Comprehensive geriatric assessment of frail older people: ideals and reality

Journal of Interprofessional Care
Synneve Dahlin IvanoffEva Holmgren

Abstract

We explored different professionals' views on and experiences of comprehensive geriatric assessment (CGA) of frail older people. Forty-six professionals working in hospitals, primary care, or municipal health and social care participated in 10 focus groups. Professional groups comprised of occupational therapists, physiotherapists, nurses, physicians, and social workers. Participants shared an ideal image of how the CGA of frail elderly people should be conducted. Experience-based competence was more often used as an assessment tool than standardized tests. The ideal image contrasted with reality, listening to the needs expressed, with the person's problems, needs, and priorities in the foreground, as described by the categories: a need that can be met; different perspectives on needs; needs can be hidden; and needs assessment is affected by the collaboration around the person, by the context, and by the dialogue. The health and social care professionals' first priority is to make a person-centred tailor-made comprehensive geriatric assessment and not be bound to instruments. Clear guidelines need to be developed, stating which profession assesses what, when and how in order to ensure that person-centred needs are assessed incl...Continue Reading

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Citations

Mar 27, 2019·Aging Clinical and Experimental Research·Anna Maria MeyerM Cristina Polidori
May 1, 2020·Scandinavian Journal of Primary Health Care·Magnus NordMaria Johansson

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