TY - CHAP M1 - Book, Section TI - Comprehensive Assessment of the Older Adult A1 - Harper, G. Michael A1 - Johnston, C. Bree A1 - Landefeld, C. Seth A2 - Papadakis, Maxine A. A2 - McPhee, Stephen J. A2 - Rabow, Michael W. PY - 2021 T2 - Current Medical Diagnosis & Treatment 2021 AB - In addition to conventional assessment of symptoms and diseases, comprehensive assessment addresses three topics: prognosis, values and preferences, and ability to function independently. Each topic merits at least brief consideration in each clinical decision. For many clinical interventions, harms occur with the interventions or shortly thereafter, and benefits may not occur until years later; such interventions are generally contraindicated when life expectancy is less than the time until benefit. Comprehensive assessment is warranted before major clinical decisions are made (eg, whether major surgery should be performed, or whether a patient should be admitted to the hospital). In hospitalized patients, comprehensive assessment improves survival and increases the number of people who return home. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2022/08/13 UR - accessmedicine.mhmedical.com/content.aspx?aid=1175790668 ER -