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Community-based geriatric assessment.

D C Martin, R K Morycz, B J McDowell

    Journal of the American Geriatrics Society
    |September 1, 1985
    PubMed
    Summary
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    Multidisciplinary geriatric assessment effectively keeps 90% of elderly patients in the community. Key predictors of institutionalization include falls, dementia, caregiver strain, and functional impairment.

    Area of Science:

    • Geriatrics
    • Community Health
    • Healthcare Management

    Background:

    • Community-based geriatric assessment centers provide crucial services for elderly individuals.
    • Understanding patient profiles and predictors of institutionalization is vital for effective care planning.

    Purpose of the Study:

    • To profile clinical characteristics of patients in a community-based geriatric assessment program.
    • To identify predictors of institutionalization among these patients.

    Main Methods:

    • A comprehensive review of multidisciplinary functional assessments and treatments for 800 patients.
    • Statistical analysis to determine predictors of institutionalization.

    Main Results:

    • Common issues included senile dementia (46%), hypertension (31%), depression (30%), and caregiver burden (24%).

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  • Over 90% of patients remained in the community post-treatment.
  • Predictors of institutionalization were falls/unstable gait, dementia, caregiver strain, lack of support, and impaired activities of daily living.

    • Conclusions:

    • Multidisciplinary geriatric assessment and community support services are highly effective in preventing institutionalization.
    • Identifying key risk factors allows for targeted interventions to maintain community living for seniors.