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Comprehensive geriatric assessment: recognition of identified geriatric conditions by community-dwelling older persons

van Rijn, M., Suijker, J. J., Bol, W., Hoff, E., ter Riet, G., de Rooij, S. E., van Charante, E. P. M. & Buurman, B. M., Nov-2016, In : Age and Ageing. 45, 6, p. 894-899 6 p.

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  • Comprehensive geriatric assessment recognition of identified geriatric conditions by community

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DOI

  • Marjon van Rijn
  • Jacqueline J. Suijker
  • Wietske Bol
  • Eva Hoff
  • Gerben ter Riet
  • Sophia E. de Rooij
  • Eric P. Moll van Charante
  • Bianca M. Buurman

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.

Original languageEnglish
Pages (from-to)894-899
Number of pages6
JournalAge and Ageing
Volume45
Issue number6
Publication statusPublished - Nov-2016

    Keywords

  • comprehensive geriatric assessment, recognition, shared decision making, older persons, patient-centred care, RANDOMIZED CONTROLLED-TRIAL, SHARED DECISION-MAKING, HOME VISITING PROGRAM, PRIMARY-CARE APPROACH, FUNCTIONAL DECLINE, GENERAL-PRACTICE, HEALTH-PROBLEMS, ELDERLY-PEOPLE, METAANALYSIS, DISABILITY

ID: 35558242