Abstract
Caring for the older person is perhaps one of the most challenging tasks in clinical medicine. In addition to normal age-related changes that affect function and physiological response, certain age-prevalent diseases also accumulate. This may lead to even the most experienced clinician being surprised by the often atypical and nonspecific presentation of illness. Although a comprehensive geriatric assessment may be time- and labor-intensive, thoughtful screening is nonetheless crucial to assess an elderly person’s functional ability, physical health, cognitive and mental health, and socio-environmental situation.
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Williams ME. Why screen for functional disability in elderly persons. Annals Intern Med. 1990;112(9):63–640.
Lawton MP, Brody EM. Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist. 1969;9:179–86.
Katz S, Ford AB, Moskowitz RW, et al. Studies of illness in the aged: the index of ADL. JAMA. 1963;185:914–9.
Mahoney FI, Barthel D. Functional evaluation: the Barthel Index. Maryland State Med J. 1965;14:56–61.
Fillenbaum G. Screening the elderly: brief instrumental activities of daily living measure. JAGS. 1985;33:698–706.
Morris JN, Sherwood S, Mor V. An assessment tool for use in identifying functionally vulnerable persons in the community. Gerontologist. 1984;24(4):373–9.
Reuben DB, Siu AL. An objective measure of physical function of elderly outpatients: the physical performance test. J Am Geriatr Soc. 1990;38:1105–12.
Tinetti ME. Performance-oriented assessment of mobility problems in elderly patients. J Am Geriatr Soc. 1986;34(2):119–26.
Tinetti ME, Williams TF, Mayewski R. Fall risk index for elderly patients based on number of chronic disabilities. Am J Med. 1986;80:429–34.
Morse JM, Morse RM, Tylko SJ. Development of a scale to identify the fall-prone patient. Can J Aging. 1989;8:366–7.
Abrams P et al. International Continence Society 2005. http://www.ics.org/Publications/ICI_3/book.pdf.
Wallace, et al. Involuntary weight loss in older outpatients: incidence and clinical significance. J Am Geriatr Soc. 1995;43(4):329–37.
Rubenstein LZ, Harker JO, Salva A, Guigoz Y, Vellas B. Screening for undernutrition in geriatric practice: developing the short-form mini-nutritional assessment (MNA-SF). J Gerontology. 2001;56A:M366–77.
Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 5th ed. American Psychiatric Association; 2013.
Mojtabai R. Diagnosing depression in older adults in primary care. N Engl J Med. 2014;370(13):1190–2.
Inouye, et al. A predictive model for delirium in hospitalized elderly medical patients based on admission characteristics. Ann Intern Med. 1993;119(6):474–81.
Inouye SK, Charpentier PA. Precipitating factors for delirium in hospitalized elderly persons. Predictive model and interrelationship with baseline vulnerability. JAMA. 1996;275(11):852–7.
Lin JS et al. Screening for cognitive impairment in older adults: an evidence update for the U.S. preventive services task force [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2013 Nov. (Evidence Syntheses, No. 107). Available from: http://www.ncbi.nlm.nih.gov/books/NBK174643/.
Boustani M et al. Screening for dementia [Internet]. Systemic evidence reviews, No 20. Agency for Healthcare Research and Quality; 2003.
Nasreddine ZS, et al. The montreal cognitive assessment, MoCA: a brief screening tool for mild cognitive impairment. J Am Geriatr Soc. 2005;53(4):695–9.
Tariq SH et al. The Saint Louis University Mental Status (SLUMS) examination is more sensitive than mini-mental state examination (MMSE) for detecting mild cognitive impairment and dementia. J Am Geriatr Soc. 2004;52(4):122.
Neelon VJ, Champagne MT, Carlson JR, Funk SG. The NEECHAM confusion scale: construction, validation, and clinical testing. Nurs Res. 1996;45(6):324–30.
Bergeron N, Dubois MJ, Dumont M, Dial S, Skrobik Y. Intensive care delirium screening checklist: evaluation of a new screening tool. Intensive Care Med. 2001;27(5):859–64.
Radloff LS. The CES-D scale: a self-report depression scale for research in the general population. Appl Psychol Measur. 1977;1:385–401.
Yesavage JA, Brink TL, Rose TL, Lum O, Huang V, Adey MB, Leirer VO. Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res. 1983;17:37–49.
Sheikh JI, Yesavage JA. Geriatric depression scale (GDS): recent evidence and development of a shorter version. In: Clinical gerontology: a guide to assessment and intervention. New York: The Haworth Press; 1986, p. 165–173.
Lyness JM, et al. Screening for depression in elderly primary care patients. A comparison of the center for epidemiologic studies-depression scale and the geriatric depression scale. Arch Intern Med. 1997;157(4):449–54.
Rinaldi P et al. Validation of the five-item geriatric depression scale in elderly subjects in three different settings. JAGS. 2003;51(5):694–8.
O’Conner EA, et al. Screening for depression in adult patients in primary care settings: a systematic evidence review. Ann Intern Med. 2009;151(11):793–803.
Cummings JL. The Neuropsychiatric Inventory: assessing psychopathology in dementia patients. Neurology. 1997;48:S10–6.
Cummings J, Mega M, Gray K, Rosenberg-Thompson S, Carusi DA, Gornbein J. The neuropsychiatric inventory: comprehensive assessment of psychopathology in dementia. Neurology. 1994;44:2308–14.
McKhann, et al. The diagnosis of dementia due to Alzheimer’s disease: recommendations from the National Institute on Aging-Alzheimer’s Association workgroups on diagnostic guidelines for Alzheimer’s disease. Alzheimers Dement. 2011;7(3):263–9.
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Blumenthal, J., Gambert, S.R. (2016). Comprehensive Geriatric Assessment. In: Stegemann, S. (eds) Developing Drug Products in an Aging Society. AAPS Advances in the Pharmaceutical Sciences Series, vol 26. Springer, Cham. https://doi.org/10.1007/978-3-319-43099-7_6
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