GERIATRIC ASSESSMENT The geriatric assessment is a multidimensional and multidisciplinary diagnostic approach designed to collect data on the medical

, psychosocial and functional capabilities and limitations of elderly patients (Glickman-Simon, 2007). And this assessment goes beyond the standard adult comprehensive history and physical exam. It includes a more extensive evaluation. In addition to the basic inquiries and physical examinations, information of special importance in older adults often include orthostatic vital signs, vision, hearing, gait and balance, fall assessment, cognition (memory) and affect (depression). Others include rehabilitative status and prognosis if ill or disabled, current emotional health and substance abuse, nutritional status and needs, disease risk factors, screening status, and health promotion activities (Kane et al, 2004). In other words, Nurses should take note of in-depth medication review including history of prescribed an over-the-counter drugs, and vitamins and trado-medical substances including the immunization status of the patient. An in-depth evaluation of living arrangements, social supports and activities, and advanced directives should also be made. This kind of assessment yields a more complete and relevant list of medical problems and functional problems, for example, difficulty walking, falls, the need for assistance with ADLs, incontinence, constipation, inadequate pain control, and psychosocial issues, the presence of depression, and social isolation. These syndromes require individualized, coordinated strategies of care for further evaluation, treatment, referral, and patient/caregiver education (Kane et al, 2004). In conclusion, geriatric assessment and care coordination is both highly effective and cost effective and is important for administering of prescriptions, reduce the incidence of adverse drug events, and guide the need for specialty services, diagnostic studies, ER visits, and

McGraw Hill: New York. Retrieved September 14.pdf Kane. the process of consultation and care coordination leads to improved patient and caregiver satisfaction. 2009. (2007). The nurse educator’s guide to assessing learning outcomes (2nd ed.). J. & Abrass.Jones and Bartlett Publishers: Sudbury. Essentials of clinical geriatrics (5th ed.). Ouslander.hospitalizations.E. (2004).B. From http://ocw.tufts. Tufts University School of Medicine.edu/data/42/499797.. R. In other words.L. MA .McDonald. M.Comprehensive geriatric assessment.G. I. (2007). REFERENCES Glickman-Simon. R.

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