Das geriatrische Assessment

Abstract

Multimorbidity is typical for geriatric patients. Problems not identified in time may lead to increased hospitalisation or prolonged hospital stay. Problems of multimorbidity are not covered by most guidelines or clinical pathways. The geriatric assessment supports standard clinical and technical assessment. Geriatric identification screening is basic for general practitioners and in emergency rooms to filter those patients bearing a special risk. Geriatric basic assessment covers most of the problems relevant for people in old age, revealing even problems that had so far been hidden. It permits to structure a comprehensive and holistic therapeutic approach and to evaluate the targets of treatment relevant for independent living and well-being. This results in reduction of morbidity and mortality. Assessment tools focusing on pain, nutrition and frailty should be added to the standardized geriatric basic assessment in Germany.

The German version of the Camberwell Assessment of Need for the Elderly (CANE): evaluation of content validity and adaptation to the German-speaking context

“…In this study, content-related validity of the German CANE was assessed incorporating these different angles. As a result of the staged content-related assessment procedure in this study, the CANE was extended by several aspects, for example, "drinking status," "dental health," "disability," "delirium," and "pain" as these aspects represent common issues in the elderly population that should be systematically recorded and considered when assessing needs (Lüttje et al, 2011;Vermeulen et al, 2011;Rabbo et al, 2012;Inouye et al, 2014). The extension of the CANE section "alcohol" by other substances such as tobacco, medication, and other drugs ensures the broad coverage of the section "substance abuse and addiction" in the CANE.…”

Valoración gerontogeriátrica integral: comparación diagnóstica entre el módulo gerontológico y la consulta externa

“…Diversas investigaciones han señalado las ventajas de la vgi, demostrando que mejora los indicadores de calidad de cuidado del adulto mayor, la funcionalidad, y hay menor morbimortalidad, disminución de las hospitalizaciones, menor uso de medicamentos y mejora en la calidad de vida relacionada con la salud. [5][6][7] Ellis y cols. 8 realizaron un metaanálisis en 22 estudios y 10 315 participantes, comparando la vgi con la asistencia médica tradicional.…”