What are some key issues in geriatrics merit special attention that may not arise in caring for other groups of adult patients?
• Cognitive impairment • Dental status • Falls • Foot disorders • Gait abnormalities or use of adaptive equipment • Hearing loss • Incontinence (fecal and urinary) • Nutrition or feeding impairment • Osteoporosis • Pressure ulcers • Psychiatric illness (depression, paranoia, anxiety, grief) • Sexual history • Sleep disorders • Vision loss What is Comprehensive geriatric assessment? Comprehensive geriatric assessment has been well defined as a “multidimensional—usually interdisciplinary—diagnostic process designed to quantify an elderly individual’s medical, psychosocial, and functional capabilities and problems with the intention of arriving at a comprehensive plan for therapy and long-term follow-up.” This approach to decision making and developing plans for the care of older patients with complex problems at critical points in their lives has developed from the experience and observations of clinicians involved in the care of older persons over the last three quarters of the century.
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