Geriatric Assessment Tools
Geriatric Assessment Tools
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DOI：
10.1002/msj.20277
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发表时间：
2011-07-01
影响因子：
--
通讯作者：
Reuben, David B.
中科院分区：
文献类型：
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作者：
Rosen, Sonja L.;Reuben, David B.
除内科疾病外，心理、社会、认知和功能问题也影响老年人的健康。因此，传统的医学评估本身往往不足以评估有多种合并症的老年人群。出于这一公认的需要，制定了老年病评估，强调采用更广泛的方法来评价对老年人健康的贡献。老年评估使用特定的工具来帮助确定患者在几个不同方面的状态，包括医疗，认知，情感，社会，经济，环境，精神和功能状态的评估。本文综述了从业者可以用于筛查以下老年综合征的具体工具：听力障碍、视力障碍、功能下降、福尔斯、尿失禁、认知障碍、抑郁症和营养不良。本文还回顾了精神，经济和社会评估。通过确定老年人常见的疾病，老年病评估可以为老年人的全面护理提供实质性的见解，从健康和高功能的老年人到有严重缺陷和多种合并症的老年人。Mt Sinai J Med 78：489-497，2011. (C)2011年西奈山医学院
In addition to medical diseases, psychological, social, cognitive, and functional issues influence the health of older persons. Therefore, the traditional medical assessment alone is often not enough to evaluate the older population with multiple comorbidities. Out of this recognized need, the geriatric assessment has been developed, which emphasizes a broader approach to evaluating contributors to health in older persons. Geriatric assessment uses specific tools to help determine patient's status across several different dimensions, including assessment of medical, cognitive, affective, social, economic, environmental, spiritual, and functional status. This article reviews specific tools that practitioners can use in their screening for the following geriatric syndromes: hearing impairment, vision impairment, functional decline, falls, urinary incontinence, cognitive impairment, depression, and malnutrition. This article also reviews spiritual, economic, and social assessment. By identifying conditions that are common in the elderly, geriatric assessment can provide substantial insight into the comprehensive care of older persons, from those who are healthy and high-functioning to those with significant impairments and multiple comorbidities. Mt Sinai J Med 78:489-497, 2011. (C) 2011 Mount Sinai School of Medicine