RT Book, Section A1 Harper, G. Michael A1 Witt, Leah J. A1 Landefeld, C. Seth A2 Papadakis, Maxine A. A2 McPhee, Stephen J. A2 Rabow, Michael W. A2 McQuaid, Kenneth R. SR Print(0) ID 1184156271 T1 Comprehensive Assessment of the Older Adult T2 Current Medical Diagnosis & Treatment 2022 YR 2022 FD 2022 PB McGraw-Hill Education PP New York, NY SN 9781264269389 LK accessmedicine.mhmedical.com/content.aspx?aid=1184156271 RD 2022/05/28 AB In addition to conventional assessment of symptoms, diseases, and medications, 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.