Withincreased number of elderly patients in the modern health caresystems, unrecognized and inadequately managed health issues can haveadverse effects. Assessment tools that can be used to manage preventand delay geriatric conditions and complications play an importantrole in elderly patients care (Avelino-Silva et al, 2014, Cohen &Krejeswski, 2014). In addition to assessment of medical illnesses, itis essential to assess other factors that influence the healthwellbeing of elderly patients. An appropriate geriatric assessmentshould be composed of medical, functional, cognitive, psychological,social, economic and spiritual assessment tools (Rosen & Reuben,2010). This will enable the geriatric nurse or health care personnelto identify factors that are likely to have an impact on the patienthealth.
Inthe case of Mr. Smith, although his only known problem isosteoarthritis, an assessment tool that looks at all the health riskshe is exposed to is necessary. At his age, involving a home basedcaregiver is essential in identifying the health needs determinants.For example, Smith can be accompanied by another individual whodirectly takes care of him. The most important aspect of theassessment tool is medical assessment which looks at the medicalhistory of Smith. The assessment tool enables the physician to assessaspects that are less likely to be reported by the patient. Forexample, Smith has been using a cane as he walks due to increasedpain on his right hip. Appropriate assessment tools will avoiddisability that could be caused by this problem. The assessment toolwill also include functional, cognitive, psychological, social,economic and spiritual assessment tools. However, the assessment toolwould consider factors such as level of education, language,prosthetic or missing arms, physical disability, and social factors(Rosen & Reuben, 2010). This will ensure that Smith is notexposed to factors that have an impact on his health. For example,although it is not a medical issue, assessment of economic wellbeingand spiritual wellbeing of Smith is essential in geriatric care. Thefamily members or caregiver will play an important role in enhancingthe effectiveness of this assessment tool (Elsawy & Higgins,2011). This approach to geriatric assessment is validated.
Avelino-Silva,T. et al (2014). Comprehensive geriatric assessment predictsmortality and adverse outcomes in hospitalized older adults. BMCGeriatrics.14:129,DOI: 10.1186/1471-2318-14-129
ElsawyB. & Higgins K. E. The geriatric assessment. AmFam Physician2011 83:48.
Cohen,D. & Krejeswski. A. (2014). Interdisciplinary GeriatricResilience Interventions: An Urgent Research Priority. Topics inGeriatric Rehabilitation, 30(3), 99-206.
Rosen,S. & Reuben, D. (2011). Geriatric . MountSinai Journal of Medicine.78:489–497.