Comprehensive geriatric assessment: recognition of identified geriatric conditions by community-dwelling older persons
| Autor: | Sophia E. de Rooij, Eric P. Moll van Charante, Eva Hoff, Marjon van Rijn, Jacqueline J. Suijker, Bianca M. Buurman, Gerben ter Riet, Wietske Bol |
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| Přispěvatelé: | Kenniscentrum ACHIEVE, Geriatrics, General practice, Nursing, Lifelong Learning, Education & Assessment Research Network (LEARN) |
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Gerontology
Male Aging Health Knowledge Attitudes Practice Dependency Psychological law.invention Health problems 0302 clinical medicine Randomized controlled trial law Interquartile range Prevalence Medicine 030212 general & internal medicine FUNCTIONAL DECLINE Netherlands Aged 80 and over 030503 health policy & services Alcohol and drug Age Factors General Medicine comprehensive geriatric assessment RANDOMIZED CONTROLLED-TRIAL HOME VISITING PROGRAM Alcoholism patient-centred care Female Independent Living recognition 0305 other medical science Substance-Related Disorders shared decision making HEALTH-PROBLEMS Pain ELDERLY-PEOPLE 03 medical and health sciences Predictive Value of Tests Intervention (counseling) GENERAL-PRACTICE Humans Functional decline Geriatric Assessment METAANALYSIS Aged business.industry DISABILITY PRIMARY-CARE APPROACH Geriatric assessment Recognition Psychology Health Literacy Increased risk older persons Geriatrics and Gerontology SHARED DECISION-MAKING business |
| Zdroj: | Age and Ageing, 45(6), 894-899. Oxford University Press Age and ageing, 45(6), 894-899. Oxford University Press |
| ISSN: | 0002-0729 |
| Popis: | Objectives: to study (i) the prevalence of geriatric conditions in community-dwelling older persons at increased risk of functional decline and (ii) the extent to which older persons recognise comprehensive geriatric assessment (CGA)-identified conditions as relevant problems.Methods: trained registered nurses conducted a CGA in 934 out of 1209 older persons at increased risk of functional decline participating in the intervention arm of a randomised trial in the Netherlands. After screening for 32 geriatric conditions, participants were asked which of the identified geriatric conditions they recognised as relevant problems.Results: at baseline, the median age of participants was 82.9 years (interquartile range (IQR) 77.3-87.3 years). The median number of identified geriatric conditions per participant was 8 (IQR 6-11). The median number of geriatric conditions that were recognised was 1 (IQR 0-2). Functional dependency and (increased risk of) alcohol and drug dependency were the most commonly identified conditions. Pain was the most widely recognised problem.Conclusion: CGA identified many geriatric conditions, of which few were recognised as a problem by the person involved. Further study is needed to better understand how older persons interact with identified geriatric conditions, in terms of perceived relevance. This may yield a more efficient CGA and further improve a patient-centred approach. |
| Databáze: | OpenAIRE |
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