RT Book, Section A1 Witt, Leah J. A1 Lau-Ng, Rossana A1 Harper, G. Michael A2 Papadakis, Maxine A. A2 Rabow, Michael W. A2 McQuaid, Kenneth R. A2 Gandhi, Monica SR Print(0) ID 1209215979 T1 Comprehensive Assessment of the Older Adult T2 Current Medical Diagnosis & Treatment 2025 YR 2025 FD 2025 PB McGraw-Hill Education PP New York, NY SN 9781266266232 LK accessmedicine.mhmedical.com/content.aspx?aid=1209215979 RD 2025/07/19 AB The comprehensive geriatric assessment incorporates an evaluation of the Geriatric 5M “multicomplexity,” which (1) expands upon the conventional assessment of symptoms, diseases, and medications; (2) considers the biopsychosocial situation; and (3) includes an analysis of prognosis, values and preferences, and ability to function independently. 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.