Guidelines for developing instruments to enhance case-finding among older adults

This article discusses the necessity of developing reliable and valid instruments to enhance case finding efforts among older adults who may be at risk for alterations in their optimal level of functioning and health. Case studies are provided to demonstrate to nurses how misconceptions can occur when assessment tools are neither reliable nor valid in extracting critical information. While the use of reliable and valid case-finding instruments can detect high-risk circumstances and reduce the likelihood of premature death and disability, erroneous information can have adverse economic and health consequences for the individual, family, and community.