title: Geriatric syndromes and geriatric assessment for the generalist.
abstract: Geriatric assessment is an increasingly important area of outpatient medicine, given the unprecedented aging of the US population. Screening and evaluation for geriatric syndromes, particularly falls, urinary incontinence, frailty, and cognitive impairment, are crucial aspects of outpatient geriatric assessment. Innovative models of care are emerging to improve quality of care and enhance cost savings for the geriatric patient. High-value features of geriatric care systems include providing increased 24/7 access to care, a multidisciplinary team-based approach to care, performing medication reconciliation and comprehensive geriatric assessments, and integrating palliative care into treatment planning.
authors.affiliation: On Lok Senior Health by Institute of Aging, 3575 Geary Boulevard, San Francisco, CA 94118, USA. Electronic address: Charlotte.carlson@ucsf.edu.
authors.forename: Charlotte
authors.initials: C
authors.lastname: Carlson
authors.affiliation: Division of General Internal Medicine, Department of Medicine, University of Washington, 1959 NE Pacific Street, Box 356429, Seattle, WA 98195, USA.
authors.forename: Susan E
authors.initials: SE
authors.lastname: Merel
authors.affiliation: San Francisco VA Medical Center, 4150 Clement St, San Francisco, CA 93121, USA.
authors.forename: Michi
authors.initials: M
authors.lastname: Yukawa
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control; D000203:Activities of Daily Living; D000368:Aged; D003072:Cognition Disorders / Q000175:diagnosis; D005544:Forecasting; D016330:Frail Elderly; D058006:General Practice / Q000379:methods* / Q000458:organization & administration; D015577:Geriatric Assessment / Q000379:methods*; D006297:Health Services Accessibility / Q000458:organization & administration; D006801:Humans; D008403:Mass Screening / Q000379:methods; D017146:Models, Organizational; D010166:Palliative Care / Q000458:organization & administration; D010348:Patient Care Team / Q000458:organization & administration; D010934:Planning Techniques; D010818:Practice Patterns, Physicians' / Q000458:organization & administration* / Q000639:trends; D011320:Primary Health Care / Q000379:methods* / Q000458:organization & administration; D011787:Quality of Health Care / Q000458:organization & administration*; D013577:Syndrome; D014549:Urinary Incontinence / Q000175:diagnosis
keywords: Care delivery systems; Frailty; Geriatric assessment; Geriatric syndromes; Primary care