RT Book, Section A1 Harper, G. Michael A1 Johnston, C. Bree A1 Landefeld, C. Seth A2 Papadakis, Maxine A. A2 McPhee, Stephen J. A2 Rabow, Michael W. SR Print(0) ID 1175790668 T1 Comprehensive Assessment of the Older Adult T2 Current Medical Diagnosis & Treatment 2021 YR 2021 FD 2021 PB McGraw-Hill Education PP New York, NY SN 9781260469868 LK accessmedicine.mhmedical.com/content.aspx?aid=1175790668 RD 2022/08/12 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.