title: [Geriatric assessment. Development, status quo and perspectives].
abstract: Multimorbidity is typical for geriatric patients. Problems not identified in time may lead to increased hospitalisation or prolonged hospital stay. Problems of multimorbidity are not covered by most guidelines or clinical pathways. The geriatric assessment supports standard clinical and technical assessment. Geriatric identification screening is basic for general practitioners and in emergency rooms to filter those patients bearing a special risk. Geriatric basic assessment covers most of the problems relevant for people in old age, revealing even problems that had so far been hidden. It permits to structure a comprehensive and holistic therapeutic approach and to evaluate the targets of treatment relevant for independent living and well-being. This results in reduction of morbidity and mortality. Assessment tools focusing on pain, nutrition and frailty should be added to the standardized geriatric basic assessment in Germany.
authors.affiliation: Medizinische Klinik IV, Geriatrie und Palliativmedizin, Klinikum Osnabrück, Am Finkenhügel 1, 49076 Osnabrück. dieter.luettje@klinikum-os.de.
authors.forename: D
authors.initials: D
authors.lastname: Lüttje
authors.forename: D
authors.initials: D
authors.lastname: Varwig
authors.forename: B
authors.initials: B
authors.lastname: Teigel
authors.forename: B
authors.initials: B
authors.lastname: Gilhaus
mesh_terms: D000203:Activities of Daily Living / Q000145:classification; D000368:Aged; D000369:Aged, 80 and over; D000544:Alzheimer Disease / Q000175:diagnosis; D001008:Anxiety Disorders / Q000175:diagnosis; D015897:Comorbidity; D003299:Cooperative Behavior; D003866:Depressive Disorder / Q000175:diagnosis; D004185:Disability Evaluation; D016330:Frail Elderly; D015577:Geriatric Assessment / Q000379:methods*; D005858:Germany; D006305:Health Status Indicators; D006760:Hospitalization; D006801:Humans; D007362:Intensive Care Units; D033183:Interdisciplinary Communication; D008403:Mass Screening / Q000379:methods; D051346:Mobility Limitation; D009483:Neuropsychological Tests; D010809:Physical Fitness