Geriatric Assessment

• A comprehensive geriatric assessment includes a systematic approach assessing medical, functional, psychological, and social domains.

• A medication review is an essential component of a geriatric assessment.

• A multidisciplinary approach is used to identify intervention and management strategies.

• A questionnaire targeted to the geriatric assessment domains will expedite the patient visit.

• The goals of the geriatric assessment are to maintain function and preserve quality of life.

Longer life spans and aging "baby boomers" will double the population of Americans age 65 years and older over the next 25 years. The dramatic increase in life expectancy in the United States is the result of improved medical care and prevention efforts. In 2006, persons 65 years or older numbered 37.3 million and represented 12.4% of the U.S. population, about one in every eight Americans. The population 65 and over increased from 35 million in 2000 to about 40 million in 2010, a 15% increase, and then will increase to 55 million in 2020, a 36% increase for that decade. According to the Centers for Disease Control and Prevention (CDC, 2007), by 2030 there will be about 71.5 million older persons, more than twice their number in 2000 and about 20% of the U.S. population (Table 4-1).

There has been a significant shift in the leading causes of death for all groups from infectious disease and acute illnesses to chronic diseases and degenerative illnesses. Of the

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