Related Experiment Video
Updated: Jan 8, 2026
Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
Structured Clinical Tools for Periodic Health Assessment of Older Adults in Primary Care: A Scoping Review
Marie-Pier Villemure1, Benoît Cossette2,3, Pierre-Vincent Breault-Ruel1
1Department of Family Medicine and Emergency Medicine Université de Sherbrooke Sherbrooke Quebec Canada.
Background And Aims:
Delivering preventive care to older adults presents challenges due to the lack of consensus on screening items, particularly regarding geriatric syndromes. Furthermore, chronological age often differs from biological age, which requires primary care clinicians (PCCs) to assess each patient's aging profile and tailor preventive interventions accordingly. Periodic Health Assessments (PHAs) offer an opportunity to administer preventive care. While several authors have developed Structured Clinical Tools (SCTs) to assist clinicians during PHAs, no SCT is widely used across clinicians. The study aims to identify existing SCTs for the PHA of older adults and evaluate their content, formats, and practical usability.
Methods:
We conducted a scoping review following the 6-step methodology recommended by Arksey and O'Malley (2005) and Levac (2010). We searched in PubMed, CINAHL, and Ageline, as well as in the grey literature, using keywords related to four main concepts: older adults, primary care, periodic health assessment, and SCT. We retrieved SCTs published in French and English between 2000 and 2024. Data were screened and charted by two independent reviewers. For step six (consultation), we gathered opinions of 10 PCCs on the practical usability of different SCTs.
Results:
Among the 8029 identified publications, we retrieved 16 distinct SCTs. Design objectives and conception processes of these SCTs varied. They were presented in various formats, including questionnaires, tables, schemas, checklists, acronyms, and mnemonics. While all SCTs addressed geriatric syndromes, only two adapted their recommendations to patients' aging profiles. Consulted PCCs emphasized that an ideal SCT should be integrated into an electronic health record, accommodate various aging profiles, and rely on evidence-based medicine.
Conclusions:
A reliable and user-friendly SCT for the PHA of older adults would facilitate the delivery of preventive care. However, no published SCTs to date meet the expectations of PCCs. Further research is necessary to develop one.
More Related Videos
11:21Methodology for Establishing a Community-Wide Life Laboratory for Capturing Unobtrusive and Continuous Remote Activity and Health Data
Published on: July 27, 2018
06:52Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
Related Concept Videos
01:29Documentation in Long-Term and Home Healthcare Setting
Long-Term Care Facilities
01:29Nursing Assessment
The nurse collects all aspects of the patient's health in the initial assessment, establishing priorities for ongoing focused assessments...
01:23Assessment of the Cardiovascular System I: Subjective Data
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
01:05Data Collection III
The principles to begin the physical assessment include conducting a comprehensive or problem-related history in a quiet, well-lit room, emphasizing privacy and comfort for the...
01:29Assessment of the Gastrointestinal System II: Health Perception Pattern
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
01:27Pharmacodynamics in Geriatric Patients: Effects of Age