assessment tools can uncover unknown health concerns in up to half of patients, aiding in better care.

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Area of Science:

  • Geriatric Medicine
  • Primary Care
  • Rehabilitation Medicine

Background:

  • Functional limitations are common in the elderly and impact daily living.
  • Routine medical care for older adults often overlooks functional status.
  • Physician familiarity with patients does not preclude the existence of undiagnosed functional deficits.

Purpose of the Study:

  • To emphasize the importance of integrating functional assessments into routine geriatric care.
  • To highlight the availability and utility of brief, validated functional assessment instruments for office settings.
  • To guide clinicians in selecting appropriate functional assessment tools for their specific patient populations.

Main Methods:

  • Review of available brief, validated functional assessment instruments suitable for primary care settings.
  • Discussion on the prevalence of uncovering unknown functional concerns through routine screening.
  • Consideration of population-specific needs when choosing assessment tools.

Main Results:

  • Routine screening identifies unknown functional concerns in 33% to 50% of elderly patients.
  • Numerous validated functional assessment instruments are accessible for clinical use.
  • The selection of an instrument should align with the specific characteristics of the patient population.

Conclusions:

  • Functional assessment should be a routine component of elderly care.
  • Appropriate selection and use of validated instruments can enhance patient care.
  • Functional measures serve as a valuable adjunct to, not a replacement for, comprehensive medical evaluation.

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